个性化护理干预降低脑卒中患者鼻饲并发症的发生率(1)
【摘 要】 目的：分析在脑卒中患者中应用个性化护理干预对降低鼻饲并发症发生率的效果。方法：择取36例脑卒中患者，将其随机分组研究，对照组(18例)患者行以常规护理，研究组(18例)患者行以个性化护理干预，对照分析两组鼻饲并发症发生情况、营养指标、神经功能缺损评分。结果：从鼻饲并发症发生情况来看，研究组腹泻、消化道出血、呕吐、吸入性肺炎等并发症总发生率低于对照组，P<0.05;从营养指标来看，护理前组间血红蛋白、血清白蛋白、血清总蛋白水平对比无统计学差异，护理后研究组血红蛋白、血清白蛋白、血清总蛋白水平高于对照组，P<0.05;从神经功能缺损评分来看，护理前组间无统计学差异，护理后研究组低于对照组，P<0.05。结论：对脑卒中患者来说，个性化护理干预可以降低鼻饲并发症发生率，还可以改善营养状态以及神经功能，临床价值显著。
【关键词】 个性化护理干预;脑卒中;鼻饲并发症
Individualized nursing intervention to reduce the incidence of nasal feeding complications in stroke patients
, 百拇医药
Zhang Lihong
District 23， Stroke center， Taicang first people's Hospital， Taicang， Jiangsu215400
[Abstract] Objective： To analyze the effect of individualized nursing intervention on reducing the incidence of nasal feeding complications in stroke patients. Methods： 36 cases of stroke patients were randomly divided into two groups. The control group (18 cases) was given routine nursing care， and the study group (18 cases) was given personalized nursing intervention. The incidence of nasal feeding complications， nutritional indicators and neurological deficit score of the two groups were compared and analyzed. Results： From the incidence of nasal feeding complications， the total incidence of diarrhea， gastrointestinal bleeding， vomiting， aspiration pneumonia and other complications in the study group was lower than that in the control group，P<0.05; in terms of nutritional indicators， there was no statistical difference in the levels of hemoglobin， serum albumin and serum total protein between the two groups before nursing， and after nursing， the hemoglobin， serum albumin and serum total protein water in the study group were not significantly different Compared with the control group，P<0.05; from the neurological deficit score， there was no significant difference between the two groups before nursing， and after nursing， the research group was lower than the control group，P<0.05. Conclusion： For stroke patients， personalized nursing intervention can reduce the incidence of nasal feeding complications， improve nutritional status and neurological function， and has significant clinical value.
, 百拇医药
[Key words]Individualized nursing intervention; Stroke; Nasal feeding complications
腦卒中是因脑组织灌注量改变，使得颅内压增高而导致，患者通常伴随假性延髓性麻痹、昏迷，进食困难或无法进食，所以需要利用鼻饲维持营养所需，但鼻饲过程中容易产生相关并发症，需要做好护理干预。个性化护理干预作为新型护理模式，据相关研究指出，其在临床中的应用效果确切[1]。本研究分析在脑卒中患者中应用个性化护理干预对降低鼻饲并发症发生率的效果，报告如下所见。
1 资料与方法
1.1 一般资料
择取36例脑卒中患者，均选自人民医院卒中中心，病例择取时间段为2018年1月至2019年11月，将其随机分组研究，对照组(18例)患者均为女性，病例择取年龄为63～88岁，平均(65.82±4.71)岁，疾病类型：8例缺血性脑卒中，10例出血性脑卒中;研究组(18例)患者均为女性，病例择取年龄为64～87岁，平均(65.92±4.69)岁，疾病类型：7例缺血性脑卒中，11例出血性脑卒中;对一般资料予以统计学分析，组间差异无统计学意义，可比。, 百拇医药(张黎红)
【关键词】 个性化护理干预;脑卒中;鼻饲并发症
Individualized nursing intervention to reduce the incidence of nasal feeding complications in stroke patients
, 百拇医药
Zhang Lihong
District 23， Stroke center， Taicang first people's Hospital， Taicang， Jiangsu215400
[Abstract] Objective： To analyze the effect of individualized nursing intervention on reducing the incidence of nasal feeding complications in stroke patients. Methods： 36 cases of stroke patients were randomly divided into two groups. The control group (18 cases) was given routine nursing care， and the study group (18 cases) was given personalized nursing intervention. The incidence of nasal feeding complications， nutritional indicators and neurological deficit score of the two groups were compared and analyzed. Results： From the incidence of nasal feeding complications， the total incidence of diarrhea， gastrointestinal bleeding， vomiting， aspiration pneumonia and other complications in the study group was lower than that in the control group，P<0.05; in terms of nutritional indicators， there was no statistical difference in the levels of hemoglobin， serum albumin and serum total protein between the two groups before nursing， and after nursing， the hemoglobin， serum albumin and serum total protein water in the study group were not significantly different Compared with the control group，P<0.05; from the neurological deficit score， there was no significant difference between the two groups before nursing， and after nursing， the research group was lower than the control group，P<0.05. Conclusion： For stroke patients， personalized nursing intervention can reduce the incidence of nasal feeding complications， improve nutritional status and neurological function， and has significant clinical value.
, 百拇医药
[Key words]Individualized nursing intervention; Stroke; Nasal feeding complications
腦卒中是因脑组织灌注量改变，使得颅内压增高而导致，患者通常伴随假性延髓性麻痹、昏迷，进食困难或无法进食，所以需要利用鼻饲维持营养所需，但鼻饲过程中容易产生相关并发症，需要做好护理干预。个性化护理干预作为新型护理模式，据相关研究指出，其在临床中的应用效果确切[1]。本研究分析在脑卒中患者中应用个性化护理干预对降低鼻饲并发症发生率的效果，报告如下所见。
1 资料与方法
1.1 一般资料
择取36例脑卒中患者，均选自人民医院卒中中心，病例择取时间段为2018年1月至2019年11月，将其随机分组研究，对照组(18例)患者均为女性，病例择取年龄为63～88岁，平均(65.82±4.71)岁，疾病类型：8例缺血性脑卒中，10例出血性脑卒中;研究组(18例)患者均为女性，病例择取年龄为64～87岁，平均(65.92±4.69)岁，疾病类型：7例缺血性脑卒中，11例出血性脑卒中;对一般资料予以统计学分析，组间差异无统计学意义，可比。, 百拇医药(张黎红)