集束化护理干预在重症急性胰腺炎肠内营养中的作用

摘要

目的 评估集束化护理干预在重症急性胰腺炎(SAP)患者早期经鼻空肠三腔喂养管肠内营养(EN)中的应用效果.方法 选取ICU收治的SAP 45例为对照组,实施常规护理;43例为观察组,在常规护理基础上实施集束化护理干预,比较2组EN启动时间,观察腹泻、腹胀、鼻孔边缘皮肤压疮、堵管等并发症发生情况.结果 观察组EN启动时间为(5.1±1.7)d,对照组为(6.8±2.1)d,2组比较差异有统计学意义(P＜0.01).2组腹泻、腹胀、鼻孔边缘皮肤压疮、堵管等并发症总发生率比较差异显著(P＜0.05).结论 集束化护理干预可有效改善SAP患者早期经鼻空肠三腔喂养管进行EN的时间,减少并发症的发生.%Objective To evaluate the application effect of cluster nursing intervention in early enteral nutrition (EN) using transnasal jejunum three-cavity feeding tube for patients with severe acute pancreatitis (SAP).Methods A total of 45 patients with SAP in intensive care unit (ICU) were as control group and received routine nursing,while another 43 were as observation group and treated with cluster nursing intervention on the basis of control group.The initiating time of EN was compared between two groups,and the occurrence of complications such as diarrhea,abdominal distention,skin pressure sores around nostril and tube plugging were observed.Results The initiating time of EN was (5.1 ± 1.7) d in observation group,which was evidently shorter than (6.8 ± 2.1) d in control group,and there was significant difference (P ＜ 0.01).And there was also significant difference between two groups in the total occurrence of complications such as diarrhea,abdominal distention,skin pressure sores around nostril and tube plugging (P ＜ 0.05).Conclusion Cluster nursing intervention can effectually improve the initiating time of EN using transnasal jejunum three-cavity feeding tube and reduce the occurrence of complications for patients with SAP.