Observation of clinical effects of care bundle on patients with traumatic brain injury during nasal feeding
نویسندگان
چکیده
Objective: To evaluate the effects of care bundle on relevant complications and postoperative recovery in patients with traumatic brain injury during nasal feeding. Methods: One hundred and sixty patients with traumatic brain injury were randomly divided into intervention group (I Group) and control group (C group) with 80 cases in each one. The I Group patients were treated with some care bundle measures: adjusting patients’ position before nasal feeding, increasing the supply step by step and performing moderate massage after nasal feeding, while the C Group adopted the routine care. The incidence of complications, conditions of clinical recovery, nutritional status and satisfaction degree of care during nasal feeding were observed and compared between the two groups. Results: The overall incidence of complications during nasal feeding, such as vomiting, diarrhea, food reflux, constipation, gastric retention and tube slippage, in I Group was lower than that in C Group (P<0.001). The number of cured patients in I Group was more than that in C Group, and the number of patients that did not response to the care in I Group was less than that in C Group. The overall effective rate of clinical recovery in I Group was 96.25%, which was better than that in C Group (P=0.004). The nutritional status of patients in I Group was better than that in the C Group after the care (P<0.001). The overall satisfaction degree of care in I Group was 87.50%, which was higher than that in C Group (60%, P<0.001). Conclusion: By applying care bundle to patients with traumatic brain injury, incidence of complications of nasal feeding can be decreased, recovery ability of patients can be strengthened, nutritional status of patients can be improved and the satisfaction degree of patients can be increased.
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