本文選題：延續(xù)性護理 + 家庭腸內(nèi)營養(yǎng)　； 參考：《護士進修雜志》2016年22期

【摘要】：目的探討延續(xù)性健康教育對家庭腸內(nèi)營養(yǎng)(Home enteral nutrition,HEN)支持患者的作用。方法對68例HEN支持患者實施延續(xù)性健康教育,觀察患者出院后腸內(nèi)營養(yǎng)相關并發(fā)癥發(fā)生率、營養(yǎng)狀況及生活質(zhì)量。結果實施HEN 1個月后患者白蛋白水平較出院時明顯增加,實施HEN 3個月后,患者的體質(zhì)量、BMI、總蛋白水平、白蛋白水平、KPS評分較出院時有顯著提高,兩者比較差異有統(tǒng)計學意義(P0.05)。實施HEN 1個月時堵管率、脫管率較出院時明顯減少,兩者比較差異有統(tǒng)計學意義(P0.05),而腹瀉率、嘔吐率雖有下降,但與出院時相比差異無統(tǒng)計學意義(P0.05)。實施HEN 3個月后,患者的堵管率、脫管率、腹瀉率、嘔吐率較出院時有明顯下降,差異有統(tǒng)計學意義(P0.05)。結論對HEN支持患者實施延續(xù)性健康教育,能有效減少HEN并發(fā)癥的發(fā)生率,改善患者營養(yǎng)狀況,提高患者生活質(zhì)量,并且隨著實施時間的延長,其效果更加明顯。對HEN支持患者實施延續(xù)性健康教育值得臨床推廣應用。
[Abstract]:Objective to investigate the effect of continuous health education on the support of family enteral nutrition (Home enteral nutrition HEN). Methods 68 patients with HEN were given continuous health education. The incidence, nutritional status and quality of life of enteral nutrition related complications were observed. Results after 1 month of HEN, the serum albumin level of the patients was significantly higher than that of the patients discharged from hospital. After 3 months of HEN administration, the body mass, total protein level and albumin level of the patients were significantly higher than those of the discharged patients, and the difference between the two groups was statistically significant (P 0.05). At 1 month after HEN, the rate of catheter occlusion was significantly lower than that at discharge. The difference between the two groups was statistically significant (P 0.05), while the rate of diarrhea and vomiting was decreased, but there was no significant difference between the two groups at the time of discharge. After 3 months of HEN, the rate of obstruction, extubation, diarrhea and vomiting were significantly lower than those at discharge, and the difference was statistically significant (P 0.05). Conclusion continuous health education for patients supported by HEN can effectively reduce the incidence of complications of HEN, improve the nutritional status of patients, improve the quality of life of patients, and with the extension of the implementation time, the effect is more obvious. Continuous health education for patients supported by HEN is worth popularizing.
【作者單位】： 南京醫(yī)科大學附屬無錫第二醫(yī)院普外科;
【分類號】：R473.2

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