护士主导的多学科干预在新生儿坏死性 小肠结肠炎护理中的应用. (Chinese)

Application of nurse-led multidisciplinary intervention in the nursing of neonatal necrotizing enterocolitis. (English)

Objective To explore the effect of nurse-led multidisciplinary intervention on the recovery of gastrointestinal function in the perioperative nursing of neonatal necrotizing enterocolitis. Method Eighty newborns with necrotizing enterocolitis who underwent surgical treatment at Changzhou Children􀆳s Hospital from January 2019 to December 2022 were included. They were divided into an observation group (40 cases) and a control group (40 cases) using the random number table method. The control group received routine perioperative nursing, while the observation group received nurse-led multidisciplinary intervention on the basis of the control group􀆳s method. The levels of serum nutritional indicators, gastrointestinal hormones, gastrointestinal mucosal barrier indicators, and the overall intervention efficacy were compared between the two groups. Results After 2 weeks and 1 month of intervention, the levels of serum somatostatin (SS), endotoxin (ET), diamine oxidase (DAO), gastrin (GAS), and motilin (MTL) in the observation group were lower than those in the control group, and the levels of serum albumin (ALB), hemoglobin (Hb), and total protein (TP) were higher than those in the control group. Moreover, the above indicators in both groups improved compared with those before intervention. The differences were statistically significant (all P <0. 05). The overall intervention effective rate of the observation group was higher than that of the control group (P < 0. 05). Conclusion Nurse-led multidisciplinary intervention can effectively improve the digestive and absorptive functions of newborns with necrotizing enterocolitis, improve their nutritional status, promote their recovery of gastrointestinal function, and enhance the intervention effectiveness. [ABSTRACT FROM AUTHOR]

目的 探讨护士主导的多学科干预应用在新生儿坏死性小肠结肠炎围手术期护理中,对患儿胃肠道功能恢复 的影响。方法选取2019 年1 月至2022 年12 月在常州市儿童医院行手术治疗的80 例坏死性小肠结肠炎患儿,采 用随机数字表法分为观察组(40 例)和对照组(40 例),对照组采用常规围手术期护理,观察组在对照组方法的基础 上结合护士主导的多学科干预。比较2 组的血清营养状况指标水平、胃肠激素水平、胃肠黏膜屏障指标水平及干预 总效率。结果干预2 周和1 个月后,观察组的血清生长抑素(SS)、内毒素(ET)、二胺氧化酶(DAO)、血清促胃液 素(GAS)和促胃动素(MTL)水平均低于对照组,血清白蛋白(ALB)、血红蛋白(Hb)和总蛋白(TP)水平均高于同 期对照组,且2 组的上述指标均较同组干预前有所改善,差异均有统计学意义(P 均<0. 05)。观察组的干预总效率 高于对照组(P <0. 05)。结论护士主导的多学科干预能够有效提升新生儿坏死性小肠结肠炎患儿的消化吸收功 能,改善其营养状态,促进胃肠道功能恢复,提升干预效果. [ABSTRACT FROM AUTHOR]

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