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重症患者多学科肠内营养护理小组模式应用探讨 被引量:5

Application of multidisciplinary enteral nutrition nursing group in patients with severe diseases
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摘要 目的探讨多学科肠内营养护理小组对重症患者肠内营养支持的影响。方法选取重症住院患者104例,随机分为观察组与对照组,每组52例。对照组患者给予常规护理服务,观察组患者给予院内多学科肠内营养专科护理小组的护理服务。比较2组患者营养生化指标、并发症发生率以及不良反应发生情况。结果护理前,2组患者白蛋白、转铁蛋白以及血红蛋白含量比较无显著差异(P>0.05);护理后,观察组上述3项指标均显著高于对照组(P<0.05)。观察组并发症发生率5.77%,显著低于对照组17.31%(P<0.05)。观察组不良反应发生率7.69%,显著低于对照组23.08%(P<0.05)。结论对行肠内营养支持的重症患者实施院内多学科营养护理小组护理模式,可有效提高疗效,降低不良反应与并发症发生率。 Objective To explore the influence of multidisciplinary enteral nutrition nursing group on enteral nutrition support in patients with severe diseases.Methods A total of 104 hospitalized patients with severe diseases were selected and randomly divided into observation group and control group,with 52 cases in each group.Patients in the control group received routine nursing services,and those in the observation group received nursing services provided by multidisciplinary enteral nutrition nursing group.Nutritional biochemical indicators,incidence rate of complications and adverse reactions were compared between the two groups.Results Before nursing,there were no significant differences in contents of albumin,transferrin and hemoglobin between the two groups ( P > 0.05).After nursing,the above three indexes in the observation group were significantly higher than those in the control group ( P <0.05).The incidence rate of complications in the observation group was 5.77%,which was significantly lower than 17.31% in the control group ( P <0.05).The incidence rate of adverse reactions in the observation group was 7.69%,which was significantly lower than 23.08% in the control group ( P <0.05).Conclusion For severe patients with support enteral nutrition,the implementation of the in-hospital multidisciplinary nutrition nursing group can effectively increase the efficacy and reduce the incidence rate of adverse reactions and complications.
作者 胡敏 马宇婷 熊芳婷 李雪芹 HU Min;MA Yuting;XIONG Fangting;LI Xueqin(Department of Neurology,The Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330006)
出处 《实用临床医药杂志》 CAS 2019年第17期23-26,共4页 Journal of Clinical Medicine in Practice
基金 江西省卫计委科技计划项目(20175260)
关键词 多学科肠内营养护理小组 重症患者 肠内营养支持 白蛋白 转铁蛋白 血红蛋白 multidisciplinary enteral nutrition nursing group patients with severe diseases enteral nutrition support albumin transferrin hemoglobin
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