自制匀浆饮食方案在神经外科鼻饲患者中的应用
详细信息    查看全文 | 推荐本文 |
  • 英文篇名:Application of home-made homogenized meals to nasal feeding patients hospitalized in department of neurosurgery
  • 作者:仲爱玲 ; 张强 ; 王海波 ; 张艳 ; 戎捷骊 ; 仲悦萍
  • 英文作者:Zhong Ailin;Zhang Qiang;Wang Haibo;Zhang Yan;Rong Jieli;Zhong Yueping;ICU ,Hai'an People's Hospital,Nantong University;
  • 关键词:神经外科 ; 鼻饲 ; 饮食方案 ; 自制匀浆饮食 ; 规范化指导 ; 营养治疗
  • 英文关键词:department of neurosurgery;;nasal feeding therapy;;diet plan;;homemade homogenized meals;;standardized guidance;;nutrition therapy
  • 中文刊名:HLXZ
  • 英文刊名:Journal of Nursing Science
  • 机构:南通大学附属海安医院重症医学科;南通大学附属医院神经外科;
  • 出版日期:2018-06-25
  • 出版单位:护理学杂志
  • 年:2018
  • 期:v.33
  • 基金:南通市科技计划项目(GJZ16124)
  • 语种:中文;
  • 页:HLXZ201812031
  • 页数:3
  • CN:12
  • ISSN:42-1154/R
  • 分类号:85-87
摘要
目的探讨自制匀浆饮食方案在神经外科鼻饲患者中的应用效果。方法选取给予传统饮食方案的神经外科鼻饲患者62例作为常规组,另选取给予自制匀浆饮食方案及规范化鼻饲的61例患者作为研究组,比较两组临床疗效、营养状况、肠道功能和并发症发生情况。结果鼻饲1周后研究组各项营养指标、肠道功能显著优于常规组(均P<0.01);腹泻发生率显著低于常规组(P<0.01)。结论自制匀浆饮食方案应用于神经外科鼻饲患者可改善患者营养状态,促进肠道功能恢复,且并发症较少。
        Objective To explore the effect of home-made homogenized meals in patients hospitalized in department of neurosurgery.Methods A total of 62 nasal feeding patients hospitalized in department of neurosurgery were selected as the routine group,who were given routine meals,and another 61 cases as the study group,who were given homogenized meals and standardized nasal feeding guidance prepared by the nurses.The clinical effect,nutritional status,intestinal function and complications were compared between the 2 groups.Results After 1 week,the study group had better results of nutritional indexes and intestinal function,and lower diarrhea rate,than the controls(P<0.01 for all).Conclusion Home-made homogenized meals can improve nutritional status of neurosurgical patients on nasal feeding therapy,boost recovery of intestinal function,and yield less complications.
引文
[1]王燕燕,史妍萍,张毅,等.神经外科重症鼻饲患者误吸预防的研究进展[J].护理管理杂志,2016,16(1):27-29.
    [2]高君梅,师园,井文婷,等.神经外科重症患者急性胃肠功能损伤管理模式的构建及实施[J].护理学杂志,2017,32(20):22-25.
    [3]王翠玲.营养与膳食[M].2版.上海:上海科学出版社,2010:79-138.
    [4]骆彬,王海燕,张晓伟,等.早期营养支持在重度颅脑损伤治疗中的应用效果[J].山东医药,2012,52(2):36-37.
    [5]何惠美,刘文青,刘景端,等.不同鼻饲法在高龄重型脑出血患者肠内营养中的应用[J].现代临床护理,2015,4(3):26-28.
    [6]刘玉玲.持续泵入匀浆膳食在脑出血患者鼻饲中的应用研究[J].护士进修杂志,2017,32(10):921-923.
    [7]姬晓靖.48例脑血管病合并吸入性肺炎患者预防鼻饲液反流和误吸的集束化护理[J].天津护理,2017,25(2):136-137.
    [8]陈佳,高薇薇,许芳,等.两种辅助通气方式治疗极低出生体重儿呼吸窘迫综合征临床疗效分析[J].中国当代儿科杂志,2015,17(8):847-851.
    [9]王爱凤,王正梅,王芳,等.保护性约束临床路径在神经外科躁动患者管理中的应用效果[J].中华现代护理杂志,2016,22(16):2303-2306.
    [10]陈星,葛亚明,王洁,神经外科危重患者留置鼻空肠管肠内营养的护理研究进展[J].中国实用护理杂志,2017,33(1):92-94.
    [11]Pittman C A,Miranpuri A S.Neurosurgery clinical registry data collection utilizing informatics for integrating biology and the bedside and electronic health records at the University of Rochester[J].Neurosurg Focus,2015,17(8):847-851.
    [12]李佳,牛蓓蓓,肖倩,等.神经外科ICU机械通气患者胃内容物误吸的危险因素分析[J].中华现代护理杂志,2017,23(15):2041-2045.
    [13]陈丽静,刘小红,李珍珍.颅脑损伤患者鼻饲量及间隔时间的探讨[J].护理学杂志,2008,23(10):75-77.
NGLC 2004-2010.National Geological Library of China All Rights Reserved.
Add:29 Xueyuan Rd,Haidian District,Beijing,PRC. Mail Add: 8324 mailbox 100083
For exchange or info please contact us via email.