对病房急性神经疾病患者进行基于体积的肠道养:试点前性队列研究
Jessie A Varghese1, Simone Keegan1, Christine Nicholson2
1Department of Allied Health (Clinical Nutrition), The Royal Melbourne Hospital, Parkville, Victoria, Australia.
概括
基于体积的肠道养 (VBF) 与标准养相比,在神经病患者中显著改善了营养供应. 这种方法提高了配方体积,能量和蛋白质摄入量,证明是可行的,并得到了工作人员的良好接受.
科学领域:
- 临床营养学 临床营养学
- 神经学 神经学
- 患者护理 患者护理
背景情况:
- 患有神经性侮辱的患者经常经历肠道营养中断 (EN),导致营养供应不足.
- 这项研究解决了在急性神经疾病中提供一致的EN的挑战.
研究的目的:
- 调查基于体积的肠道养 (VBF) 是否改善了急性神经疾病住院患者的处方EN体积的输送.
- 为了比较VBF与标准的基于连续速率的养.
主要方法:
- 一项前性队列研究,将常规护理 (基于速率的养) 与接受VBF的干预组进行比较,并进行每天两次的EN速率调整.
- 主要结果:每天发送的规定EN配方体量的百分比.
- 二次结果:能量和蛋白质的输送,体重变化,营养不良状态,安全性和护士的可接受性.
主要成果:
- 在VBF组中,获得了92%的EN充足度,而在常规护理组中达到67% (p < 0.001).
- VBF患者获得的kilojoules (131 kJ/kg vs. 84 kJ/kg) 和蛋白质 (1.3 g/kg vs. 0.9 g/kg) 显著增加.
- 胃肠道不耐受性没有差异;VBF组在出院时体重减轻较少. 护士的遵守率为90%,其中78%报告有很高的信心.
结论:
- 一个VBF协议有效地增加神经损伤患者的EN体积,能量和蛋白质输送.
- 该VBF协议是可行的,并且在护理人员中具有很高的接受度,这表明营养护理的实际改进.
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
117
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...
117
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
254
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...
254
01:28Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
144
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
144
01:30Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K
01:17Endotracheal Intubation II: Nursing Management
593
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
593