严重疾病幸存者的营养影响症状:描述性队列研究
Breanna J Teleki1, Elizabeth Viner Smith2,3, Rosalie Yandell1
1College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
JPEN. Journal of parenteral and enteral nutrition
|March 25, 2025
概括
重症监护室 (ICU) 的幸存者通常会出现营养影响的症状,如疲劳和食欲丧失,影响他们的口服摄入量. 这些症状虽然很普遍,但在出院后往往会有所改善.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 患者的治疗结果.
背景情况:
- 口服营养是重症监护室 (ICU) 退院后的标准,但往往不足.
- 对于ICU幸存者的足够口服摄入的障碍尚未得到充分了解.
- 影响营养的症状 (NIS) 是口服摄入的潜在障碍.
研究的目的:
- 确定ICU幸存者中NIS的患病率和严重程度.
- 评估NIS在ICU出院,医院出院和出院后1个月.
- 与NIS一起评估营养状况和摄入量.
主要方法:
- 进行了一项单中心描述性队列研究.
- 患者报告的问卷评估了NIS的患病率和严重程度.
- 营养状况和24小时饮食回忆评估摄入量和营养状况.
主要成果:
- 疲劳,食欲丧失和过早腹是非常普遍的NIS.
- 疲劳和便秘等症状严重,特别是在ICU出院时.
- 营养不良影响了ICU出院的34%的幸存者,能量和蛋白质摄入量低于最佳水平.
结论:
- 重症监护室的幸存者面临着许多影响营养的症状.
- 这些症状在患病率和严重程度上各不相同,但在ICU后显示有所改善.
- 解决NIS对于优化ICU幸存者的营养至关重要.
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