摘要
目的 探究危重症患者运用清单式管理对空肠管堵管预防的干预效果。方法 本次研究在100例危重症患者中展开,于2021年1月至2022年1月在本院治疗,期间通过空肠管进行肠内营养支持,并在随机原则下分组,50例研究组患者通过清单式管理预防堵管,50例常规组患者则通过常规管理方式预防堵管,对比最终效果。结果 研究组空肠管堵管发生率显著低于常规组,分别为2.00%和14.00%,统计学意义成立(P<0.05)。研究组患者护理干预总满意度评分大幅度高于常规组,统计学意义成立(P<0.05)。结论 危重症患者运用清单式管理后,能有效提升空肠管堵管预防效果,值得全方位推广。
关键词: 清单式管理;危重症;空肠管堵管
Abstract
Objective: To explore the intervention effect of checklist management on jejunal duct obstruction prevention in critically ill patients. Methods The study in 100 critically ill patients, from January 2021 to January 2022 in our hospital treatment, through the jejunum tube during enteral nutrition support, and under the principle of random grouping, 50 patients with team by QingChanShi management to prevent blocking pipe, 50 cases of normal group of patients is by way of conventional administration to prevent blocking pipe, comparing the result. Results The incidence of jejunum obstruction in the study group was significantly lower than that in the conventional group (2.00% and 14.00%, respectively), with statistical significance (P < 0.05). The total satisfaction score of nursing intervention in the study group was significantly higher than that in the conventional group, with statistical significance (P < 0.05). Conclusion The use of checklist management in critically ill patients can effectively improve the prevention effect of jejunal duct blockage, which is worth promoting in all areas.
Key words: Inventory management; Critically ill; Jejunum tube blockage
参考文献 References
[1] 杨屹珺, 景峰, 傅晓菁,等. 清单式管理在减少急诊危重患者空肠营养堵管中的应用[J]. 中华急危重症护理杂志, 2021, 2(1):26-31.
[2] 高楚姿. 床旁留置鼻空肠管营养在危重症患者中的应用效果[J]. 中外医学研究, 2021, 19(14):186-188.
[3] 杨盼瑞, 杨梦月, 徐曼,等. 重症急性胰腺炎患者鼻空肠管堵管的原因及对策[J]. 当代护士:中旬刊, 2021, 28(2):10-11.
[4] 范红. 危重患者经鼻空肠营养管堵管和脱管的干预办法[J]. 安徽卫生职业技术学院学报, 2019, 18(4): 143-144.
[5] 何莉. 胃癌术后肠内营养鼻肠管堵塞的原因分析及护理对策[J]. 当代护士:下旬刊, 2020, 27(6):31-33.
[6] 沈跃兰, 徐慧, 张玲玲,等. 两种不同的封管液在预防鼻肠管堵管中的效果评价[J]. 当代护士(综合版), 2020, 027(002):153-154.
[7] 龚丽, 石婷婷, 薛玉萍. 不同冲管液在预防鼻肠管肠内营养堵管中的效果观察[J]. 医药高职教育与现代护理, 2020, 3(2):113-115.
[8] 张媛, 韩梦丹, 赵倩,等. 鼻肠管堵塞预防执行单的设计及应用研究[J]. 中华护理杂志, 2021, 56(10):1453-1459.