摘要
目的探讨建立医院层面营养支持置管亚小组在提高危重患者床旁盲插鼻肠管技术中的应用。方法于南京医科大学附属淮安第一医院选择2017年1月—2018年12月实施床旁盲插鼻肠管登记的256例患者和31名院营养支持小组联络护士为研究对象。以2018年1月成立营养支持置管亚组为分界点,将2017年1—12月盲插置鼻肠管的登记共86例患者为对照组;2018年1—12月实施床边盲插置鼻肠管的登记共170例患者为观察组。对31名联络护士进行盲插鼻肠管相关理论、实践技能的系统化培训与效果评价。比较两组患者盲插鼻肠管置管成功率及满意度。结果置管小组实施规范化培训成立后1年联络护士掌握盲插鼻肠管相关理论得分高于成立前,差异有统计学意义(P<0.05)。置管小组实施规范化培训后9个月联络护士盲插鼻肠管实践技能得分高于培训后3个月,差异有统计学意义(P<0.05)。观察组盲插鼻肠管置管成功率、患者满意度高于对照组,差异有高度统计学意义(P<0.01)。医生、护士长及病区护士对联络护士工作总满意度分别为96.7%、100.0%及100.0%。结论建立营养置管技术亚组可以显著提高临床护士床旁盲插鼻肠管技能和置管成功率,促进肠内营养技术在多科危重患者中应用。
Objective To explore the application of establishing a hospital-level nutritional support catheterization subgroup in improving bedside blind insertion of naso-intestinal tubes for critically ill patients.Methods In the Affiliated Huai′an First People′s Hospital of Nanjing Medical University,a total of 256 patients and 31 hospital nutrition support team liaison nurses who performed bedside blind intubation registration from January 2017 to December 2018 were selected as the research subjects.With the establishment of the nutritional support catheterization subgroup in January 2018 as the demarcation point,a total of 86 patients registered for blind insertion of the naso-intestinal tube from January to December 2017 were used as the control group;from January to December 2018,a total of 170 patients registered for bedside blind insertion of the naso-intestinal tube was implemented were the observation group.The catheterization subgroup conducted systematic training and effect evaluation on the theory and practical skills related to blind insertion of naso-intestinal tubes for 31 contact nurses.The success rate and satisfaction degree of blind insertion of nasal intestine tube between the two groups were compared.Results One year after the establishment of the standardized training of the catheterization sub group,the contact nurses who mastered blind insertion of the nasao-intestinal tubes had higher theoretical scores than before the establishment,and the difference was highly statistically significant(P<0.01).The practice skill scores of blind insertion of the nasao-intestinal tubes in the catheterization subgroup nine months after the standardized training was higher than those three months after the training,and the difference was highly statistically significant(P<0.01).The success rate of blind insertion of the naso-intestinal tube and patient satisfaction in the observation group were higher than those in the control group,and the differences were highly statistically significant(P<0.01).The overall satisfaction of doctors,head nurses and ward nurses with liaison nurses was 96.7%,100.0%and 100.0%respectively.Conclusion Establishing a subgroup of nutrition catheterization technology can significantly improve the clinical nurses′bedside blind insertion of the naso-intestinal tube skills and catheterization success rate,and promote the application of enteral nutrition technology in multi-disciplinary critically ill patients.
作者
吉凤庆
陈云云
陶国全
沈旸
JI Fengqing;CHEN Yunyun;TAO Guoquan;SHEN Yang(Department of Nursing,the Affiliated Huai′an First People′s Hospital of Nanjing Medical University,Jiangsu Province,Huai′an223300,China;Department of Gastric Surgery,the Affiliated Huai′an First People′s Hospital of Nanjing Medical University,Jiangsu Province,Huai′an223300,China;Department of Nutrition,the Affiliated Huai′an First People′s Hospital of Nanjing Medical University,Jiangsu Province,Huai′an223300,China)
出处
《中国医药导报》
CAS
2020年第26期153-156,181,共5页
China Medical Herald
基金
国家自然科学基金资助项目(81302490)。
关键词
置管亚组
联络护士
盲插
鼻肠管
Catheterization subgroup
Contact nurse
Blind insertion
Naso-intestinal tube
