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Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition) ›› 2023, Vol. 10 ›› Issue (04): 274-277. doi: 10.3877/cma.j.issn.2095-7157.2023.04.009

• Nursing Carden • Previous Articles     Next Articles

Early application and nursing methods analysis of transnasal jejunal nutrition tube in acute severe pancreatitis

You Han, Jing Hao(), Hongxia Dong, Li Dai, Baoshuo Zhou, Huixian Gao   

  1. Department of Gastroenterology, The First Medical Centre of Chinese PLA General Hospital, Beijing 100853, China
  • Received:2023-06-30 Online:2023-11-15 Published:2023-11-09
  • Contact: Jing Hao

Abstract:

Objective

To explore the early application and nursing methods of nasal jejunal nutrition tube in acute severe pancreatitis, and evaluate its nursing effect.

Methods

82 patients with acute severe pancreatitis admitted to the Department of Gastroenterology at the First Medical Centre of the Chinese PLA General Hospital from June 2020 to October 2022 were selected as the research subjects.They were divided into an observation group (comprehensive nursing intervention) and a control group (routine nursing), with 41 patients in each group. The nursing effects of the two groups were compared.

Results

The serum albumin (ALB) levels of the observation group patients after nursing were (36.14 ± 4.67) g/L > (31.48 ± 5.09) g/L, t=4.320, and the prealbumin (PA) levels were (221.89 ± 11.08) mg/L > (192.07 ± 13.57) mg/L, t=10.889, which were higher than those of the control group (P<0.05). The acute physiology and chronic health score (APACHE-Ⅱ) of the observation group patients after nursing was (13.37±2.95) points less than (16.12±3.43) points, t=4.607, lower than that of the control group (P<0.05). The observation group patients′ health survey summary (SF-36) score after nursing was (68.43±5.10) points > (59.05 ±5.49) points, t=8.015, which was higher than that of the control group (P<0.05). The disappearance time of abdominal pain symptoms in the observation group was (3.04±0.86) d<(5.19±1.12) d, t=9.749, the recovery time of bowel sounds was (1.77±0.50) d<(2.94±0.69) d, t=8.792, and the anal exhaust time was (3.47±1.13) d<(4.89±1.28) d, t=5.325, which was shorter than the control group (P<0.05). The nursing satisfaction of patients in the observation group was 95.12% > 78.05%, χ2=5.145, higher than the control group (P<0.05). The incidence of complications in the observation group was 4.88% <19.51%, χ2=4.554, lower than the control group (P<0.05).

Conclusion

In the rehabilitation process of patients with acute severe pancreatitis, early application of nasal jejunal nutrition tubes, implementation of enteral nutrition support interventions, and comprehensive nursing interventions can better improve the patient's nutritional status, improve their quality of life, and obtain good prognosis.

Key words: Transnasal jejunal nutrition tube, Acute severe pancreatitis, Nursing

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