Investigation and analysis on the guidelines implementation status of preventing gastric aspiration of nurses in Neurosurgery ICU
10.3760/cma.j.issn.1674-2907.2018.13.008
- VernacularTitle:神经外科监护室护士预防胃内容物误吸指南实施现状调查与分析
- Author:
Beibei NIU
1
;
Jia LI
;
Jun WANG
;
Qian XIAO
;
Liu SUN
;
Yuehong BAO
;
Guiyun LI
;
Yanling WANG
Author Information
1. 首都医科大学护理学院成人护理学学系
- Keywords:
Gastrointestinal contents;
Nursing care;
Guidelines;
Neurosurgery intensive care units;
Aspiration
- From:
Chinese Journal of Modern Nursing
2018;24(13):1517-1521
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the guidelines implementation status of preventing gastric aspiration by Neurosurgery Intensive Care Unit (NSICU) nurses, and analyze its effects on gastric aspiration outcomes. Methods Using convenient sampling method, two NSICU of Class Ⅲ hospitals in Beijing from June 2016 to January 2017 were selected to investigate the nursing status of preventing gastric aspiration and analyze its relationship with gastric aspiration outcomes. SPSS 21.0 software was used to analyze the data. Results NSICU nursing routine included assessing the nasal feeding tube position, using the compound chlorhexidine in oral care, and assessing gastric residual volumes (GRVs) per 6 hours. However, only a quarter of bedside elevation angle met the guidelines requirements; 55.9% of the cuff pressure was at a low level. There were statistically significant differences in bedside elevation angle, cuff pressure and enteral nutrition velocity in the comparison of aspiration and non-aspiration patients (χ2=13.848,41.093,33.011;P< 0.001). Conclusions Although guidelines for the prevention of gastric aspiration are being constantly added and updated, a gap between the clinical practice and the guidelines exists. This study suggests that the recommended measures should be more rigorous and detailed in practical clinical work to reduce the incidence of gastric aspiration.
