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Implementation of an Evidence-Based Nursing Protocol for Mechanical Complications of Enteral Nutrition: A Randomized
Min Hu1, Ping Tu, Fang-Ting Xiong
1Authors Affiliation: Department of Neurology, the 2nd affiliated hospital, Jiangxi Medical College, Nanchang University, Nanchang, China(Drs Hu, Xiong and Ling); Post Anesthesia Care Unit, the 2nd affiliated hospital, Jiangxi Medical College, Nanchang University, Nanchang, China (Dr Tu).
Background:
Patients admitted to the intensive care unit (ICU) are at risk for malnutrition. To provide sufficient nutritional support, enteral nutrition (EN) is the preferred method for patients admitted to the neurology ICU.
Purpose:
The purpose of this study was to examine the clinical effectiveness of an evidence-based nursing protocol for preventing and managing mechanical complications of EN for patients admitted to the neurology ICU.
Methods:
A randomized controlled trial design was used. The control group received general care, and the test group received care per the evidence-based nursing protocol.
Results:
A total of 118 patients participated in the study (59 each in the control and test group). The test group showed improved nutritional status measured by the Nutrition Risk Screening 2002 score, lower acute gastrointestinal injury grading, improved serum nutritional indicators, and less mechanical complications.
Conclusion:
Implementing an evidence-based nursing protocol was feasible and led to positive patient outcomes.
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