摘要
Abstract
Objective To study the effect of bundle nursing guided by feedforward control theory on the clinical outcomes of patients with severe pancreatitis undergoing nasointestinal tube insertion.Methods A total of 100 patients with severe pancreatitis who underwent nasointestinal tube insertion at Zhongshan Hospital Xiamen University from July 2023 to September 2025 were selected and randomly divided into two groups using a random number table method.During the observation period,a total of 4 patients dropped out,and finally 96 patients completed the study(48 patients in each group).All patients underwent blind or endoscopic nasointestinal tube insertion according to the condition and catheterization conditions.The control group received routine nursing care,while the observation group received bundle nursing guided by feedforward control theory.The safety of catheterization(the total incidence of complications,including tube blockage,unplanned extubation,feeding intolerance,and aspiration pneumonia),nutritional status(serum albumin[ALB],total protein[TP],prealbumin[PA],and retinol-binding protein[RBP]),and inflammatory response(C-reactive protein[CRP],interleukin-6[IL-6],tumor necrosis factor-α[TNF-α],and procalcitonin[PCT])of the two groups were compared.Results The total incidence of complications such as tube blockage,unplanned extubation,feeding intolerance,and aspiration pneumonia in the observation group was lower than that in the control group(P<0.05).At 5 days and 10 days after tube insertion,the levels of ALB,TP,PA and RBP in the observation group were higher than those in the control group(P<0.05),and the levels of CRP,IL-6,TNF-α and PCT in the observation group were lower than those in the control group(P<0.05).Conclusion Bundle nursing guided by feedforward control theory can effectively improve the early nutritional status of patients with severe pancreatitis,reduce systemic inflammatory responses,and decrease the incidence of nasointestinal tube insertion-related complications,which has certain clinical application value.关键词
重症胰腺炎/肠内营养/前馈控制/集束化护理/炎症反应Key words
severe pancreatitis/enteral nutrition/feedforward control/bundle nursing/inflammatory response分类
医药卫生
