目的: 探讨呼吸科护理亚专业小组对重症肠内营养患者营养、肺功能及生活质量的影响。方法: 便利抽样选取2020年1月至2021年12月本院呼吸与危重症医学科收治的重症肠内营养患者80例为研究对象,按入院顺序分为对照组和干预组,对照组采用常规护理,干预组由护理亚专业小组实施护理,比较干预前后对照组与干预组的患者在营养评分、肺功能以及生活质量的差异。结果: 干预组患者PG-SGA评分较对照组显著改善,干预组患者的FEV1、FEV1%、FVC、FEV1/FVC%指标显著优于对照组,相比于对照组的患者干预组的生活质量在呼吸症状、活动能力、疾病影响及总分方面显著降低,差异显著(P＜0.05)。结论: 呼吸科护理亚专业小组的建立能够显著改善重症肠内营养患者的营养状况,肺功能得到有效提高,并对患者的生活质量改善有显著作用,值得在临床中进行推广。
Objective: To explore the effect of respiratory nursing subprofessional group on nutrition, pulmonary function and quality of life in severe patients with enteral nutrition. Methods: A total of 80 critically ill patients underwent enteral nutrition admitted to Department of Respiratory and Critical Care Medicine our hospital from January 2020 to December 2021 were selected by convenient sampling as the research objects, and the patients were divided into the control group and intervention group respectively according to the order of admission. Patients in the control group were given routine nursing, while patients in the intervention group received nursing intervention from the nursing subprofessional group. The differences of nutritional score, pulmonary function and quality of life between the two groups before and after intervention were compared. Results: Compared with the control group, PG-SGA score in the intervention group was improved, and the lung function indexes on FEV1, FEV1%, FVC and FEV1/FVC% were all improved. Compared with the control group, the quality of life of the intervention group was significantly reduced in respiratory symptoms, mobility, disease impact and total score (P＜0.05). Conclusion: The establishment of respiratory nursing subprofessional group can significantly improve the nutritional status and pulmonary function of severe patients undergoing enteral nutrition, and obviously improve their quality of life.
[1] 吴文晓, 张佩君, 郎萍, 等. 呼吸内科肺部感染住院患者营养风险筛查[J]. 中华医院感染学杂志, 2020, 30(17): 2632-2636.
[2] 马菲菲, 史亮. 呼吸内科重症监护病房慢性阻塞性肺疾病机械通气患者应用早期肠内外营养的效果[J]. 中国医学创新, 2022, 19(7): 135-139.
[3] 刘琳. 基于阶段改变理论模式的营养支持对老年COPD患者营养状况及预后的影响[J]. 临床护理杂志, 2019, 18(2): 52-55.
[4] 罗浩腾, 游娜, 陈存荣. 基于喂养流程的早期肠内营养在慢性阻塞性肺疾病急性加重并呼吸衰竭患者的疗效观察[J]. 中华急诊医学杂志, 2020, 29(10): 1303-1309.
[5] 胡银霞, 范忠杰, 张丽. 双歧杆菌四联活菌片联合肠内营养对慢性阻塞性肺疾病合并呼吸衰竭患者的临床疗效[J]. 中国微生态学杂志, 2021, 33(1): 58-61.
[6] 刘慧松, 刘志梅, 陈鑫, 等. 多模式培训对ICU护士肠内营养知信行的影响[J]. 护理学杂志, 2020, 35(7): 59-61.
[7] 胡家杰,李梅,温尊甲,等. 儿科ICU护士肠内营养相关决策行为的现况调查[J]. 护理学报, 2020, 27(21): 51-55.
[8] 李玉恒, 苏燕, 段燕, 等. 骨科成立护理亚专业组对提高该科室护理工作质量的效果分析[J]. 当代医药论丛, 2020, 18(2): 24-45.
[9] 张宁, 陈雁, 孙玉娇, 等. 内分泌护理亚专科模式的构建及运行[J]. 中国实用护理杂志, 2022, 38(25): 1973-1978.
[10] 花红霞, 许勤, 陈丽, 等. 患者参与的主观全面评定量表改良及在胃癌患者中的验证[J]. 中华护理杂志, 2021, 56(1): 39-45.
[11] 王玉英. 呼吸功能锻炼结合饮食护理干预对慢性阻塞性肺疾病患者生活质量及圣乔治呼吸问卷评分影响研究[J]. 山西医药杂志, 2020, 49(4): 496-499.
[12] 吴秋月, 蒋艳, 吴小玲. 无创通气患者肠内营养的研究进展[J]. 护士进修杂志, 2021, 36(20): 1844-1848.
[13] 李琳, 李纯, 陈静. 基于肠内营养耐受性评分的俯卧位通气患者早期肠内营养实施[J]. 护理学杂志, 2020, 35(22): 11-14.
[14] 牛晓娜, 魏军, 龚玉蕾, 等. 早期肠内营养对老年危重症机械通气病人短期预后的影响[J]. 肠外与肠内营养, 2020, 27(5): 308-312, 320.
[15] 李敏敏, 徐海霞, 杨莉莉. 量化评估指导的四级康复联合高脂低糖肠内营养对慢性阻塞性肺疾病机械通气的影响[J]. 中国医药导报, 2022, 19(22): 164-167.
