以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (7): 1-5.doi: 10.16460/j.issn1008-9969.2021.07.001

    Next Articles

Development and Application of Extended Enteral Nutrition Management Scheme for Elderly ICU Patients Based on Circadian Rhythm

DU Jin-lei1, CHEN Zhi-mei1, QIN Lan-fang1, LIAN Jie1, SUN Wen-jing1, WANG Xiang2, XU Wei2, ZOU Xiao-yue2   

  1. 1. Huzhou University, Huzhou 313000, China;
    2. Huzhou First People’s Hospital, Huzhou 313000, China
  • Received:2020-11-02 Online:2021-04-10 Published:2021-05-12

PDF (PC)

259

Like

Abstract: Objective To develop an extended management scheme of enteral nutrition (EN) for elderly ICU patients based on circadian rhythm, and to reduce the occurrence of early gastrointestinal adverse events by oral feeding. Methods Non-randomized concurrent controlled trial (Non-R) was conducted in 58 randomly-selected elderly patients receiving enteral nutrition therapy. Patients in the control group were treated by routine nursing before the end of enteral nutrition therapy, while those in the observation group by extended management scheme of EN. Abdominal distention, bowel sounds, application of medications for promoting gastric motility, hunger at night as well as patient satisfaction in the two groups were compared. Results There was statistical significance in terms of abdominal distention, bowel sounds, accumulative frequency of drug use, cumulative frequency of hunger at night and nursing scoring in the two groups (P<0.05). But daily frequency of drug use for promoting gastric motility and daily frequency of hunger at night showed no statistical difference (P>0.05). Conclusion The extended management scheme of EN for elderly ICU patients has good applicability for diet transition of elderly patients in ICU.

Key words: circadian rhythm, enteral nutrition, extended management

CLC Number: 

  • R473
[1] Smolensky MH, Hermida RC, Reinberg A, et al.Circadian Disruption: New Clinical Perspective of Disease Pathology and Basis for Chronotherapeutic Intervention[J]. Chronobiol Int, 2016, 33(8):1101-1119.DOI:10.1080/07420528.2016.1184678.
[2] Gombert M, Carrasco-Luna J, Pin-Arboledas G, et al.The Connection of Circadian Rhythm to Inflammatory Bowel Disease[J]. Transl Res, 2019,206(4):107-118.DOI:10.1016/j.trsl.2018.12.001.
[3] Codoner-Franch P, Gombert M.Circadian Rhythms in the Pathogenesis of Gastrointestinal Diseases[J]. World J Gastroenterol, 2018,24(38):4297-4303.DOI:10.3748/wjg.v24.i38.4297.
[4] 黑利娟,马士芬,徐俊荣. 昼夜节律与胃肠道动力及肠道菌群的关系[J]. 国际消化病杂志, 2018,38(4):230-232.DOI:10.3969/j.issn.
[5] Sunderram J, Sofou S, Kamisoglu K, et al.Time-Restricted Feeding and the Realignment of Biological Rhythms: Translational Opportunities and Challenges[J].J Transl Med, 2014,12(28):79.DOI:10.1186/1479-5876-12-79.
[6] Krom H, de Winter JP, Kindermann A. Development, Prevention, and Treatment of Feeding Tube Dependency[J]. Eur J Pediatr, 2017,176(6):683-688.DOI:10.1007/s00431-017-2908-x.
[7] Manoogian E, Panda S. Circadian Rhythms, Time-restricted Feeding, and Healthy Aging[J]. Ageing Research Reviews, 2017,39(10):59-67.DOI:10.1016/j.arr.2016.12.006.
[8] 中华医学会肠外肠内营养学分会老年营养支持学组. 中国老年患者肠外肠内营养应用指南(2020)[J]. 中华老年医学杂志, 2020,39(2):119-122.DOI:10.3760/cma.j.issn.0254-9026.2020.02.002.
[9] Menculini G, Brufani F, Del BV, et al.Circadian Rhythms Disruptions and Eating Disorders: Clinical Impact and Possible Psychopathological Correlates[J]. Psychiatr Danub, 2019,31(3):497-502.
[10] Kaczmarek JL, Thompson SV, Holscher HD.Complex Interactions of Circadian Rhythms, Eating Behaviors, and the Gastrointestinal Microbiota and Their Potential Impact On Health[J]. Nutr Rev, 2017, 75(9):673-682.DOI:10.1093/nutrit/nux036.
[11] 陈霞. 肝胆胰外科术后患者疲劳综合征应用中医护理临床观察[J]. 新中医, 2015,47(5):291-292.DOI:10.13457/j.cnki.jncm.2015.05.136.
[12] 胡月,李倩,谭琳,等. 基于德尔菲法对护理硕士专业学位研究生临床思维能力评价指标体系的构建[J].护理学报, 2018,25(7):1-5.DOI:10.16460/j.issn1008-9969.2018.07.001.
[13] 郭雅博. 肝癌患者术后腹胀症状集束化护理方案的构建及效果评价[D]. 新乡:新乡医学院, 2019.
[14] 蒋茹. 诊断学[M]. 北京:科学出版社, 2017:192-193.
[15] 叶玉芬,李杏崧,伍存娣. 护理关怀理念改善ICU危重患者护理质量及满意度的效果[J]. 中国医药科学, 2020,10(2):149-151.DOI:10.3969/j.issn.2095-0616.2020.02.044.
[16] Wilken M, Bartmann P, Dovey TM, et al.Characteristics of Feeding Tube Dependency with Respect to Food Aversive Behaviour and Growth[J]. Appetite, 2018,123(2):1-6.DOI:10.1016/j.appet.2017.11.107.
[17] Billings ME,Watson NF.Circadian Dysrhythmias in the Intensive Care Unit[J]. Crit Care Clin, 2015,31(3):393-402.DOI:10.1016/j.ccc.2015.03.006.
[18] Sulli G, Manoogian E, Taub PR, et al.Training the Circadian Clock, Clocking the Drugs, and Drugging the Clock to Prevent, Manage, and Treat Chronic Diseases[J]. Trends Pharmacol Sci,2018, 39(9):812-827.DOI:10.1016/j.tips.2018.07.003.
[19] Martinez-Bakker M, Helm B.The Influence of Biological Rhythms on Host-parasite Interactions[J]. Trends Ecol Evol, 2015,30(6):314-326.DOI:10.1016/j.tree.2015.03.012.
[20] McKenna HT, Reiss IK, Martin DS. The Significance of Circadian Rhythms and Dysrhythmias in Critical Illness[J]. J Intensive Care Soc, 2017,18(2):121-129.DOI:10.1177/1751143717692603.
[21] Schibler U, Gotic I, Saini C, et al.Clock-Talk: Interactions between Central and Peripheral Circadian Oscillators in Mammals[J]. Cold Spring Harb Symp Quant Biol, 2015,80(10):223-232.DOI:10.1101/sqb.2015.80.027490.
[22] Zerón-Rugerio MF, Díez-Noguera A, Izquierdo-Pulido M, et al.Higher Eating Frequency is Associated with Lower Adiposity and Robust Circadian Rhythms:a Cross-sectional Study[J]. Am J Clin Nutr, 2020,23(10):282.DOI:10.1093/ajcn/nqaa282.
[23] Codoñer-Franch P, Gombert M.Circadian Rhythms in the Pathogenesis of Gastrointestinal Diseases[J]. World J Gastroenterol,2018,24(38):4297-4303.DOI:10.3748/wjg.v24.i38.4297.
[1] HU Jia-jie, LI Mei, WEN Zun-jia, YAN Ping, CAO Jin-jin, XU Bang-hong, XU Jing, REN Lei. Enteral Nutrition-related Decision-making Behavior of Pediatric ICU Nurses [J]. Journal of Nursing, 2020, 27(21): 51-55.
[2] . Best Evidence Summary for Early Enteral Nutrition in Patients with Acute Pancreatitis [J]. Journal of Nursing, 2020, 27(19): 29-34.
[3] BU Fan-li, LIANG Feng, WANG Ke, HUANG Qian, PENG Nan-hai. Overviews of Reviews on Gastric Residual Volume Monitoring in ICU Patients with Enteral Nutrition Support [J]. Journal of Nursing, 2019, 26(5): 25-29.
[4] HU Fen, YUAN Min. Development of Nasogastric Nutrition Management APP for Patients with Cerebral Diseases and Its Application [J]. Journal of Nursing, 2019, 26(23): 21-24.
[5] ZANG Li-li, SHI Min-xiu, ZHANG Xuan, TANG Ya-nan. Effect of Pectin and Continuous Infusion of Enteral Nutrition in Stroke Patients with Dysphagia [J]. Journal of Nursing, 2019, 26(14): 55-58.
[6] ZHAN Yu-xin, YANG Zhong-shan, LI Su-yun, YU Jiao-hua, MI Yuan-yuan, HUANG Hai-yan, SHI Wen-jia, CHEN Jian-ping. Construction of Evidence-based Evaluation Index System for Nursing Quality of Enteral Nutrition for Hospitalized Patients [J]. Journal of Nursing, 2019, 26(10): 26-31.
[7] ZHAO Shi-yu, KE Hui, LI Meng-yuan, XIONG Can, YU Jiao-hua. Effect of Enteral Nutritional Supplements on Prevention and Treatment of Pressure Ulcers: A Systematic Review [J]. Journal of Nursing, 2018, 25(20): 24-30.
[8] MI Yuan-yuan,SHEN Yue,HUANG Hai-yan,YU Jiao-hua,LUO Jian. Evidences for Diarrhea during Enteral Nutrition Support in Critical Ill Patients [J]. Journal of Nursing, 2017, 24(21): 58-66.
[9] ZHOU Tian-tian,WANG Bao-rong,ZHU Xiao-fang,Qiao Yao,WANG Yi-ting,ZOU Sheng-qiang. Factors Related to Enteral Feeding Intolerance of Septic Patients in ICU [J]. Journal of Nursing, 2017, 24(16): 6-9.
[10] HONG Jing,GUO Yun,ZHOU Gui-lan,SU Mei-fang,LIAO Gui-lan. Effect of Early Enteral Nutrition with Nutrition Solution Close to Body Temperature on Patients after Gastric Carcinoma Surgery [J]. , 2016, (2): 53-54,55.
[11] HUANG Ming-jun,LI Ka,JIANG Li-li. Evidence-based Nursing for Patients with Enteral Nutrition Related Diarrhea after Gastric Operation [J]. Journal of Nursing, 2013, (13): 48-50.
Viewed
Full text


Abstract

Cited
  Shared   
[1] TAN Tian, PANG Yong-hui, ZUO Hong-qun, DENG Yu-yan. Effect of Ginger-separated Moxibustion on Blood Coagulation after Laparoscopic Radical Resection of Colorectal Cancer[J]. Journal of Nursing, 2021, 28(7): 6 -10 .
[2] TIAN Li, LI Meng-yuan, XIAO Shu-qing, YAN Ling. Prevalence and Influence Factors of Anticipatory Grief in Advanced Cancer Patients[J]. Journal of Nursing, 2021, 28(7): 11 -14 .
[3] GUAN Yan, LU Shan, YE Jia-xin, WANG Zhe-yun. Construction and Application of Standardized Practice Scheme for Pressure Injury after Cardiac Surgery[J]. Journal of Nursing, 2021, 28(7): 15 -20 .
[4] REN Li, ZHAO Xiu-fang. Construction of Competency Model and Index System of New Nurses in Maternity and Children’s Hospital Based on Onion Model[J]. Journal of Nursing, 2021, 28(7): 21 -25 .
[5] . [J]. Journal of Nursing, 2021, 28(7): 26 -29 .
[6] . [J]. Journal of Nursing, 2021, 28(7): 30 -34 .
[7] LIU Ping, YOU Ao-lin, LIU Shu, LI Ya-nan, LUAN Xiao-rong. Qualitative Studies on Postgraduate Training Experience of Master of Nursing Specialist in China: A Meta-synthesis[J]. Journal of Nursing, 2021, 28(7): 35 -42 .
[8] LI Huan-ze, CHEN Hong-fang, HUANG Li-qun, AN Fang-fang, XU Peng, ZHUANG Miao-qing, ZHANG Lu-yu, WANG Jia-yi. Qualitative Studies on Experience of Emergency Nurses in Hospice Care: A Meta-synthesis[J]. Journal of Nursing, 2021, 28(7): 43 -48 .
[9] XIE Xiao-xing, ZHAO Min-hui. Current Status of Delayed Onset of Lactogenesis II of High-risk Pregnant Women in Maternal Intensive Care Unit and Its Influence Factors: A 229-case Study[J]. Journal of Nursing, 2021, 28(7): 49 -52 .
[10] . [J]. Journal of Nursing, 2021, 28(7): 53 -58 .