Newcombe Jennifer, Fry-Bowers Eileen
Loma Linda School of Nursing, United States.
University of San Diego, Hahn School of Nursing and Health Science, United States.
J Pediatr Nurs. 2017 Jul-Aug;35:139-143. doi: 10.1016/j.pedn.2016.12.010. Epub 2017 Jan 4.
Neonates with critical congenital heart disease (CCHD) are vulnerable to malnutrition during the post-operative period due to hypermetabolism and hypercatabolism. To improve nutritional outcomes during hospitalization, a nurse led post-operative enteral feeding protocol was implemented at a large U.S. children's hospital. During an eight-month implementation period, twenty-one neonates met protocol inclusion criteria. Days for neonates to achieve goal caloric feedings (120kcal/kg/day) were decreased. A one-way repeated measures analysis of variance showed serum albumin levels and serial anthropometric measurements improved significantly throughout hospitalization (p<0.005). Results from this quality improvement project show standardizing nutritional care for neonates with CCHD during the post-operative period is an effective way to improve nutritional outcomes and shorten length of hospital stay.
患有严重先天性心脏病（CCHD）的新生儿在术后由于高代谢和高分解代谢而容易出现营养不良。为了改善住院期间的营养状况，美国一家大型儿童医院实施了一项由护士主导的术后肠内喂养方案。在八个月的实施期间，21名新生儿符合方案纳入标准。新生儿达到目标热量喂养（120千卡/千克/天）的天数减少。单向重复测量方差分析显示，在整个住院期间，血清白蛋白水平和系列人体测量指标均有显著改善（p<0.005）。这个质量改进项目的结果表明，在术后对患有CCHD的新生儿进行营养护理标准化是改善营养状况和缩短住院时间的有效方法。
