Effect of enteral nutrition with nursing intervention on the prognosis of the patients with severe intestinal dysfunction in Neurology
10.3760/cma.j.issn.1674-2907.2013.23.015
- VernacularTitle:护理干预联合肠内营养对神经内科肠功能障碍患者预后的影响
- Author:
Zai-Xia ZHOU
1
;
Na ZHAO
;
Lin-Lin ZHAO
;
Qin LI
Author Information
1. 251700,山东省滨州市中心医院神经内科
- Keywords:
Neurology;
Enteral nutrition;
Nursing;
Intestinal dysfunction
- From:
Chinese Journal of Modern Nursing
2013;19(23):2786-2789
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of enteral nutrition with nursing intervention on the prognosis of the patients with severe intestinal dysfunction in Neurology.Methods One hundred and twenty patients were chosen and randomly divided into the control group (n =58) and the observation group (n =62)from July 2011 to June 2012.The control group received enteral nutrition and routine care.The observation group received enteral nutrition and complications of care on the basis of the routine care.The course of disease,the cure rate,mortality,sequelae and complications were observed in patients.The serum total protein (TP),serum albumin (ALB) and serum precursor protein (PA) were detected in the two groups.Results The course of disease was (55.2 ± 8.3) d in the observation group,shorter than (87.7 ± 10.5) d in the control group,the difference was statistically significant (t =-18.872,P ＜ 0.05).The cure rate was 95.2％ in the observation group,higher than 36.2％ in the control group,the difference was statistically significant (x2 =77.235,P ＜0.05).The mortality (one case,1.6％) and sequelae (six cases,8.6％) of the observation group were lower than those of the control group (five and thirteen cases,respectively),the difference between the control and observation group was statistically significant (x2 =5.062,5.985,respectively; P ＜ 0.05).The major complications of upper gastrointestinal bleeding,electrolyte imbalance,liver and kidney dysfunction and neurological impairment was respectively 0,5,2,10 cases in the observation group,and 9,16,10,23 cases in the control group,the difference was statistically significant (x2 =10.401,7.910,6.541,8.319,respectively;P ＜0.05).The TP,ALB,PA in the observation group were significantly increased after the treatment,and higher than those of the control group [(68.2 ± 2.3) / (61.5 ± 2.1) g/L,(36.8 ± 2.1) / (31.7 ± 2.0) g/L,(251.8 ± 30.01)/(173.1 ± 27.6)mg/L],the difference was statistically significant (t =14.149,12.842,10.792; P ＜ 0.05).Conclusions The enteral nutrition with nursing intervention can effectively shorten the patient's course of disease,improve the cure rate,reduce mortality and complications and improve the TP,ALB and PA in serum.
