通过口服营养支持途径改善能量和蛋白质摄入量,在重症监护室及其他地方:一个不受控制的前后研究
Alicia N Wiese1, Emma Ballard2
1Department of Nutrition and Foodservices, Redcliffe Hospital, Redcliffe, QLD, Australia.
概括
实施新的营养途径显著提高了重症患者的能量和蛋白质摄入量. 这种多学科的方法改善了在重症监护室 (ICU) 住院后的口腔营养支持.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 临床营养学 临床营养学
背景情况:
- 危急病患者在ICU后经常难以获得足够的口服摄入量.
- 现有研究表明,这种人群的营养供应不足.
- 没有具体的指导方针,以提高后临界疾病的能量和蛋白质摄入量.
研究的目的:
- 实施和评估一个多学科的,个性化的口服营养支持途径.
- 目标是增加ICU和ICU后病房患者的能量和蛋白质摄入量.
主要方法:
- 进行了一项前性,单一中心的前后研究.
- 包括112名预计将在ICU停留≥48小时的患者.
- 该途径涉及能量和蛋白质密集的食物,补充剂和选.
主要成果:
- 实施后观察到能量和蛋白质摄入量的显著增加 (分别为34%和28%).
- 满足80%以上能源需求的患者比例从19.6%上升到58.9%.
- 满足≥80%蛋白质需求的患者比例从12.5%增加到46.4%.
结论:
- 一个多学科的,个性化的口服营养支持途径有效地改善了营养物质的输送.
- 该途径提高了重症和后重症患者的能量和蛋白质摄入量.
- 需要进一步的研究来评估对临床结果的影响.
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