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題名:加護病房護理人員鼻胃管灌食照護完整性之改善專案
書刊名:長庚護理
作者:吳虹諗張巧惠陳麗貞林梅香謝春蘭
作者(外文):Wu, Hung-shenChang, Chiao-huiChen, Li-chenLin, Mei-hsiangHsieh, Chun-lan
出版日期:2015
卷期:26:1=89
頁次:頁53-65
主題關鍵詞:加護病房鼻胃管灌食完整性ICUNasogastric tube feedingComprehensive
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:5
  • 點閱點閱:10
背景:營養狀況是決定病人的耐病力,而重症病人因疾病導致營養供應方式 無法由口進食,大多需由鼻胃管灌食提供足夠的營養支持。臨床發現單位接受鼻胃管灌食病人入住時並無腸胃不適,經3-4天後病人出現腸胃併發症,引發專案改善動機,以提升加護病房護理人員鼻胃管灌食照護完整性。目的:提升加護病房護理人員鼻胃管灌食照護完整性。方法:經現況調查發現護理人員鼻胃管灌食技術及認知之照護完整性僅達78.8%。故舉辦各種粉狀飲食沖泡說明會並建立沖泡流程、增設水溫計、研發調控流速灌食袋、訂定鼻胃管灌食提醒小口訣、修訂工具清潔標準為本專案之解決方案。結果:經專案改善後,接受鼻胃管灌食病人腸胃併發症降低,護理人員提供鼻胃管灌食照護完整性達99.2%。結論:本改善專案透過提昇鼻胃管灌食照護完整性,除降低接受鼻胃管灌食病人腸胃併發症發生,亦提升其腸道營養支持,並可提供日後臨床護理照護之參考,以提高照護品質。
Background: The intestinal function is an important determinant in the outcome of patients admitted to the intensive care unit (ICU). Enteral feeding is the primary method of nutrition administration for ICU patients. There are no complications of nasogastric (NG) feeding at the first or second day. However, after that, most of critical patients reveal gastrointestinal discomforts. This motivates us to design a project to decrease NG feeding-related gastrointestinal distress. Purpose: Improve the comprehensiveness of nursing care for applying NG feeding in the ICU. Method: This study revealed that less than 78.8% of the ICU nurses understood nasogastric feeding technic correctly and were able to achieve comprehensive nursing care. The ICU applied three strategies to improve clinic nursing care and promote morning orientations to nurses. The standard of nasogastric feeding was established, including improving knowledge of preparation of a variety of feeding food, improving feeding tools hygiene, and adjusting feeding food temperature. Other strategies included inventing new feeding bags that can regulate NG feeding flow rate and designing the reminders of NG feeding tips. Result: After implementing the protocol, the incidence of NG feeding associated gastrointestinal complications decreased and the completeness of nursing care in NG feeding up increased to 99.2%. Conclusions: This study provided evidence to support the improvement of comprehensive NG feeding care for ICU critical inpatients with a lower gastrointestinal distress and sufficient nutritional rehabilitation. This protocol can be a model for the ICU nurses to improve the quality of care and reduce patient's length of stay in the ICU.
期刊論文
1.王義明、黃煜為、林姿伶、陳思穎(20090800)。重症病患的營養支持。中華民國重症醫學雜誌,10(3),229-241。  延伸查詢new window
2.翁敏雪(20070900)。重症病人的營養照護。長庚護理,18(3)=59,365-371。new window  延伸查詢new window
3.Binnekade, J. M.、Tepaske, R.、Bruynzeel, P.、Mathus-Vliegen, E. M. H.、De Haan, R. J.(2005)。Daily enteral feeding practice on the ICU: attainment of goals and interfering factors。Critical Care,9(3),218-225。  new window
4.Cannaby, A. M.、Evans, L.、Freeman, A.(2002)。Nursing care of patients with nasogastric feeding tubes。British Journal of Nursing,11(6),366-372。  new window
5.Correia, M. I.、Waitzberg, D. L.(2003)。The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis。Clinical Nutrition,22(3),235-239。  new window
6.Umali, M. N.、Llido, L. O.、Francisco, E. M.、Sioson, M. S.、Gutierrez, E. C.、Navarrette, E. G.、Encarnacion, M. J.(2006)。Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the Philippines。Nutrition,22(4),345-349。  new window
7.李美慧、林麗嬋(20050600)。居家腸道管灌之營養評估與問題處置。長期照護雜誌,9(2),183-192。  延伸查詢new window
8.林沂屏(20091000)。管灌餵食病患管灌飲食的選擇及營養評估。埔基醫療雜誌,3,71-77。  延伸查詢new window
9.林晏如、葉玲岑、李靜怡(20091100)。重症老年人之早期腸道營養。臺灣醫學,13(6),567-574。  延伸查詢new window
10.曹英、黃秋萍(20100300)。住院及需長期管灌老人之營養與照護品質提昇計畫。大仁學報,36,169-183。  延伸查詢new window
11.黃素華、陳珮蓉、張啟仁、賴鴻緒、鄭金寶、劉秀英、楊榮森(20050700)。住院管灌病患營養狀況及胃腸併發症對營養攝取量之影響。臺灣醫學,9(4),467-474。  延伸查詢new window
12.黃雅萍、傅美瓊、陳小蓮(20060100)。提升養護機構住民管灌營養照護成果之改善專案。新臺北護理期刊,8(1),89-96。  延伸查詢new window
13.謝明欣(20080400)。管灌餵食病患營養不良問題之導因。志為護理,7(2),65-69。  延伸查詢new window
14.王采芷、吳淑芳、梁淑媛、童恒新、林玉萍(20120800)。重症病人腸胃道管灌常見合併症之預防。護理雜誌,59(4),18-23。new window  延伸查詢new window
 
 
 
 
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