Clinical impact of Evidence-Based Nasointestinal Tube Nursing Program on Enteral Nutrition Tolerance of Critically Ill Neurosurgical Patients
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Abstract
This study aimed to assess the clinical impact of an evidence-based nasointestinal nursing program on enteral nutrition tolerance in critically ill neurosurgical patients. A total of 112 patients admitted to our hospital from January 2022 to January 2024 were randomly assigned to either a control group or an observation group, with 56 patients in each group. The control group received routine nasointestinal tube nursing, while the observation group received the evidence-based program. The observation group demonstrated reduced incidence of feeding intolerance symptoms compared to the control group. Additionally, the 7-day feeding compliance rate was higher in the observation group. The liquid diet time, exhaust time, and defecating time in observation group were shorter in comparison with those in control group. Both groups showed elevated hemoglobin, albumin, and prealbumin levels 7 and 14 days after tube placement compared to before placement. Furthermore, levels were higher in the observation group compared to the control group at these time points. No significant changes were observed in cholesterol and triglyceride levels within or between groups. In conclusion, the evidence-based nasointestinal nursing program demonstrated excellent efficacy in critically ill neurosurgical patients, accelerating gastrointestinal function recovery, improving feeding compliance and nutritional status, and reducing feeding intolerance symptoms. Its clinical application warrants further promotion and utilization.
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References
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