从重症监护病房转移到普通病房后的营养缺口 - 一项追溯质量保证研究
Anne Wilkens Knudsen1, Simone Møller Hansen2, Thordis Thomsen3
1The Dietitians and Nutritional Research Unit, EATEN, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark.
概括
大多数被转移到普通病房的重症监护室 (ICU) 患者缺乏营养计划. 在ICU退院后,能量和蛋白质摄入量显著下降,在三天内仍然不足.
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
- 质量改进科学 质量改进科学
背景情况:
- 适当的营养对于临界后疾病恢复至关重要.
- 在重症监护室 (ICU) 出院后,关于营养摄入量的知识是有限的.
- 在ICU转移后,有效的营养支持需要严格的计划.
研究的目的:
- 评估从ICU转移到普通病房的患者的营养计划.
- 评估这些患者获得的营养摄入量.
- 识别营养护理连续性的差距.
主要方法:
- 追溯质量保证研究设计.
- 包括被转移到一般病房的成年ICU患者.
- 营养计划的分析以及转移前和后实现的摄入百分比.
主要成果:
- 只有2%的患者在ICU转移时有一个全面的营养计划.
- 转移后平均能量 (94%至30.5%) 和蛋白质 (73%至27.5%) 摄入量显著下降.
- 从ICU转移后,营养摄入不足持续了三天.
结论:
- 在转移到普通病房的ICU患者的营养计划中存在重大缺陷.
- 在ICU出院后,营养摄入量急剧下降,影响患者的康复.
- 对于这个脆弱的患者群体,迫切需要改善营养护理方案.
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