Study on the optimal angle of the head of the bed raised during turning over for patients with severe stroke receiving transgastric continuous enteral nutrition
10.3760/cma.j.cn211501-20231211-01263
- VernacularTitle:经胃持续肠内营养的重症脑卒中患者翻身时床头抬高最佳角度的研究
- Author:
Lili ZANG
1
;
Jing ZONG
;
Sihui WANG
;
Yanan TANG
;
Suning SHI
;
Ying ZHANG
Author Information
1. 中国人民解放军联勤保障部队第九六〇医院神经内科，济南 250031
- Keywords:
Position;
Care;
Enteral nutrition;
Stroke;
Critical illness
- From:
Chinese Journal of Practical Nursing
2024;40(21):1608-1614
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the optimal angle of bedhead elevation during logrolling of patients with severe stroke supported by continuous enteral nutrition via gastric tube administration, and to provide a basis for safe infusion of enteral nutrition in clinical practice.Methods:This study was a prospective study, and the repeated measurement method was used. A total of 154 patients with severe stroke who were admitted to the Neurology Intensive Care Unit of the the 960th Hospital of the Joint Logistic Support Force of the Chinese People′s Liberation Army and treated with continuous enteral nutrition support from January to October 2023 were selected as the study participants by convenience sampling method. The times and duration of cardia reflux in 5 min were observed under ultrasound when the bedhead elevation angle during logrolling of the study participants was 30°, 20°, 10°, and 0°, respectively, and the incidence of reflux and aspiration during the observation period were recorded.Results:A total of 148 patients were eventually included. Among them, 81 were males and 67 were females, aged 38-80 (65.79 ± 10.96) years. There were no significant differences in the incidence of reflux [18.24% (27/148) vs. 12.16% (18/148)] and aspiration [4.05% (6/148) vs. 1.35% (2/148)] when the angle of bedhead elevation during logrolling of patients with continuous enteral nutrition via gastric tube administration was 10° and 20° (all P>0.05). Nevertheless, compared with the incidence of reflux [37.16% (55/148)] and aspiration [(10.81% (16/148)] at the bedhead elevation angle of 0°, those measured at 10° or 20° were significantly different ( χ2 values were 4.91-24.89, all P<0.05). Conclusions:For patients with severe stroke supported by continuous enteral nutrition, bedhead elevation angle of 10° can not only prevent aspiration caused by gastric reflux, but also conform to the labor-saving principle during logrolling, which is the recommended angle of logrolling for patients with severe neurological diseases supported by continuous enteral nutrition.
