延续性健康教育在HEN支持患者中的应用研究

发布时间：2018-05-27 00:34

本文选题：延续性护理 + 家庭肠内营养　；参考：《护士进修杂志》2016年22期

【摘要】：目的探讨延续性健康教育对家庭肠内营养(Home enteral nutrition,HEN)支持患者的作用。方法对68例HEN支持患者实施延续性健康教育,观察患者出院后肠内营养相关并发症发生率、营养状况及生活质量。结果实施HEN 1个月后患者白蛋白水平较出院时明显增加,实施HEN 3个月后,患者的体质量、BMI、总蛋白水平、白蛋白水平、KPS评分较出院时有显著提高,两者比较差异有统计学意义(P0.05)。实施HEN 1个月时堵管率、脱管率较出院时明显减少,两者比较差异有统计学意义(P0.05),而腹泻率、呕吐率虽有下降,但与出院时相比差异无统计学意义(P0.05)。实施HEN 3个月后,患者的堵管率、脱管率、腹泻率、呕吐率较出院时有明显下降,差异有统计学意义(P0.05)。结论对HEN支持患者实施延续性健康教育,能有效减少HEN并发症的发生率,改善患者营养状况,提高患者生活质量,并且随着实施时间的延长,其效果更加明显。对HEN支持患者实施延续性健康教育值得临床推广应用。
[Abstract]:Objective to investigate the effect of continuous health education on the support of family enteral nutrition (Home enteral nutrition HEN). Methods 68 patients with HEN were given continuous health education. The incidence, nutritional status and quality of life of enteral nutrition related complications were observed. Results after 1 month of HEN, the serum albumin level of the patients was significantly higher than that of the patients discharged from hospital. After 3 months of HEN administration, the body mass, total protein level and albumin level of the patients were significantly higher than those of the discharged patients, and the difference between the two groups was statistically significant (P 0.05). At 1 month after HEN, the rate of catheter occlusion was significantly lower than that at discharge. The difference between the two groups was statistically significant (P 0.05), while the rate of diarrhea and vomiting was decreased, but there was no significant difference between the two groups at the time of discharge. After 3 months of HEN, the rate of obstruction, extubation, diarrhea and vomiting were significantly lower than those at discharge, and the difference was statistically significant (P 0.05). Conclusion continuous health education for patients supported by HEN can effectively reduce the incidence of complications of HEN, improve the nutritional status of patients, improve the quality of life of patients, and with the extension of the implementation time, the effect is more obvious. Continuous health education for patients supported by HEN is worth popularizing.
【作者单位】：南京医科大学附属无锡第二医院普外科;
【分类号】：R473.2

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