肠道营养是否需要持续管理:一项随机对照研究
Jinlei Du1, Xiaoling Wu1, Yan Liu1
1Zigong Fourth People's Hospital, Ziliujing District, Zigong, Sichuan, People's Republic of China.
Annals of medicine and surgery (2012)
|July 11, 2024
概括
这项研究表明,专门的肠道营养连续性管理计划有效地预防了重症监护病房患者的胃肠道问题. 该计划改善了患者的治疗结果,并减少了对胃运动药物的需求.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 护理科学 护理科学
背景情况:
- 重症监护室 (ICU) 患者在从输液管养过渡后经常出现胃肠道 (GI) 症状.
- 管理肠道营养的连续性对于患者的康复和舒适至关重要.
研究的目的:
- 调查肠道营养连续性管理计划的有效性.
- 根据昼夜节律机制,评估该计划对肠胃症状和ICU患者在输管养后的患者满意度的影响.
主要方法:
- 一项涉及实验组 (肠道营养连续性管理) 和对照组 (常规护理) 的比较研究.
- 实验组的饮食行为在停止输卵管养前3天被调整,包括夜间禁食.
- 测量结果包括腹部膨胀,食欲,使用胃运动药物和患者满意度.
主要成果:
- 实验组在腹部张张,肠道声音和输卵管后食欲方面显示出统计学上显著的改善 (P<0.05).
- 与对照组相比,实验组中所需的胃运动药物较少.
- 在实验组中,护理干预和心理护理的患者满意度得分更高.
结论:
- 肠道营养连续性管理计划表明,在输管养后,在ICU患者中对GI症状有显著的预防作用.
- 这种方法通过减轻常见的输出管后胃肠道并发症来支持更好的患者康复.
相关概念视频
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
103
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
103
Enteral Nutrition I: Orogastric and Nasogastric Feeding
240
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
240
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
123
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
123
Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
Endotracheal Intubation I: Procedure
1.1K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
1.1K
Endotracheal Intubation II: Nursing Management
558
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
558


