脑出血患者肠内营养支持的精细化护理管理对并发症预防的效果研究
Effect of Refined Nursing Management of Enteral Nutrition Support on Preventing Complications in Patients with Intracerebral Hemorrhage
摘要: 目的：探讨脑出血患者肠内营养支持的精细化护理管理对并发症预防的影响。方法：我们采用了一项前瞻性随机对照试验，纳入30名脑出血患者，随机分为干预组和对照组。干预组实施精细化护理管理，包括个体化营养评估、定期监测营养状态、调整营养方案及并发症的早期识别与干预；对照组则接受常规护理管理。结果：干预组在营养改善、并发症发生率及住院时间方面均优于对照组，具体表现为营养不良发生率降低30% (P < 0.01)，并发症发生率降低40% (P < 0.01)，住院时间缩短平均5天(P < 0.05)。结论：精细化护理管理显著改善了脑出血患者的营养状况，降低了并发症的发生率并缩短了住院时间，提示在临床实践中应重视肠内营养支持的精细化护理管理。未来的研究应进一步探讨不同个体化护理策略在其他重症患者中的应用，以优化整体护理质量和患者预后。
Abstract: Objective: To investigate the effect of refined nursing management of enteral nutrition support on complication prevention in patients with intracerebral hemorrhage. Methods: A prospective randomized controlled trial was conducted, enrolling 30 patients with intracerebral hemorrhage who were randomly assigned to either an intervention group or a control group. The intervention group received refined nursing management, which included individualized nutritional assessment, regular monitoring of nutritional status, adjustment of nutritional plans, and early identification and intervention for complications. The control group received routine nursing care. Results: The intervention group demonstrated superior outcomes compared to the control group in terms of nutritional improvement, complication incidence, and hospital stay. Specifically, the incidence of malnutrition was reduced by 30% (P < 0.01), the overall complication rate was reduced by 40% (P < 0.01), and the average hospital stay was shortened by 5 days (P < 0.05). Conclusion: Refined nursing management significantly improved the nutritional status of patients with intracerebral hemorrhage, reduced the incidence of complications, and shortened the hospital stay. This suggests that refined nursing management of enteral nutrition support should be emphasized in clinical practice. Future research should further explore the application of different individualized nursing strategies in other critically ill patients to optimize overall nursing quality and patient outcomes.
文章引用：齐瑛, 孜乃提古丽·吾甫尔, 周敏. 脑出血患者肠内营养支持的精细化护理管理对并发症预防的效果研究[J]. 临床医学进展, 2025, 15(11): 351-355. https://doi.org/10.12677/acm.2025.15113105

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