护理人员遵守癌症重症患者营养管理指南:服务评估
1Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Nursing in critical care
|March 20, 2024
概括
危急癌症患者经常面临营养不良. 护理人员遵守营养指南,包括早期肠道营养 (EN),由于沟通问题和缺乏意识,影响患者的结果是不理想的.
科学领域:
- 在瘤学瘤学.
- 关键护理医学 关键护理医学
- 营养支持 营养支持
背景情况:
- 危急癌症患者很容易患营养不良,这会对他们的预后产生不利影响.
- 优化营养管理对于改善这种脆弱患者群体的治疗结果至关重要.
研究的目的:
- 评估护理人员是否遵守关键病情癌症患者的营养管理指南.
- 识别阻碍早期肠道营养 (EN) 实施和不间断延续的障碍.
主要方法:
- 对64名机械呼吸成年癌症患者的电子病历进行了回顾性分析.
- 对医疗保健专业人员文件的分析和与护理人员 (n=5) 组成的焦点小组.
主要成果:
- 在67%的病例中,未进行早期EN启动 (<48小时).
- 障碍包括EN管插入的延迟,胃残留体积的管理和输管.
- 确定了障碍:医疗保健专业人士的态度,患者的稳定性,多学科团队 (MDT) 沟通和实际护理问题.
结论:
- 危急癌症患者的营养管理与沟通挑战,不清楚的指导方针和对营养重要性缺乏意识有关.
- 加强护理教育对于克服实践障碍和确保最佳营养提供至关重要.
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