Effect of SIBR model on diarrhea and nutritional status in patients with stroke receiving enteral nutrition via nasogastric tube
10.3760/cma.j.cn115682-20220318-01288
- VernacularTitle:SIBR模式对脑卒中经鼻胃管肠内营养患者腹泻及营养状况的影响
- Author:
Yaxin ZHAO
1
;
Linkai ZHAO
;
Xinjie DU
;
Runlian HE
Author Information
1. 山西医科大学护理学院，太原 030001
- Keywords:
Stroke;
Enteral nutrition;
Interdisciplinary structured bedside rounds;
Diarrhea;
Nutritional status
- From:
Chinese Journal of Modern Nursing
2022;28(31):4382-4387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of structured interdisciplinary bedside rounds (SIBR) model on diarrhea and nutritional status in patients with stroke receiving enteral nutrition through nasogastric tube.Methods:From February to September 2021, 117 stroke patients with enteral nutrition through nasogastric tube admitted to Taiyuan Central Hospital were selected as the study subject by convenient sampling. The patients were divided into the control group (57 cases) and the intervention group (60 cases) according to the ward at the time of admission. The control group received routine enteral nutrition intervention, and the intervention group carried out enteral nutrition intervention based on SIBR model. The incidence of diarrhea and incontinence dermatitis during hospitalization, the nutritional indicators before treatment and on the seventh and fourteenth days of nutritional treatment, the incidence of complications during hospitalization and the length of hospitalization were compared between the two groups.Results:The incidence, duration, severity of diarrhea and the incidence of incontinence dermatitis in the intervention group were lower than those in the control group, and the incidence of constipation, gastric retention and pulmonary infection were lower than those in the control group, and the length of hospitalization was less than that in the control group, and the differences were statistically significant ( P<0.05) . After 14 days of nutritional treatment, the albumin, total protein and hemoglobin in the intervention group were better than those in the control group, with statistical differences ( P<0.05) . Conclusions:SIBR model integrates the content of ward round, shortens the time of ward round, increases the work efficiency, effectively reduces the incidence of diarrhea and incontinence dermatitis in patients with stroke receiving enteral nutrition through nasogastric tube, improves the nutritional status of patients, reduces the incidence of complications, and shortens the length of hospitalization.
