脑卒中中水和营养护理实践:来自英国和澳大利亚的发现
Colette Miller1, Stephanie P Jones2, Munirah Bangee2
1Stroke Research Team, School of Nursing & Midwifery, University of Central Lancashire, Preston, PR1 2HE, UK. cmiller5@uclan.ac.uk.
BMC nursing
|October 27, 2023
概括
住院中风患者经常面临脱水和营养不良. 这项研究比较了英国和澳大利亚的做法,发现了类似的水化和营养护理,但指出需要标准化水化评估工具来改善患者的治疗结果.
科学领域:
- 临床营养学 临床营养学
- 脑卒中康复治疗 脑卒中康复治疗
- 患者护理管理 患者护理管理
背景情况:
- 脱水和营养不良在住院中风患者中普遍存在,影响结果和死亡率.
- 对于对中风幸存者的医院水分和营养护理实践的全球变化,人们的理解有限.
研究的目的:
- 为了比较英国 (UK) 和澳大利亚 (AUS) 之间的中风患者的医院内水化和营养护理策略.
主要方法:
- 一项横截面调查分发给英国和澳大利亚医院中风专家护士.
- 数据收集发生在2019年4月至11月期间,对非受访者进行了多达五次后续联系.
主要成果:
- 在这两个国家报告了高水分 (96%) 和营养 (99%) 评估率,主要由护士进行.
- 标准化的营养查工具在英国 (91%) 比澳大利亚 (60%) 更常见.
- 医生和营养学家分别是水化和营养管理的关键决策者.
结论:
- 虽然中风后的水化和营养护理在英国和澳大利亚之间有相似之处,但常规的水化评估缺乏标准化.
- 护士主要进行评估,而医生和营养学家管理护理决策.
- 开发标准化水分评估工具和实施基于证据的协议对于改善中风患者的治疗结果至关重要.
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