摘要
目的分析重症脑卒中患者应用早期鼻空肠管肠内营养联合风险预警护理模式的干预效果。方法选取103例收治于华中科技大学同济医学院附属同济医院的重症脑卒中患者进行研究,入院就诊时间为2021年1月至2022年12月,回顾性分析其基本资料。将2021年1~12月实施常规护理的53例患者纳入对照组,另将2022年1~12月实施早期鼻空肠管肠内营养联合风险预警护理的50例患者纳入观察组。观察2组的护理效果,评估指标包括神经功能缺损程度、营养指标及并发症发生率。结果干预1周、干预2周后及出院时,观察组的美国国立卫生院神经功能缺损评分量表(NIHSS)评分均低于同一时间对照组(P均<0.05),且2组均较干预前降低(P均<0.05)。出院时,观察组的血清总白蛋白、血红蛋白和前白蛋白水平均高于对照组(P均<0.05),且2组的各项指标参数均较干预前升高(P均<0.05)。组间并发症的测定结果显示,观察组的总发生率低于对照组(P<0.05)。结论重症脑卒中患者联合应用早期鼻空肠管肠内营养与风险预警护理模式具有突出效果,对于改善神经功能缺损和营养指标水平具有关键性作用,且对于误吸等并发症也具有预防效果。
Objective To analyze the intervention effect of early nasojejunal enteral nutrition combined with risk warning nursing model in severe stroke patients.Methods A total of 103 severe stroke patients admitted to Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology were recruited.Their admission period was from January 2021 to December 2022,and their basic data were retrospectively analyzed.Fifty-three patients who received routine nursing care from January to December 2021 were included in the control group,and another 50 patients who received early nasojejunal enteral nutrition combined with risk warning nursing care from January to December 2022 were included in the observation group.The nursing effect of the two groups was observed,and the indicators including neurological deficit degree,nutritional indicators,and incidence of complications were evaluated.Results After 1 and 2 weeks of intervention and at discharge,the National Institutes of Health Stroke Scale(NIHSS)scores of the observation group were lower than those of the control group(P<0.05),and both groups showed a decrease compared with those before intervention(P<0.05).At discharge,the levels of serum albumin,hemoglobin,and prealbumin in the observation group were higher than those in the control group(P<0.05),and the above indicators in both groups were higher than those before intervention(P<0.05).The results of complications between the two groups showed that the total incidence in the observation group was lower than that in the control group(P<0.05).Conclusion The combined application of early nasojejunal enteral nutrition and risk warning nursing model in severe stroke patients has outstanding effects,which plays a key role in improving neurological deficits and nutritional indicators,and also has preventive effects on complications such as aspiration 。
作者
袁迷
黄姝
石慧
YUAN Mi;HUANG Shu;SHI Hui(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430000,China)
出处
《中西医结合护理(中英文)》
2025年第2期69-72,共4页
Journal of Clinical Nursing in Practice
关键词
重症脑卒中
早期鼻空肠管肠内营养
风险预警护理模式
神经功能
误吸发生率
severe stroke
early nasojejunal enteral nutrition
risk warning nursing model
neurological function
incidence of aspiration
