| Objectives:To establish and implement cluster nursing intervention program based on evidence-based medicine nursing,and analyze the intervention effect of cluster nursing on enteral nutrition in patients with severe stroke,so as to provide theoretical basis for improving the nutritional status of patients and carrying out cluster nursing intervention program of enteral nutrition in patients with severe stroke.Methods: The subjects of this study were severe stroke patients who received enteral nutrition treatment in the intensive care unit of a Classⅲ Grade A hospital in Yanji City,Jilin Province from February 2021 to November 2021.From February 2021 to June 2021,40 patients who met the inclusion criteria were selected as the control group,and from July 2021 to November 2021,40 patients who met the inclusion criteria were selected as the intervention group.The control group received routine enteral nutrition nursing,while the intervention group received cluster nursing intervention for 7 days.The study was divided into two groups: the pre-experiment stage and the formal study stage.The basic information of the subjects and the indicators on the day of admission,the third day and the seventh day were collected.SPSS 26.0 was used for statistical processing in this study.The measurement data with normal distribution between groups were measured by mean ± standard deviation(±S),and the count data were measured by case number(%)[(n)%].T-test was used to compare the two groups of subjects in the same period,chi-square test was used to verify the count data,and repeated measures ANOVA was used to compare the data between different periods.When P<0.05,there were statistically significant differences between the groups.Results:(1)There was no significant difference in general demographic data between the two groups(P>0.05),which was comparable.(2)There was no significant difference in the baseline data of the two groups before intervention: albumin,prealbumin,total protein,cholinesterase,lymphocyte and high-sensitivity C-reactive protein between the two groups(P>0.05).(3)The incidence of nutritional intolerance in the two groups was observed: the frequency of diarrhea in the intervention group was significantly less than that in the control group,and the difference between the two groups was significant(P<0.05),with statistical significance.There was no significant difference in abdominal distension and abdominal pain between the two groups(P>0.05).(4)The nutritional evaluation indexes of patients in the two groups were observed: on the 3rd and 7th day after admission to intensive care unit,the intervention group was better than the control group,and the difference between the two groups was significant(P<0.05)with statistical significance.(5)The inflammatory indicators of patients in the two groups were observed: on the3 rd and 7th day after admission to the intensive care unit,the patients in the intervention group were better than those in the control group,and the difference between the two groups was significant(P<0.05),with statistical significance.(6)The rate of reaching the standard of heat card in the two groups was observed:after 3 days of intensive care unit treatment,there was a small difference in the number of patients reaching the standard between the two groups(P>0.05)without statistical significance.After 7 days of intensive care unit treatment,the number of patients in the intervention group reached the standard was higher than that in the control group,and the difference between the two groups was significant(P<0.05),with statistical significance.(7)The hospitalization duration of the two groups was observed: the average hospitalization days of intensive care unit in the intervention group was(7.58±2.98)days,and the average hospitalization days of the control group was(9.53±4.06)days.The average days of intensive care unit stay in the intervention group were less than those in the control group,with statistical significance.(8)The incidence of adverse events in the two groups was observed: the frequency of adverse events in the intervention group was less than that in the control group,but there was no significant difference between the two groups(P>0.05),without statistical significance.Conclusions:(1)Cluster nursing intervention can improve the nutritional evaluation index and inflammatory index of patients,and at the same time increase the rate of heat retention and reduce the occurrence of nutritional intolerance.(2)Through the establishment of cluster nursing intervention group can adjust the program at any time according to the individual patient,more targeted,can improve the effect of enteral nutrition care for patients.(3)Cluster nursing intervention can shorten the duration of intensive care unit for patients with severe stroke. |
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