紧急一般外科手术中的营养不良:国家紧急拉皮切除术审计调查的结果
Daniel L Ashmore1,2, Timothy Wilson2, Vanessa Halliday1
1School of Medicine and Population Health, Faculty of Health, University of Sheffield, Sheffield, UK.
概括
紧急手术患者的营养不良查率较低,临床医生指出时间和培训障碍. 改善手术前营养路径和审计数据收集对于更好的患者结果至关重要.
科学领域:
- 手术营养是指手术营养.
- 患者的治疗结果.
- 医疗保健实践 医疗保健实践
背景情况:
- 营养不良显著恶化了接受紧急整体手术 (如腹腔切除术) 的患者的结果.
- 识别和减轻这些脆弱患者的营养不良风险至关重要.
研究的目的:
- 描述目前用于识别腹腔切除术患者的营养不良的做法.
- 专注于查,评估,营养途径和临床医生报告的障碍.
主要方法:
- 一项调查分发给了全国紧急拉皮切除术审计 (NELA) 在英格兰和威尔士的领导.
- 分析了来自166个NELALeads (57.4%) 的答案,使用描述性统计数据和相关性.
主要成果:
- 报道了手术前营养查 (25.3%) 和评估 (15.7%) 的低率.
- 障碍包括缺乏时间,培训,教育和组织支持.
- 与指导方针相反,白蛋白水平仍然被用来确定营养不良风险.
结论:
- 在确定NELA患者的营养不良风险方面存在显著差异.
- 时间,知识和所有权等障碍阻碍了有效的选.
- 建议加强手术前营养路径和NELA数据集成,以改善护理.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
281
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
281
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
132
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
132
Peptic Ulcer Disease V: Surgical Management and Nursing Care
303
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
303
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
84


