Factors associated with length of stay and death in tube‐fed patients: A cross‐sectional multicentre study

Freitas, Leticia Alves; Fagundes, Alex Luís; Prado, Patrícia Rezende do; Pereira, Marta Cristiane Alves; Medeiros, Adriane Pinto de; Freitas, Ligia Menezes de; Teixeira, Thalyta Cardoso Alux; Koepp, Janine; Carvalho, Rhanna Emanuela Fontenele Lima de; Gimenes, Fernanda Raphael Escobar

doi:10.1002/nop2.774

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…The results referring to the EPR data show that the profile of the 13 patients interviewed and 43 patients reported by the companions were characterized as being elderly (69.6%), men (58.9%), with serious diseases such as complex and chronic and degenerative comorbidities along with impaired communication (90.1%), orientation in time/space (48.8%), and ambulation (83.7%), thereby not meeting the conditions for the interview. These characteristics are similar to the findings of Freitas et al (2021) and highlight the consequences of the unpreparedness of health systems based on curative models for the demographic transition of countries with accelerated population aging, especially those that manifest malnutrition, with ENT being indicated and possibly prolonging life expectancy (Schneider et al, 2007).…”

Section: Resultssupporting

confidence: 66%

Safety in enteral nutritional therapy: knowledge of patients and caregivers

Paiva¹,

Lima²,

Paiva³

et al. 2023

Rev. Uningá

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This study aimed to examine the knowledge of patients and companions about enteral nutritional therapy (ENT) and compare similarities. This descriptive, prospective, quantitative study was conducted in a university hospital in the interior of the state of São Paulo. The study population consisted of 13 hospitalized patients and 47 companions who were interviewed over 7 months. Data regarding medical, nutritional, and nursing care were verified using electronic patient records. Data about the patients ENT was obtained through a structured questionnaire, and were compiled for this study based on the minimum requirements for ENT care in the RDC Nº 503. The statistical analysis used average and pattern deviation, median and 25-75th percentile, and number of cases and percentage. To compare proportions and agreements of the answers, the chi-square test and agreement of Kappa were used. The following was verified for patients and companions: lower correct answer frequencies in relation to the nutritional state, probe positioning test, type and quantity of prescribed diet, hand hygiene, prevention of distention/diarrhea/constipation, and different answers regarding the assessment of body weight, and knowledge of the position of the bed for feeding and hydration. It was concluded that the knowledge of patients and companions about ENT proved to be insufficient to promote patient safety. Information from companions, with few differences, is similar and in agreement with that of patients.

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Section: Resultssupporting

confidence: 66%

Safety in enteral nutritional therapy: knowledge of patients and caregivers

Paiva¹,

Lima²,

Paiva³

et al. 2023

Rev. Uningá

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“…Також існує спосіб оцінки відновлення кишкового всмоктування визначенням вміс ту глюкози натще та через 2 год після навантаження (введення глюкози в зонд для харчування в дозі 1 г на 1 кг маси тіла пацієнта). Збільшення вмісту глюкози в сироватці крові через 2 год є ознакою відновлення кишкового всмоктування (відновлення ферментної активності кишкових дисахаридаз) [51]. Однак застосування цього методу обмежене у разі коливань вмісту глюкози, що може спостерігатися на фоні перебігу ГП та при іншій супутній патології (синдром Іценко-Кушинга, цукровий діабет, гіпертиреоз, акромегалії тощо).…”

Section: особливості проведення ех у хворих на гпunclassified

Metabolic Disorders Caused by Acute Pancreatitis and Ways of Their Correction Using Enteral Nutrition of Patients

Kolosovych,

Hanol

2023

Fiziol Zh

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The occurrence of hypermetabolism and hypercatabolism syndromes in patients with acute pancreatitis is associated with the release of pro-inflammatory cytokines, which leads to an increase in energy consumption and basic metabolism, which depend on both the severity of the course and the duration of the disease. The aim of our work was to investigate the state of the problem of nutritional support for patients with acute pancreatitis at the current stage. The degree of nutritional status disorders in patients with acute pancreatitis varies depending on the etiological factors and severity of the disease and requires a differentiated approach to their correction. With the development of hypermetabolic syndrome, energy consumption can increase by 77-158%. Nutritional support is an important component of acute pancreatitis therapy, the goal of which is to ensure adequate caloric intake, modulate the response to oxidative stress, and counteract catabolic effects during the course of the disease. Restoration of intestinal absorption in patients with severe acute pancreatitis occurs on average 48 h after the start of complex conservative therapy, which is the optimal time to start enteral nutrition. Nasogastric nutritional support in patients with severe acute pancreatitis is safe and leads to a 25.8% reduction in the incidence of local infectious complications, length of hospital stay by 16 days and deaths by 21.4% in comparison with parenteral nutrition. The use of antiflatulents as part of a mixture for enteral nutrition allows to improve the laboratory indicators of blood serum, to reduce the frequency of intestinal complications by 21.5%. Nutritional support should be started with nasogastric administration of food mixture, and in case of complications (intolerance, aspiration, etc.), nasojejunal administration. Parenteral nutrition should be used if enteral nutrition is impossible or not tolerated.

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Qualitative study on the ability of neurological nurses to manage patients with indwelling gastrointestinal canal

Wang,

Liu,

Fang

et al. 2024

Front. Med.

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Aim and objectivesThis study aims to assess the proficiency of nurses in the neurology department in managing patients with indwelling gastrointestinal canal.BackgroundMany critically ill patients in neurology departments require the placement of nasoenteric tubes to provide enteral nutrition. However, in clinical practice, there exists considerable variability in nurses’ competencies regarding the management of patients with nasoenteric tubes. A thorough understanding of the challenges nurses face throughout the entire process of nasoenteric tube care and the development of targeted improvement measures are crucial for delivering enhanced patient care and facilitating patient recovery.DesignA qualitative interview study.MethodsFrom August to October 2023, 11 neurological nurses were recruited offline in three hospitals for semi-structured and in-depth interviews. The data analysis uses the KJ method to summarize and classify the themes from the semi-structured interview results, and then organize the themes into a coherent visual and logical path. The COREQ list is used.ResultsThe researchers conducted semi-structured interviews with 11 neurology nurses from three hospitals using a purposive sampling method, of which 64% of the participants were female and 36% were male; the average age was 38.27 ± 7.85 years; 27% from the Department of Neurology, 73% from the Department of Neurosurgery; junior professional titles accounted for 18%, intermediate professional titles accounted for 64%, senior professional titles accounted for 18%; 27% of the subjects were head nurses and 73% were nurses. The study identified 5 themes: (1) Preparation and evaluation before intubation; (2) Enhancement of intubation success rates; (3) Prevention of complications; (4) Management of complications and emergencies; (5) The acquisition of relevant knowledge and experience. In clinical practice, the bedside blind insertion technique is random and has not yet formed a unified standard, and the specific operation details and techniques need to be further improved.ConclusionDisparities exist in the nursing capabilities of neurology nurses due to variations in their knowledge and experience regarding gastrointestinal canal management.

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Factors associated with length of stay and death in tube‐fed patients: A cross‐sectional multicentre study

Cited by 3 publications

References 51 publications

Safety in enteral nutritional therapy: knowledge of patients and caregivers

Safety in enteral nutritional therapy: knowledge of patients and caregivers

Metabolic Disorders Caused by Acute Pancreatitis and Ways of Their Correction Using Enteral Nutrition of Patients

Qualitative study on the ability of neurological nurses to manage patients with indwelling gastrointestinal canal

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