集束化护理在脑外伤患者鼻饲中的应用

井翠; 王静

doi:10.13898/j.cnki.issn.1000-2200.2016.09.040

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集束化护理在脑外伤患者鼻饲中的应用

井翠 , 王静

文章导航 > 蚌埠医学院学报 > 2016, 41 > 9: (1242-1244)

引用本文:

Citation:

集束化护理在脑外伤患者鼻饲中的应用

井翠^1,2,
王静^1,2

1. 解放军总医院第一附属医院复兴路七号门诊部, 北京 100869;
2. 解放军总医院第一附属医院介入二科, 北京 100869

作者简介: 井翠(1984-),女,护师.

中图分类号: R651.15;R473

Clinical efficacy of cluster-based care model in patients with traumatic brain injury

JING Cui^1,2,
WANG Jing^1,2

1. Department of Outpatient, The First Affiliated Hospital of PLA General Hospital, Beijing 100869, China;
2. Department of Invasive Technology, The First Affiliated Hospital of PLA General Hospital, Beijing 100869, China
CLC number: R651.15;R473

摘要: 目的：探讨脑外伤患者鼻饲中实施集束化护理的效果。方法：选择脑外伤行鼻饲患者96例，随机数字表法分为对照组和观察组，各48例。对照组采用常规护理，观察组实施集束化护理模式，对2组患者相关临床指标和护理满意度及并发症发生情况进行比较。结果：观察组患者ICU住院时间、鼻饲时间和通气时间均明显少于对照组，住院费用显著低于对照组（P<0.01）；观察组腹泻、食物反流、吸入性肺炎、胃潴留发生率均低于对照组（P < 0.05～P < 0.01）；观察组护理满意度91.67%，高于对照组的72.92%（P<0.05）；观察组患者营养状况良好60.42%，营养中等31.25%，营养不良8.33%，对照组患者干预后营养良好43.75%，营养中等27.08%，营养不良29.17%，观察组患者营养状况优于对照组（P<0.05）。结论：集束化护理可有效促进脑外伤鼻饲患者恢复，缩短住院时间，降低住院费用，也可帮助降低并发症发生，和谐护患关系，提高机体营养状态，值得临床推广。
- 脑外伤 /
- 鼻饲 /
- 集束化护理
Abstract: Objective: To investigate the clinical efficacy of cluster-based care model in patients with traumatic brain injury.Methods: Ninety-six patients with traumatic brain injury were randomly divided into the control group and observation group according to the digital table method(48 cases each group).The control group and observation group were nursed using routine care and cluster-based care model,respectively.The related index,care satisfaction rate and complications between two groups were compared.Results: The hospital stay,ventilation and nasogastric time,and hospital expense in observation group were lower than those in control group(P<0.01),The incidences of diarrhea,food reflux,aspiration pneumonia and gastric retention in observation group were lower than those in control group(P<0.05 to P<0.01).The nursing satisfaction rate in observation group(91.67%) was higher than that in control group(72.92%)(P<0.05).The ratios of good,medium and malnutrition nutrition condition in observation group were 60.42%,31.25% and 8.33%,respectively.The ratios of good,medium and malnutrition nutrition condition in control group were 43.75%,27.08% and 29.17%,respectively.The nutrition condition in observation group was better than that in control group(P<0.05).Conclusions: The cluster-based care model can effectively promote the recovery,short the hospital stay,reduce the hospital expense,control complication,maintain the harmonious nurse-patient relationship and improve the nutritional status in nasal care patients,which is worthy of application in clinic.
- traumatic brain injury /
- nasal care /
- cluster nursing

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集束化护理在脑外伤患者鼻饲中的应用

井翠^1,2
王静^1,2

作者简介: 井翠(1984-),女,护师.

1. 解放军总医院第一附属医院复兴路七号门诊部, 北京 100869;
2. 解放军总医院第一附属医院介入二科, 北京 100869

收稿日期: 2015-11-16

关键词:

脑外伤 /
鼻饲 /
集束化护理

摘要: 目的：探讨脑外伤患者鼻饲中实施集束化护理的效果。方法：选择脑外伤行鼻饲患者96例，随机数字表法分为对照组和观察组，各48例。对照组采用常规护理，观察组实施集束化护理模式，对2组患者相关临床指标和护理满意度及并发症发生情况进行比较。结果：观察组患者ICU住院时间、鼻饲时间和通气时间均明显少于对照组，住院费用显著低于对照组（P<0.01）；观察组腹泻、食物反流、吸入性肺炎、胃潴留发生率均低于对照组（P < 0.05～P < 0.01）；观察组护理满意度91.67%，高于对照组的72.92%（P<0.05）；观察组患者营养状况良好60.42%，营养中等31.25%，营养不良8.33%，对照组患者干预后营养良好43.75%，营养中等27.08%，营养不良29.17%，观察组患者营养状况优于对照组（P<0.05）。结论：集束化护理可有效促进脑外伤鼻饲患者恢复，缩短住院时间，降低住院费用，也可帮助降低并发症发生，和谐护患关系，提高机体营养状态，值得临床推广。

English Abstract

Clinical efficacy of cluster-based care model in patients with traumatic brain injury

JING Cui^1,2
WANG Jing^1,2

1. Department of Outpatient, The First Affiliated Hospital of PLA General Hospital, Beijing 100869, China;
2. Department of Invasive Technology, The First Affiliated Hospital of PLA General Hospital, Beijing 100869, China

Received Date: 2015-11-16

Abstract: Objective: To investigate the clinical efficacy of cluster-based care model in patients with traumatic brain injury.Methods: Ninety-six patients with traumatic brain injury were randomly divided into the control group and observation group according to the digital table method(48 cases each group).The control group and observation group were nursed using routine care and cluster-based care model,respectively.The related index,care satisfaction rate and complications between two groups were compared.Results: The hospital stay,ventilation and nasogastric time,and hospital expense in observation group were lower than those in control group(P<0.01),The incidences of diarrhea,food reflux,aspiration pneumonia and gastric retention in observation group were lower than those in control group(P<0.05 to P<0.01).The nursing satisfaction rate in observation group(91.67%) was higher than that in control group(72.92%)(P<0.05).The ratios of good,medium and malnutrition nutrition condition in observation group were 60.42%,31.25% and 8.33%,respectively.The ratios of good,medium and malnutrition nutrition condition in control group were 43.75%,27.08% and 29.17%,respectively.The nutrition condition in observation group was better than that in control group(P<0.05).Conclusions: The cluster-based care model can effectively promote the recovery,short the hospital stay,reduce the hospital expense,control complication,maintain the harmonious nurse-patient relationship and improve the nutritional status in nasal care patients,which is worthy of application in clinic.