构建医院层面的营养置管亚小组在提高危重患者盲插鼻肠管中的应用

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Abstract Objective To explore the application of establishing a hospital-level nutritional support catheterization subgroup in improving bedside blind insertion of naso-intestinal tubes for critically ill patients. Methods In the Affiliated Huai′an First People′s Hospital of Nanjing Medical University, a total of 256 patients and 31 hospital nutrition support team liaison nurses who performed bedside blind intubation registration from January 2017 to December 2018 were selected as the research subjects. With the establishment of the nutritional support catheterization subgroup in January 2018 as the demarcation point, a total of 86 patients registered for blind insertion of the naso-intestinal tube from January to December 2017 were used as the control group; from January to December 2018, a total of 170 patients registered for bedside blind insertion of the naso-intestinal tube was implemented were the observation group. The catheterization subgroup conducted systematic training and effect evaluation on the theory and practical skills related to blind insertion of naso-intestinal tubes for 31 contact nurses. The success rate and satisfaction degree of blind insertion of nasal intestine tube between the two groups were compared. Results One year after the establishment of the standardized training of the catheterization sub group, the contact nurses who mastered blind insertion of the nasao-intestinal tubes had higher theoretical scores than before the establishment, and the difference was highly statistically significant (P ＜ 0.01). The practice skill scores of blind insertion of the nasao-intestinal tubes in the catheterization subgroup nine months after the standardized training was higher than those three months after the training, and the difference was highly statistically significant (P ＜ 0.01). The success rate of blind insertion of the naso-intestinal tube and patient satisfaction in the observation group were higher than those in the control group, and the differences were highly statistically significant (P ＜ 0.01). The overall satisfaction of doctors, head nurses and ward nurses with liaison nurses was 96.7%, 100.0% and 100.0% respectively. Conclusion Establishing a subgroup of nutrition catheterization technology can significantly improve the clinical nurses′ bedside blind insertion of the naso-intestinal tube skills and catheterization success rate, and promote the application of enteral nutrition technology in multi-disciplinary critically ill patients.

Key words： Catheterization subgroup Contact nurse Blind insertion Naso-intestinal tube

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	JI Fengqing1 CHEN Yunyun2 TAO Guoquan2 SHEN Yang3

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JI Fengqing1 CHEN Yunyun2 TAO Guoquan2 SHEN Yang3. Application of establishing of a hospital-level nutritional catheterization subgroup in improving the blind insertion of the naso-intestinal tube for critically ill patients[J]. 中国医药导报, 2020, 17(26): 153-156,181.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I26/153

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