MDT护理模式在ICU患者肠内营养支持中的应用效果
Application effect of multidisciplinary team nursing model in enteral nutrition support of ICU patients
摘要目的:探讨多学科协作团队(MDT)护理模式在ICU患者肠内营养支持中的应用效果。方法:采用便利抽样法,选取2020年8月—2022年8月浙江省台州医院ICU收治的76例行肠内营养的患者为研究对象,将2020年8月—2021年8月收治的37例患者设为对照组,2021年9月—2022年8月收治的39例患者设为干预组。对照组患者采取常规护理,干预组患者采用MDT护理模式,比较两组患者入住ICU后肠内营养启动时间、喂养后7 d的肠内营养达标率、喂养中断率、并发症发生情况。结果:干预后,干预组入住ICU后肠内营养启动时间短于对照组,喂养后7 d的肠内营养达标率高于对照组,喂养中断率、误吸、恶心呕吐、腹泻发生率低于对照组( P<0.05)。 结论:MDT护理模式可提高ICU患者肠内营养支持效果,降低肠内营养并发症的发生率。
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abstractsObjective:To explore the application effect of multidisciplinary team (MDT) nursing model in enteral nutrition support for patients in intensive care unit (ICU) .Methods:The convenient sampling method was used to select 76 patients undergoing enteral nutrition in ICU of Taizhou Hospital in Zhejiang Province from August 2020 to August 2022 as the research objects. A total of 37 patients admitted from August 2020 to August 2021 were set as the control group, and 39 patients admitted from September 2021 to August 2022 were set as the intervention group. Patients in the control group received routine nursing, while patients in the intervention group received MDT nursing model. The start time of enteral nutrition after admission to ICU, the compliance rate of enteral nutrition at 7 days after feeding, the rate of feeding interruption and the incidence of complications were compared between the two groups.Results:After intervention, the start time of enteral nutrition after admission to ICU in the intervention group was shorter than that in the control group, the compliance rate of enteral nutrition at 7 days after feeding was higher than that in the control group, and the feeding interruption rate and incidence of aspiration, nausea, vomiting and diarrhea were lower than those in the control group ( P<0.05) . Conclusions:The MDT nursing model can improve the effect of enteral nutrition support for ICU patients and reduce the incidence of enteral nutrition complications.
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