心胸外科手术患者患有胃肠道并发症的营养支持实践:一项观察性研究
Caitlin Davis1, Rhea Louis2, Imogen Asser3
1Department of Nutrition and Dietetics, Royal Adelaide Hospital, Adelaide, Australia.
概括
对于患有胃肠道并发症的心脏手术患者的营养支持不足. 只有不到一半的人接受了营养师评估或肠道营养,这凸显了对这些重症患者的护理方面的差距.
科学领域:
- 关键护理医学 关键护理医学
- 手术营养是指手术营养.
- 胃肠病学 胃肠病学
背景情况:
- 心脏手术后的胃肠道 (GI) 并发症很少见,但很严重.
- 营养支持对于康复至关重要,但该群体的做法没有报告.
研究的目的:
- 报告心脏手术后胃肠道并发症患者的营养支持实践.
- 分析饮食咨询,食路线和重症监护室 (ICU) 的供应情况.
主要方法:
- 94名成年ICU心脏病外科手术后患有胃肠道并发症的成年患者的回顾性观察子研究.
- 收集的数据包括人口统计,临床状态和从ICU入院到28日的营养支持.
主要成果:
- 只有44%的患者被营养学家评估.
- 43%接受了肠道营养 (主要是通过鼻胃管),84%接受了口服营养,很少有人接受补充剂.
结论:
- 只有不到一半的患有胃肠道并发症的急性心脏手术患者接受了适当的饮食师评估或肠道营养.
- 大多数患者接受口服营养,但口服营养补充剂的使用不足.
- 需要进一步的研究来评估能量/蛋白质摄入量和饮食干预措施的影响.
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