Contemporary Nursing
Contemporary Nursing. 2026; 7: (7) ; 10.12208/j.cn.20260374 .
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宁夏医科大学总医院 宁夏银川
*通讯作者: 马秀梅,单位:宁夏医科大学总医院 宁夏银川; ;
目的 分析集束化护理干预在重症脑卒中患者肠内营养支持过程中对腹泻并发症的预防效果。方法采用回顾性研究方法,选取我院2024年1月至2025年12月期间收治的82例重症脑卒中接受肠内营养治疗的患者,根据护理方案分为常规护理组和集束化护理组。结果 集束化护理组腹泻发生率显著低于常规护理组(P<0.05)。集束化护理组腹泻持续时间明显短于常规护理组,每日腹泻频次更少,干预后血清白蛋白水平更高(P<0.05)。结论 集束化护理干预能够降低重症脑卒中患者肠内营养相关性腹泻的发生风险并减轻其严重程度,同时有助于改善营养状态。
Objective To analyze the preventive effect of bundled nursing intervention on diarrhea complications in the process of enteral nutrition support for severe stroke patients. Methods A retrospective study was conducted to select 82 patients with severe stroke who received enteral nutrition treatment in our hospital from January 2024 to December 2025. According to the nursing plan, they were divided into a routine nursing group and a bundled nursing group. Results The incidence of diarrhea in the bundled nursing group was significantly lower than that in the conventional nursing group (P<0.05). The duration of diarrhea in the bundled nursing group was significantly shorter than that in the conventional nursing group, with less frequency of daily diarrhea and higher serum albumin levels after intervention (P<0.05). Conclusion Bundle nursing intervention can reduce the risk and severity of enteral nutrition related diarrhea in severe stroke patients, while also helping to improve their nutritional status.
[1] 潘习,王稚,黄盛,等.重症脑卒中患者早期滋养型肠内营养流程的制订与应用[J].中华护理杂志,2022,57(19): 2309-2316.
[2] 杨杏珍,龚少逸,罗华,等.早期不同肠内营养干预方式对重症脑卒中患者的影响[J].中西医结合护理(中英文), 2021, 7(11):154-156.
[3] 郑洁,吴智慧.集束化护理干预对重症脑卒中肠内营养相关性腹泻的影响[J].婚育与健康,2023,29(19):184-186.
[4] 李光硕,赵性泉.《中国急性缺血性卒中诊治指南2023》解读[J].中国卒中杂志,2024,19(08):956-961.
[5] 张新欣,张红强.芒硝外敷辅助治疗重症脑卒中胃肠功能障碍[J].吉林中医药,2023,43(05):556-560.
[6] 陈萍萍,孙星月,傅婷.早期肠内营养支持联合心理护理对老年重症脑卒中患者的康复影响研究[J].心理月刊, 2021,16(16):100-101.
[7] 史颖,金鑫,袁蓓,等.益生菌联合早期肠内营养对合并应激性高血糖的重症脑卒中患者血糖调控及预后的影响[J].中国微生态学杂志,2021,33(05):548-552.
[8] 李旻露,樊朝凤,段丽娟,等.集束化护理对出血性脑卒中患者肠内营养不耐受干预的效果研究[J].中国护理管理,2023,23(12):1774-1779.