在神经科学重症监护室使用基于体积的养协议增加输送的肠道食量
L Douglas Smith1, Haley Hoy2, Sage Whitmore3
1L. Douglas Smith Jr is the lead critical care advanced practice provider and critical care nurse practitioner, HCA Healthcare Intensivist Services, HCA Healthcare TriStar Centennial Medical Center, Nashville, Tennessee, and a faculty member at Vanderbilt University School of Nursing, Nashville.
Critical care nurse
|May 31, 2024
概括
实施基于体积的肠道养方案显著改善了重症患者的营养供应. 这种方法,结合员工教育,减少了营养不良,并加强了重症监护机构对营养的优先考虑.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 提高质量 提高科学 提高质量
背景情况:
- 阳性营养不良严重影响患者的治疗结果和医疗保健费用.
- 营养不良的患者 (接受<80%的能量需求) 经历了更糟糕的营养状况和不良事件.
- 当前的养方案可能导致重症监护病房的营养供应不足.
研究的目的:
- 评估基于体积的肠道养方案对神经科学重症监护室营养物质输送的影响.
- 评估一个以营养为重点的项目对医疗保健工作人员对重症监护中的营养态度的影响.
- 为了比较基于体积的和基于速率的养方案在实现目标肠道营养供应方面的有效性.
主要方法:
- 使用前后研究设计来评估临床实践的变化.
- 实施了基于体积的养协议,并与以前基于速率的协议进行了比较.
- 在实施之前和之后,调查了员工对营养的态度.
主要成果:
- 基于体积的协议的实施增加了输送的肠道养体积的百分比.
- 患者获得至少80%的处方营养的养日的比例有所改善.
- 实施后,工作人员报告说,营养供应的重视越来越大,并承认其优先.
结论:
- 一个以体积为基础的肠道养方案,加上员工教育,有效地改善了处方营养的提供.
- 这项质量改善计划提高了向重症患者提供必需营养素的速度.
- 该项目表明,员工对营养支持的看法和做法发生了积极的转变.
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