Volume 20 Issue 12
Dec.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2151-2155
FAN Xiao-ning, SUN Pan-pan, JIN Yu-ping, YAO Le, XU Chuang-hu, TANG Rui, FANG Xiang. Application of nurse-led enteral nutritional feeding strategies in neurological intensive care unit patients[J]. Chinese Journal of General Practice, 2022, 20(12): 2151-2155. doi: 10.16766/j.cnki.issn.1674-4152.002791
Citation: FAN Xiao-ning, SUN Pan-pan, JIN Yu-ping, YAO Le, XU Chuang-hu, TANG Rui, FANG Xiang. Application of nurse-led enteral nutritional feeding strategies in neurological intensive care unit patients[J]. Chinese Journal of General Practice, 2022, 20(12): 2151-2155. doi: 10.16766/j.cnki.issn.1674-4152.002791
shu

Application of nurse-led enteral nutritional feeding strategies in neurological intensive care unit patients

doi: 10.16766/j.cnki.issn.1674-4152.002791

  • Department of Neurocritical Care Unit, the First Affiliated Hospital of University of Science and Technology of China, Hefei, Anhui 230036, China

Funds:

 81870060

 2108085QH327

  • Received Date: 2022-05-11
    Available Online: 2023-02-07
    Abstract
  •   Objective  To explore the effect of nurse-led enteral nutrition feeding strategy on enteral nutrition (EN) in neurological intensive care unit patients through the establishment of an EN management group.  Methods  A total of 130 patients hospitalised in the Department of Neurointensive Care Unit at the First Affiliated Hospital of University of Science and Technology of China from January 2021 to August 2021 were selected as research objects. Based on the order of admission, the patients were divided into the control (62 cases) and observation (68 cases) groups. The traditional EN method was used in the control group, whereas the nurse-led EN feeding strategy was implemented in the observation group. The nurses independently conducted interventions, such as gastrointestinal function assessment, EN tolerance assessment, bedside ultrasound gastric residual amount monitoring, feeding speed and dose adjustment and increased monitoring frequency to ensure the smooth progress of EN. Comparison of feeding intolerance, EN target achievement, albumin and other nutritional indicators and the number of adjustments of EN speed was conducted.  Results  The incidence of feeding intolerance was 33.9% in the control group and 17.6% in the observation group (χ2=4.507, P=0.034). The value-added values of serum protein, prealbumin and haemoglobin index significantly increased compared with those in the control group (P < 0.05). The number of EN speed adjustments [(13.28±3.57) times] was significantly higher than that in the control group [(7.42±1.17) times, t=12.210, P < 0.001]. The achievement rate of EN goal in the control group was 72.6%, while that in the observation group was 82.4%, which was higher than that in the control group, but the difference was not statistically significant (P>0.05).  Conclusion  Nurse-led EN feeding strategy can reduce the incidence of feeding intolerance, improve nutritional indicators, but also increase the number of adjustments for nurse EN speed. In the clinical nursing work, nurses should strengthen the study of EN knowledge, dynamic evaluation, actively carry out nursing intervention, predictably deal with EN complications, and improve the nutritional indicators of patients.

     

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