Abstract 【Objective】To explore the application of comprehensive enteral nutrition (EN) intervention based on timing selection for patients in the Intensive Care Unit (ICU).【Methods】A total of 106 ICU patients were randomly divided into a control group and an observation group, with 53 patients in each group. The control group received routine EN care, while the observation group implemented a comprehensive EN intervention based on timing selection. The serum prealbumin (PA), albumin (ALB), serum potassium, sleep quality, feeding intolerance rate, and refeeding syndrome incidence were compared before and after the intervention between the two groups.【Results】After the intervention, the levels of ALB, PA, and serum potassium in the observation group were significantly higher than those in the control group. The feeding intolerance rate and refeeding syndrome incidence in the observation group were both lower than those in the control group. Additionally, the sleep quality index scores of the observation group were lower than those of the control group, with statistically significant differences (P<0.05).【Conclusion】Comprehensive EN intervention based on timing selection can significantly improve biochemical indicators and sleep quality in ICU patients while reducing the rates of feeding intolerance and refeeding syndrome.
ZHANG Jing. Application of Comprehensive Enteral Nutrition Intervention Based on Timing Selection in Intensive Care Unit[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(11): 1695-1698.
[1] 夏春洁. 超早期肠内营养支持护理对重症颅脑损伤患者营养状态、康复进程的影响[J].中华现代护理杂志,2022,28(12):1663-1666. [2] 汤淼. 基于信息化肠内营养耐受性动态管理模式对重症患者喂养效果、营养状态及免疫功能的影响[J].国际护理学杂志,2022,41(18):3418-3421. [3] 毕宁,王菁,陈会. 不同时机肠内营养对重症急性胰腺炎治疗效果分析[J].医学临床研究,2020,37(7):1030-1032. [4] REINTAM B A, MALBRAIN ML, STARKOPF J, et al. Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems[J].Int Care Med,2012,38(3):384-394. [5] da SILVA J S V, SERES D S, SABINO K,et al.ASPEN consensus recommendations for refeeding syndrome[J].Nutr Clin Pract,2020,35(2):178-195. [6] 谌莉,刘瑞,闵照勤. 心理护理干预对ICU重症患者生活质量及心理状态的影响[J].国际精神病学杂志,2023,50(3):553-556. [7] POMAR F D, AHMAD B, BARLOW B,et al. Headache management in the neuroscience intensive care unit[J].Curr Pain Headache Rep,2023,Online ahead of print. [8] BARHORST S, PRIOR R M, KANTER D. Implementation of a best-practice guideline: Early enteral nutrition in a neuroscience intensive care unit[J].JPEN J Parenter Enteral Nutr,2023,47(1):87-91. [9] SALCIUTE S E, STASIUAITS R, AMBRASAS E, et al.Impact of enteral nutrition interruptions on underfeeding in intensive care unit[J].Clin Nutr,2021,40(3):1310-1317. [10] DEANE A M, CHAPMAN M J. Technology to inform the delivery of enteral nutrition in the intensive care unit[J].JPEN J Parenter Enteral Nutr,2022,46(4):754-756. [11] 王汇,程岚,唐淑慧,等. 失效模式与效应分析在降低ICU患者肠内营养相关性腹泻中的应用[J].军事护理,2022,39(9):25-28. [12] 邱昌翠,于晓丽,冯亚婷,等. ICU营养支持患者再喂养综合征风险评估及预防干预研究[J].护理学报,2022,29(7):57-62. [13] 崔亚茹,陈兰,陆雪梅. 神经内科重症监护病房病人再喂养综合征现状及影响因素研究[J].护理研究,2023,37(2):234-239. [14] 董霄松,孙铭泽,顾家慧,等. 应重视危重症患者的睡眠障碍及其识别与干预[J].中华医学杂志,2023,103(48):3879-3884.
2024, Vol. 41 
