肠内营养相关性腹泻原因分析及护理对策.docVIP

肠内营养相关性腹泻原因分析及护理对策 刘冉 吴晓燕 [摘要] 目的 探讨肠内营养相关性腹泻的病因并提出相应的护理措施。方法 回顾性分析我科2013年1月至4月（A组）344例采用肠内营养的患者，分析其原因并研究相应的护理对策。2013年5月至8月（B组）通过护理质量改进为378例患者进行肠内营养，并加强护理。比较两组患者腹泻发生的情况。结果 B组患者腹泻发生率明显低于A组患者腹泻的发生率，护患满意率较高，有显著的统计学差异（P〈0.01）。结论 肠内营养相关性腹泻的发生与输注营养液管理不到位、营养液配置方法不当、输注工具选择、家属自行调节滴速密切相关。加强培训及考核、加强宣教、选择合适的输注工具可减少肠内营养相关性腹泻。 [关键词] 肠内营养;腹泻;病因;护理;营养液 Etiology of enteral nutrition related diarrhea and its nursing Wu xiao-yan,Liu ran.Qilu Hospital of Shandong University ，Jinan 250012，China [Abstract] Objective Aims To investigate the etiology of enteral nutrition related diarrhea and to study its nursing. Method The rate and etiology of enteral nutrition related diarrhea of 344 patients receiving enteral nutrition from January to April in 2013 344 patients（A group）was analyzed retrospectively and new nursing was studied.From May to August in 2013,378 patients （B group） have received enteral nutrition under improved and intensified nursing care. The enteral nutrition related diarrhea rate of two groups was compared. Results Compared with A group, B group had lower incidence of diarrhea.,nursing satisfaction rate is higher, there is a satisfaction significantly significantdifference（P〈0.01）. Conclusion enteral nutrition related diarrhea was relative to insufficient management of nutrient solution,inappropriate preparation of nutrient solution, choice of infusion tools, and adjusts of infusion rate by patients or family members on their own . Therefore，diarrhea during enteral nutrition can be decreased by enforcing training and evaluation on medical staff, improving publicity and education among patients, and choosing appropriate infusion tools. [Key words] Enteral nutrition; Diarrhea; Etiology; Nursing; Nutrient liquid 肠内营养(EN)系经口或导管提供营养物质至胃肠道的方法[1]，能维护胃肠道功能，促进肠蠕动，维持内脏血流稳定及胃肠黏膜完整，同时可避免肠道细菌移位，降低感染发生率[2]。腹泻是肠内营养中最常见的并发症，据文献报道其发生率可达20%-40%[3]，直接影响肠内营养的效果和患者的康复。为了降低肠内营养患者腹泻的发生率，我们对2013年1月至4月在我科接受肠内营养治疗的患者进行回顾性分析，探讨引起肠内营养相关性腹泻的原因，并采取针对性的护理对策。2013年5月至8月，对我科接受肠内营养治疗的患者加强了护