吞屏幕和教育在内外抽后的患者:一个干预前后的研究
Shih-Yi Lai1, Li-Chan Lin2, Yang-Hsin Shih3
1School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan.
概括
一项针对出血性中风患者的新的吞屏幕和教育 (SSE) 计划,减少了24小时的口服率和肺炎风险. 这种干预措施有望改善神经临床护理环境中的患者结果.
科学领域:
- 神经学 神经学
- 临界护理医学 临界护理医学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 流血性中风经常导致腹和延迟口服养术后输出管.
- 不到33%的ICU使用吞屏幕,缺乏基于证据的早期养方案.
- 这项研究评估了一项由护士管理的吞屏幕和教育 (SSE) 计划.
研究的目的:
- 评估SSE计划对口服养状况的影响.
- 为了确定SSE对肺炎发病率的影响.
- 评估SSE计划对输出管后体重轨迹的影响.
主要方法:
- 在神经外科ICU中进行的干预前后研究与匹配的历史对照.
- 28名出血性中风患者在输出管后24小时接受了SSE计划.
- 结果包括24小时和7天的口服 (NBM) 率,30天的肺炎发病率和4周的体重轨迹.
主要成果:
- 在SSE组的24小时内,NBM率明显较低 (42.86%vs78.57%).
- 在SSE组中,肺炎发病率较低 (3.57%对17.86%),SSE独立预测肺炎风险降低.
- 体重在两组都显著下降,SSE和对照组之间没有差异.
结论:
- 该SSE计划显示,在出血性中风患者中降低24小时NBM率和肺炎风险的潜力.
- 这种务实的干预在神经外科重症监护室中具有潜在的可扩展性.
- 需要使用仪器吞评估进行更大规模的试验,以确认研究结果并解决减肥问题.
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