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重症监护环境中超重和肥胖人群的营养与护理考量

Nutrition and care considerations in the overweight and obese population within the critical care setting.

作者信息

Collins Jody

机构信息

Clinical Projects and Magnet Program, Memorial Hermann The Woodlands Hospital, 9250 Pinecroft, The Woodlands, TX 77380, USA.

出版信息

Crit Care Nurs Clin North Am. 2014 Jun;26(2):243-53. doi: 10.1016/j.ccell.2014.01.002. Epub 2014 Mar 19.

Abstract

Nutrition and care considerations in the overweight and obese population within the critical care setting are multifaceted. Patients requiring critical care have specialized care management needs that often times challenge health care providers. When patients are obese, this further complicates the physiologic aspects of healing, thus creating challenges to meeting both the nutritional needs of the individual and hampering treatment. This article reviews the care considerations, physiology of bariatric patients, and challenges of providing safe and quality care, including current evidence-based practice strategies developed to provide optimal support for obese patients during hospitalization and within the critical care setting.

摘要

重症监护环境下超重和肥胖人群的营养与护理考量是多方面的。需要重症监护的患者有特殊的护理管理需求,这常常给医护人员带来挑战。当患者肥胖时,这会使愈合的生理方面进一步复杂化,从而在满足个体营养需求和阻碍治疗方面都带来挑战。本文回顾了护理考量、肥胖症患者的生理学以及提供安全优质护理的挑战,包括为在住院期间和重症监护环境中为肥胖患者提供最佳支持而制定的当前循证实践策略。

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