文档介绍：重症脑卒中患者肠内营养误吸的护理干预第一作者:杜桦,女,本科,副主任护师,开封市第一人民医院重症医学科护士长
*通讯作者:钟杰,女,本科,副主任护师,开封市第一人民医院护理部主任
杜桦钟杰* 樊欣
(开封市第一人民医院,开封 475000)
摘要目的:通过护理干预对降低重症脑卒中患者肠内营养误吸率的发生,达到安全喂养。方法:统计2010年我院716例重症脑卒中患者进行肠内营养期间的误吸率, 分析误吸原因, 制定相关护理措施,并对2011年716例重症脑卒中患者进行肠内营养期间由责任护士实施鼻饲时床头抬高≥30°、鼻饲管的选择、输注营养液的方式、q4h反抽胃液、q4h气囊压监测等相关护理干预,针对两组患者进行前瞻性研究, 两组患者误吸发生率进行比较分析。结果:2011年进行肠内营养期间的重症脑卒中患者通过护理干预使误吸率明显降低。结论:综合护理干预有效地防止重症脑卒中患者肠内营养误吸的发生。
关键词:肠内营养;误吸;护理干预
Nursing intervention on patients with severe stroke of aspiration of enteral nutrition
Du hua, Zhong jie, Fan xin
(First people's hospital of Kaifeng, Kaifeng 475000)
Abstract Objective: By the nursing intervention reduce incidence of severe stroke patients enteral nutrition aspiration rate to reach safe feeding. Method: According statistics 716 cases of severe stroke patients enteral nutrition during the aspiration rate in 2010,we analysis the aspiration reason and develop nursing interventions. We did nursing intervention to 716 cases of severe stroke patients in 2011,such as≥30°of head elevation when the implementation of the nasogastric by responsibility of nurses, enteral nutrition during the implementation by the responsible nurse nasogastric feeding tube choice, infusion of nutrient way, q4h the gastric juice by counter drawing, the q4h airbag pressure monitoring and other related nursing intervention. pared the incidence of aspiration about this two