To explore the effect of cluster nursing intervention on enteral nutrition related diarrhea in patients with severe stroke
探讨集束化护理干预对重症脑卒中肠内营养相关性腹泻的影响

摘要

目的 总结归纳集束化护理对重症脑卒中患者肠内营养相关性腹泻的影响效果。方法 随机遴选出在本院接受治疗的重症脑卒中患者70例，收治时间范围：2020年10月~2022年10月，依据抽签的方法完成组别划分，就常规护理（对照组，n=35）和集束化护理干预（观察组，n=35）的护理效果展开比较，对比2组脑卒中患者肠内营养相关性腹泻发生率，机械通气时间、ICU住院时间以及并发症发生率。结果 相比较而言，观察组重症脑卒中患者护理后，相关性腹泻发生率以及并发症发生率均低于对照组，组间数据对比：P＜0.05；而且观察组机械通气时间、ICU住院时间均明显更低于对照组（P＜0.05）。结论 集束化护理服务在重症脑卒中患者中具有较高的作用价值，有助于降低相关性腹泻发生，降低患者的并发症发生率，帮助患者缩短ICU住院时间，应用价值较高，值得推广。

Abstract

Objective: To summarize the effect of cluster nursing on enteral nutrition related diarrhea in patients with severe stroke.
Methods: 70 patients with severe stroke who received treatment in our hospital were randomly selected. The time range of admission was from October 2020 to October 2022. The groups were divided according to the method of drawing lots. The nursing effects of conventional nursing (control group, n=35) and cluster nursing intervention (observation group, n=35) were compared. The incidence of enteral nutrition related diarrhea, mechanical ventilation time The length of stay in ICU and the incidence of complications.
Results: Comparatively speaking, the incidence of related diarrhea and complications in the observation group were lower than those in the control group after nursing care for patients with severe stroke, and the data comparison between groups: P<0.05; Moreover, the duration of mechanical ventilation and ICU hospitalization in the observation group were significantly lower than those in the control group (P<0.05).
Conclusion  : Cluster nursing service has high value in severe stroke patients. It is helpful to reduce the incidence of related diarrhea, reduce the incidence of complications, and help patients shorten the length of stay in ICU. It has high application value and is worth popularizing.