肠道营养量作为病房营养治疗中的质量指标
Bruna Stamm1, Mariur Gomes Beghetto2
1Universidade Federal do Pampa (UNIPAMPA). Curso de Graduação em Enfermagem. Uruguaiana, Rio Grande do Sul, Brasil.
Revista gaucha de enfermagem
|May 14, 2025
概括
患者获得的肠道营养明显低于处方,只有17.7%达到目标输液量. 这表明医院病房对营养治疗质量指标的遵守不佳.
科学领域:
- 临床营养学 临床营养学
- 改善医疗保健质量 改善医疗保健质量
- 患者的治疗结果.
背景情况:
- 肠道营养对于患者的康复至关重要.
- 质量指标对于监测治疗有效性至关重要.
- 遵守规定的营养量是护理的一个关键方面.
研究的目的:
- 评估遵守"处方与输注量"营养治疗质量指标的情况.
- 量化处方和实际肠道营养供应之间的差异.
- 评估成人临床和外科病房的合规率.
主要方法:
- 来自巴西一所大学医院的前性收集数据的二次数据分析.
- 在两个连续数据收集期间 (2017-2019) 纳入494名患者.
- 使用威尔科克森测试和布兰德-阿尔特曼方法来评估体积差异的统计分析.
主要成果:
- 患者平均每天摄入的剂量比处方少601.3±430毫升,不足约46%.
- 只有17.7%的患者实现了接受至少80%的处方肠道营养量的目标.
- 在研究期间,没有患者获得了100%的处方肠道营养量.
结论:
- 观察到,所规定的肠道营养体积的大量输入不足.
- 在所有监测的病房中,遵守"处方与输注量"质量指标的程度很低.
- 调查结果强调了肠道营养供应的重大差距,影响了患者护理质量.
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