Ritmo intestinal en el paciente trasplantado de pulmón

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-01-01 DOI:10.1016/j.enfi.2024.06.001

Cristina González-Blasco RN , Blanca Isabel Fernández-Alonso RN , Beatriz Hernández-Iglesias RN , Ignacio Zaragoza-García RN, PhD , Marta María Torres-Romero RN , Patricia Sotillo-Nieto RN , Laura Alonso-Pérez RN

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引用次数: 0

Abstract

Introduction

Lung transplantation is the option for patients with end-stage respiratory pathology. Among the acute post-surgical complications, constipation is novel and relevant, as it has been little studied. Knowing the incidence of patients with constipation during post-implantation allows the creation of an adequate care plan. Several authors relate it to poor postoperative prognosis.

Methodology

Descriptive, longitudinal and retrospective study. Target population: lung trasplanted patients in a tertiary hospital with an ICU stay ≥3 days.

Main variable

Presence of constipation. Sociodemographic, clinical and pharmacological variables related to the patient's bowel rhythm were collected. Prior authorization was obtained from the hospital research committee.

Results

44 trasplanted patients were analyzed. The mean age was 52.75 ± 13.05 years, 59,1% were male. The 45,4% were overweight-obese. The main diagnosis is COPD. The majority were bipulmonary (88,6%). Constipation was between 97,7% and 67,9%. The median stool onset is 7,40 days. Prokinetics were introduced prophylactically in a median of 4 days and laxatives in 3 days. Enteral nutrition was introduced early in only 6,8% of patients.

Conclusions

A high percentage of lung trasplanted patients present constipation; Prophylaxis by means of prokinetics and laxatives is early, although enteral nutrition is not introduced early; It is necessary to review the nutritional protocol to avoid constipation.

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肺移植患者的肠道节律

肺移植是终末期呼吸系统病变患者的选择。在急性术后并发症中，便秘是一种新颖且相关的问题，因为它的研究很少。了解患者在植入后便秘的发生率有助于制定适当的护理计划。一些作者认为这与术后预后不良有关。方法：描述性、纵向和回顾性研究。目标人群：三级医院ICU住院≥3天的肺移植患者。主要变量有无便秘。收集与患者肠节律相关的社会人口学、临床和药理学变量。事先获得了医院研究委员会的授权。结果对44例移植患者进行了分析。平均年龄52.75±13.05岁，男性59.1%。45.4%的人超重肥胖。主要诊断为慢性阻塞性肺病。以双肺为主（88.6%）。便秘的比例在97.7%到67.9%之间。中位起便时间为7,40天。中位数为4天预防性使用促生药，3天使用泻药。只有6.8%的患者在早期引入肠内营养。结论肺移植患者出现便秘的比例较高；虽然肠内营养不是早期引入，但通过促动剂和泻药进行预防是早期的；有必要审查营养方案，以避免便秘。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.