标题：基于网络平台的延续护理在脑卒中鼻饲患者中的应用

      作者：梁让，邢增娜    海南省人民医院神经外科，海南 海口 570311

      卷次： 2024年35卷14期

      【摘要】 目的 探讨基于网络平台的延续护理在脑卒中鼻饲患者中的应用效果。方法 选取2022年7月至2023年7月海南省人民医院神经外科收治的70例脑卒中带鼻饲管出院患者作为研究对象，按随机数表法分为对照组和干预组各35例。对照组患者给予常规护理，干预组患者在对照组基础上给予基于网络平台的延续护理。比较两组患者不同时间的营养风险筛查评分(采用 NRS2002评估表评价)、肠内营养相关并发症以及营养相关生活质量(采用 NutriQoL量表评价)，同时比较两组患者1个月内的再入院率。结果 出院时两组患者营养风险筛查得分中位数均为3分，差异无统计学意义(P>0.05)，而出院3个月和6个月时，干预组患者的营养风险筛查得分分别为2分和1分，明显低于对照组的3分和2分，差异均有统计学意义(P<0.05)；出院时干预组患者的肠内营养相关并发症发生率为17.14%，略低于对照组的20.00%，差异无统计学意义(P>0.05)，出院3个月和6个月时，干预组患者的肠内营养相关并发症发生率分别为11.43%和8.57%，明显低于对照组的31.43%和28.57%，差异均有统计学意义(P<0.05)；出院时，干预组和对照组患者的营养相关生活质量评分分别为(6.71±1.89)分、(6.88±1.75)分，差异均无统计学意义(P>0.05)，而出院3个月和6个月时，干预组患者的营养相关生活质量评分分别为(13.83±4.90)分和(18.22±3.05)分，明显高于对照组的(10.51±3.35)分和(11.20±2.36)分，差异均有统计学意义(P<0.05)；1个月内对照组再入院1例，而干预组无1个月内再入院患者。结论 基于网络平台的延续护理可以减少脑卒中鼻饲患者肠内营养相关并发症，提高患者营养相关生活质量。
      【关键词】 脑卒中；鼻饲；网络平台；延续护理；并发症；生活质量
      【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1003—6350（2024）14—2114—05

Influence of extended care based on network platform on stroke patients with nasal feeding.
LIANG Rang, XINGZeng-na. Department of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, CHINA
【Abstract】 Objective To explore the application effect of extended care based on network platform in strokepatients with nasal feeding. Methods Seventy stroke patients discharged with nasogastric tubes who were admitted tothe Department of Neurosurgery, Hainan General Hospital from July 2022 to July 2023 were selected. The patients weredivided into the control group and the intervention group according to random number table, with 35 cases in eachgroup. The patients in the control group were given routine care, and the patients in the intervention group were given ex-tended care based on the network platform on the basis of the control group. The nutritional risk screening score [evaluat-ed by NRS2002 scale], enteral nutrition-related complications and nutrition-related quality of life (evaluated by Nu-triQoL scale) at different time points were compared between the two groups, and the readmission rate within 1 monthwas also compared between the two groups. Results The median nutritional risk screening score of patients in bothgroups at discharge was 3, and the difference was not statistically significant (P>0.05); the nutritional risk screeningscores of patients in the intervention group at 3 and 6 months after discharge were 2 and 1, respectively, which were sig-nificantly lower than 3 and 2 of patients in the control group (P<0.05). The incidence of enteral nutrition-related compli-cations of patients in the intervention group at discharge was 17.14%, which was slightly lower than 20.00% of the con-trol group (P>0.05); at 3 and 6 months after discharge, the incidences of enteral nutrition-related complications in the pa-tients of the intervention group was 11.43% and 8.57%, respectively, which were significantly lower than 31.43% and28.57% of the control group (P<0.05). At discharge, the nutrition-related quality of life scores in the intervention groupand control group were (6.71±1.89) points and (6.88±1.75) points, respectively, and the difference was not statisticallysignificant (P>0.05); at 3 and 6 months after discharge, the scores of the intervention group were (13.83±4.90) pointsand (18.22±3.05) points, respectively, which were significantly higher than (10.51±3.35) points and (11.20±2.36) pointsof the control group (P<0.05). There was one case of readmission in the control group within 1 month, while there wereno patients readmitted within 1 month in the intervention group. Conclusion Extended care based on the network plat-form can reduce the complications related to enteral nutrition in stroke patients with nasal feeding and improve the nutri-tion-related quality of life of patients.
      【Key words】 Stroke; Nasal feeding; Network platform; Extended care; Complications; Quality of life