循证护理在重症脑卒中后床旁盲插鼻肠管患者中的应用(1)
【摘要】 目的：研究循證护理对重症脑卒中后床旁盲插鼻肠管患者的临床应用效果。方法：选取本院2017年5月-2019年5月收纳的重症脑卒中后要进行盲插鼻肠管患者80例，按照入院先后顺序将其分为研究组与对照组各40例，对照组采取常规护理法，研究组采取循证护理法，比较两组患者置管成功率、不良事件发生率和住院基本情况。结果：研究组一次性置管率为97.50%，对照组一次性置管率为82.50%，研究组置管成功率高于对照组，差异有统计学意义(P<0.05)。研究组患者并发症发生率为5.00%，对照组患者并发症发生率为10.00%，两组比较差异无统计学意义(P>0.05)。护理前，两组患者血清转铁蛋白(TF)、清蛋白(ALB)和前清蛋白(PA)水平经比较，差异无统计学意义(P>0.05);护理后，两组患者TF、ALB和PA水平均显著上升，差异均有统计学意义(P<0.05)，研究组患者TF、ALB和PA水平要显著高于对照组患者，差异均有统计学意义(P<0.05)。研究组患者重症监护病房(ICU)入住时间与机械通气时间均显著短于对照组，差异均有统计学意义(P<0.05);研究组患者30 d内再次入住ICU率为7.5%低于对照组25.00%，两组比较差异有统计学意义(P<0.05)。结论：循证护理对要进行床旁盲插鼻肠管患者有积极影响，能够提高置管成功率，降低并发症的发生，安全有效。
【关键词】 循证护理 重症脑卒中 营养支持 鼻肠管
Effect of Evidence-based Nursing on the Success Rate and Adverse Event Rate of One-time Intubation in Patients with Severe Stroke/PENG Jing， CHEN Shangxue， WU Yuanqin. //Medical Innovation of China， 2020， 17(25)： -108
[Abstract] Objective： To study the effect of evidence-based nursing on the success rate of one-time intubation and the incidence of adverse events in patients with severe stroke. Method： A total of 80 patients who were admitted to our hospital from May 2017 to May 2019 were divided into study group and control group according to the order of admission， 40 cases in each group. The control group adopted routine nursing method， and the study group adopted evidence-based nursing method. The success rate of catheterization， incidence of adverse events and Basic information of hospitalization of two groups were compared. Result： The rate of one-time catheterization was 97.50% in the study group and 82.50% in the control group， the success rate of catheterization in the study group was significantly higher than that in the control group (P<0.05). The incidence of complications in the study group was 5.00% and that in the control group was 10.00%， there was no significant difference in the number of complications between the two groups (P>0.05). Before catheterization， the levels of TF， ALB and PA in the two groups were not significantly different (P>0.05). After catheterization， the levels of TF， ALB and PA in the two groups were significantly increased (P<0.05). The levels of TF， ALB and PA in the study group were significantly higher than those in the control group (P<0.05). The ICU stay time and mechanical ventilation time in the study group were significantly shorter than those in the control group， the differences were statistically significant (P<0.05); the readmission rate of ICU in the study group within 30 days was 7.5%， which was lower than that of the control group (25.00%)， the difference between the two groups was statistically significant (P<0.05). Conclusion： Evidence-based nursing has a positive effect on the patients who need to insert the nasoenteral tube in bed， which can improve the success rate of intubation， reduce the occurrence of complications， and is safe and effective., http://www.100md.com(彭晶 陈上学 吴袁琴)
【关键词】 循证护理 重症脑卒中 营养支持 鼻肠管
Effect of Evidence-based Nursing on the Success Rate and Adverse Event Rate of One-time Intubation in Patients with Severe Stroke/PENG Jing， CHEN Shangxue， WU Yuanqin. //Medical Innovation of China， 2020， 17(25)： -108
[Abstract] Objective： To study the effect of evidence-based nursing on the success rate of one-time intubation and the incidence of adverse events in patients with severe stroke. Method： A total of 80 patients who were admitted to our hospital from May 2017 to May 2019 were divided into study group and control group according to the order of admission， 40 cases in each group. The control group adopted routine nursing method， and the study group adopted evidence-based nursing method. The success rate of catheterization， incidence of adverse events and Basic information of hospitalization of two groups were compared. Result： The rate of one-time catheterization was 97.50% in the study group and 82.50% in the control group， the success rate of catheterization in the study group was significantly higher than that in the control group (P<0.05). The incidence of complications in the study group was 5.00% and that in the control group was 10.00%， there was no significant difference in the number of complications between the two groups (P>0.05). Before catheterization， the levels of TF， ALB and PA in the two groups were not significantly different (P>0.05). After catheterization， the levels of TF， ALB and PA in the two groups were significantly increased (P<0.05). The levels of TF， ALB and PA in the study group were significantly higher than those in the control group (P<0.05). The ICU stay time and mechanical ventilation time in the study group were significantly shorter than those in the control group， the differences were statistically significant (P<0.05); the readmission rate of ICU in the study group within 30 days was 7.5%， which was lower than that of the control group (25.00%)， the difference between the two groups was statistically significant (P<0.05). Conclusion： Evidence-based nursing has a positive effect on the patients who need to insert the nasoenteral tube in bed， which can improve the success rate of intubation， reduce the occurrence of complications， and is safe and effective., http://www.100md.com(彭晶 陈上学 吴袁琴)