Nursing effect evaluation of ultra-early enteral homogenized meal combined with structured nutritional care for ICU patients
Objective To analyze the effects of ultra-early enteral homogenized dietary nutritional support combined with structural nutritional nursing intervention on the quality of life,nutritional status and ICU outcomes of intensive care unit(ICU)patients.Methods 100 patients admitted to the ICU of the hospital from July 2020 to July 2022 were selected as the study subjects,they were divided into the control group and the observation group according to the principle of comparability of basic characteristics between the groups,with 50 cases in each group.Conventional care was implemented in the control group,and enteral nutrition therapy was carried out within 24～48 h of admission to the ICU,while in the observation group,ultra-early(within 24 h of admission to the ICU)enteral homogenized dietary nutritional support combined with structural nutritional nursing interventions were implemented on the basis of conventional care,quality of life,nutritional status,and ICU outcomes of the patients in the two groups were compared.Results Before the implementation of ultra-early enteral homogenized dietary nutritional support combined with structural nutritional nursing intervention,there was no statistically significant difference in the quality of life between the two groups(P＞0.05).After the intervention(on the day of discharge from the ICU),the quality of life scores of the patients in the observation group were higher than those of the control group,and the difference was statistically significant(P＜0.05).Before the intervention,the patients in the two groups had serum total protein(TP),albumin(ALB),hemoglobin(Hb),transferrin(TF)levels were not statistically significant in comparison(P＞0.05).After intervention(on the day of discharged from the ICU),TP,ALB,Hb,and TF of patients in the observation group were higher than those of the control group,and the difference was statistically significant(P＜0.05)).After intervention(on the day of discharged from the ICU),the time of mechanical ventilation,the time of hospitalization in the ICU,and the time of nutritional time was shorter than that of the control group,and the dose of analgesic and sedative drugs used was less than that of the control group,the difference was statistically significant(P＜0.05).Conclusion Ultra-early enteral homogenized dietary nutritional support combined with structural nutritional nursing intervention can improve the quality of life of ICU patients,nutritional status and clinical outcomes in ICU.
EarlyEnteral homogenized dietary nutritional supportStructural nutrition nursing interventionIntensive care unitQuality of lifeNutritional statusOutcome
万方数据
维普
