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

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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

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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
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