Application of system details nursing intervention on the precaution of complications of nasal feeding in coma patients with severe brain injury in the department of neurosurgery
10.3760/j.issn.1674-2907.2014.14.029
- VernacularTitle:系统细节护理干预在预防脑外科重型颅脑损伤昏迷患者鼻饲并发症中的应用
- Author:
Xiuju JIANG
1
Author Information
1. 313100 湖州,浙江省长兴县人民医院ICU
- Keywords:
Brain injury;
Intubation,gastrointestinal;
Coma;
Nursing
- From:
Chinese Journal of Modern Nursing
2014;20(14):1691-1693
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of system details nursing intervention on the precaution of complications of nasal feeding in coma patients with severe brain injury in the department of neurosurgery so as to serve the patients better .Methods Two hundred and twelve coma patients with severe brain injury from March 2010 to February 2013 were chosen as the observation group , and the 175 patients from May 2008 to January 2010 were retrospectively analyzed as the control group .The control group received the routine nursing , and the observation group received the system details nursing intervention on the basis of the routine nursing .The nutritional status and the incidence rate of complications were compared between the two groups .Results The cases of malnutrition in the control group were 9 cases (5.14%), and were 0 case in the observation group , and the nutritional status in the observation group was better than that in the control group , and the difference was statistically significant (χ2 =5.127, P<0.05).The cases of nasal feeding complications in the control group were 41 cases (23.43%), and were significantly higher than 22 cases (10.38%) in the observation group, and the difference was statistically significant (χ2 =4.907, P <0.05).Conclusions The system details nursing intervention can effectively reduce the incidence of nasal feeding complications , and improve the quality of nursing and ensure the supply of nutrients , and helps the patients to recover as soon as possible .