摘要
目的探讨在肠内营养过程中由护士驱动,运用多学科团队协作模式(MDT管理模式)在降低肠内营养患者喂养中断发生率中的应用。方法采用实验性研究方法,将2021年2-7月神经外科71例首次使用肠内营养患者作为对照组;将2021年8-12月神经外科71例首次使用肠内营养患者作为试验组,对照组接受早期肠内营养支持常规护理,试验组接受以护士为主导,联合营养师、临床医师、信息科等MDT团队管理模式,运用信息化肠内营养管理路径为患者提供个性化的肠内营养,比较2组肠内营养患者输注环节质量、肠内营养并发症发生情况、喂养中断发生情况及输注热卡达标情况,以降低首次使用肠内营养患者在喂养过程中出现的肠内营养并发症,减少与喂养流程有关的喂养中断发生率。结果2组患者肠内喂养开启及时率、喂养速度调节正确率比较,差异有统计学意义(P<0.05)。2组患者肠内营养并发症发生率、喂养中断的发生率及肠内营养开启3 d内的目标量达标率比较,差异均有统计学意义(P<0.05)。结论由护士驱动下MDT管理模式能提高肠内营养开启后3 d内目标达标率,降低肠内营养并发症及喂养中断的发生。
Objective To explore the application of nurse-driven multi-disciplinary team cooperation model(MDT management model)in reducing the occurrence of feeding interruption in patients with enteral nutrition.Methods A total of 71 patients who used enteral nutrition for the first time in neurosurgery from February to July in 2021 were selected as the control group by experimental research.A total of 71 patients who used enteral nutrition for the first time in neurosurgery from August to December,2021 were taken as the test group.The control group received routine care with early enteral nutrition support,while the test group received nurse-driven management mode combined with MDT team management mode including dietitians,clinicians and information departments to provide personalized enteral nutrition for the patients by applying information based enteral nutrition management path.The quality of enteral nutrition infusion,the occurrence of enteral nutrition complications,the occurrence of feeding interruption and the standard of infusion hot card were compared between the two groups,so as to reduce the occurrence of enteral nutrition complications in the feeding process of patients who used enteral nutrition for the first time and reduce the occurrence of feeding interruption related to the feeding process.Results There were significant differences in the rate of enteral feeding on time and the correct rate of feeding speed adjustment between the two groups(P<0.05).There were statistically significant differences in the occurrence of enteral nutrition complications,the occurrence of feeding interruption and the rate of achieving the target dose within three days of enteral nutrition initiation between the two groups(P<0.05).Conclusion The nurse-driven MDT management model can improve the target attainment rate within three days after enteral nutrition,and reduce the occurrence of enteral nutrition complications and feeding interruption.
作者
陶维玲
张红
唐冬梅
TAO Weiling;ZHANG Hong;TANG Dongmei(The First People′s Hospital of Taicang City,Suzhou,Jiangsu 215000,China)
出处
《现代医药卫生》
2024年第14期2422-2426,共5页
Journal of Modern Medicine & Health
关键词
护士驱动下
MDT管理
肠内营养并发症
喂养中断
Nurse-driven
MDT management
Enteral nutritional complications
Feeding interruption
