Analysis of Early Enteral Feeding Intolerance and Influencing Factors in Elderly Patients with Invasive and Invasive Mechanical Ventilation in ICU
Objective: The status of feeding intolerance in elderly patients with invasive mechanical ventilation was investigated and analyzed. To explore the influencing factors and provide theoretical basis for identifying the high-risk groups of feeding intolerance. Methods: In this study, 202 elderly patients with invasive mechanical ventilation who received enteral nutrition support therapy were selected as the study objects. The data were collected for 5 days by general situation data questionnaire and enteral nutrition intolerance questionnaire, and multivariate analysis was carried out by binary logistic regression equation. Fruit: Binary logistic regression results show that, Elderly patients with invasive mechanical ventilation were treated with nasal feeding rate > 40 mL·h-1(OR=5.826), vasoactive drugs (OR=2.581), positive end-respiratory pressure (OR=0.821), low serum albumin (OR=1.050), bed elevation ≥30°(OR=0.339), and use of soluble dietary fiber (OR=0.325) The independent influencing factors of feeding intolerance were statistically significant (P<0.05). Conclusion: Nasogastric feeding speed, vasoactive drugs, positive end-respiratory pressure, low serum albumin, bedside elevation ≥30°, and use of soluble dietary fiber are the influencing factors of feeding intolerance in elderly patients with invasive mechanical ventilation.
万方数据
维普
