Abstract:

Objective To develop an enteral nutrition management system for critically ill patients and assess its application outcomes to standardize enteral nutrition management. Methods Based on relevant guidelines and indicator systems，a management system for enteral nutrition in critically ill patients was constructed，consisting of 4 modules：nutritional screening and assessment，nutritional implementation，nutritional monitoring，and statistical analysis. A convenience sampling method was used to select enteral nutrition patients and healthcare staff from the ICU of a tertiary hospital in Ningbo. Data from January to February 2024 served as an experimental group，while data from January to February 2023 constituted a control group. The 2 groups were compared regarding nutritional risk screening rate，feeding interruption rate，completion rate of the enteral nutrition plan，and incidence of complications. At the same time，the system’s effectiveness was assessed by healthcare professionals using the clinical nursing information system effectiveness evaluation form. Results The study included 111 patients in the experimental group and 101 patients in the control group. The experimental group exhibited a significantly higher nutritional risk screening rate and enteral nutrition plan completion rate，as well as significantly lower feeding interruption rate and incidence of mechanical complications compared to the control group（P<0.05）. The system received a high effectiveness rating，with an average score of 104.73±9.34. Conclusion The application of the enteral nutrition management system effectively improves the nutritional risk screening rate and completion rate of enteral nutrition plans，while reducing both the feeding interruption rate and the incidence of mechanical complications. Healthcare staff highly rated the system.

Key words: Intensive Care Units, Enteral Nutrition, Information Management System, Nursing Care

摘要：

目的 开发重症患者肠内营养管理系统，并评价其应用效果，以规范肠内营养管理。方法 基于相关指南及指标体系，构建重症患者肠内营养管理系统，包括营养筛查及评估、肠内营养实施、肠内营养监测、统计分析4个模块。采用便利抽样法，选取宁波市某三级甲等医院ICU的肠内营养患者和医护人员作为研究对象，将2024年1月— 2月作为试验组数据来源时间，2023年1月—2月作为对照组数据来源时间。比较两组营养风险筛查率、每日喂养中断率、肠内营养计划完成率及并发症发生率，并采用临床护理信息系统有效性评价表，由医护人员评价系统的有效性。结果 试验组纳入111例患者，对照组纳入101例患者。试验组营养风险筛查率、肠内营养计划完成率均高于对照组，试验组每日喂养中断率、机械性并发症发生率均低于对照组，差异均具有统计学意义（P<0.05）。临床护理信息系统有效性评价表得分为（104.73±9.34）分。结论 应用重症患者肠内营养管理系统有助于提高营养风险筛查率及肠内营养计划完成率，降低每日喂养中断率及机械性并发症发生率，医护人员对该系统的评价较高。

关键词: 重症监护病房, 肠内营养, 信息管理系统, 护理