Application of action research method in nursing of enteral nutrition-related diarrhea in patients in intensive care unit
10.3760/cma.j.cn115682-20200918-05426
- VernacularTitle:行动研究法在ICU患者肠内营养相关性腹泻护理中的应用
- Author:
Li HE
1
;
Xiaoping ZHU
;
Changcui QIU
;
Xin WANG
;
Qian WANG
;
Mei FANG
;
Qun LU
Author Information
1. 同济大学附属第十人民医院重症医学科，上海 200072
- Keywords:
Intensive care units;
Enteral nutrition;
Diarrhea;
Action research method
- From:
Chinese Journal of Modern Nursing
2021;27(15):2027-2032
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the nursing problems in ICU patients with enteral nutrition-related diarrhea and to constantly standardize the nursing practice of ICU nurses in the prevention and management of enteral nutrition-related diarrhea.Methods:Using convenience sampling method, 367 ICU patients who received enteral nutrition treatment in the Department of critical care medicine of the Tenth People's Hospital Affiliated to Tongji University from October 2019 to June 2020 were selected as the research objects. According to the time, they were divided into three groups: 129 cases before nursing process practice (October to December 2019) as the control group, 117 cases in the first round of action research (January to March 2020) as the action group 1, 121 cases in the second round of action research (April to June 2020) as the action group 2. A group interview method was used to identify problems in nursing of enteral nutrition-related diarrhea. According to the spiral cycle of "plan-action-observation-reflection", the nursing procedure for prevention and management of enteral nutrition-related diarrhea in ICU was formulated and improved. The incidence, duration, and severity scores of diarrhea in the three groups were compared, and interview the nurse's nursing experience.Results:The incidence of diarrhea in action group 1 was lower than that of control group, duration was less than that of control group, and severity score was lower than that of control group, and the differences were statistically significant ( P<0.05) . The incidence of diarrhea in action group 2 was lower than that of action group 1, duration was less than that of action group 1, and severity score was lower than that of action 1 group, and the differences were statistically significant ( P<0.05) . The topics extracted from the group interviews with nurses included "emergent scientific interest" "the joy of solving clinical problems" "benefit from clinical work". Conclusions:The ICU nursing process of prevention and management of enteral nutrition-related diarrhea based on action research can significantly reduce the incidence, duration and severity of diarrhea, improve the quality of diarrhea nursing, enhance nurses' sense of career benefit and stimulate nurses' interest in scientific research.
