多学科营养团队的参与对医疗重症监护病房营养护理和结局的影响。
The impact of multidisciplinary nutritional team involvement on nutritional care and outcomes in a medical intensive care unit.
机构信息
Department of Nutrition and Dietetics, Pusan National University Yangsan Hospital, Yangsan-si, Korea.
Department of Internal Medicine, Division of Respiratory Medicine, Pusan National University Yangsan Hospital, Yangsan-si, Korea.
出版信息
Eur J Clin Nutr. 2017 Nov;71(11):1360-1362. doi: 10.1038/ejcn.2017.108. Epub 2017 Aug 2.
The aim of this study was to evaluate nutritional care and outcomes in a medical intensive care unit (ICU) following multidisciplinary nutritional team (MNT) involvement. The authors retrospectively reviewed the data of all patients admitted to a medical ICU from April to October 2013 (pre-MNT period) and from April to October 2014 (post-MNT period). In total, 140 patients were included and allocated to the pre-MNT group (n=70) or the post-MNT group (n=70). The post-MNT group was more likely to use enteral nutrition (61.4 vs 37.1%, P=0.002). In terms of total calories and protein provided, the number of nutritional goal-achieved days during stays in ICU was significantly greater in the post-MNT group than in the pre-MNT group (63.7% vs 47.6%, P<0.05 and 44.3% vs 29.9%, respectively, P<0.05). The MNT activities resulted in significant improvements in terms of nutritional provision and adequacy in a medical ICU.
本研究旨在评估多学科营养团队（MNT）介入后医疗重症监护病房（ICU）的营养护理和结局。作者回顾性分析了 2013 年 4 月至 10 月（MNT 前）和 2014 年 4 月至 10 月（MNT 后）所有入住医疗 ICU 的患者的数据。共纳入 140 例患者，分为 MNT 前组（n=70）和 MNT 后组（n=70）。MNT 后组更倾向于使用肠内营养（61.4%比 37.1%，P=0.002）。在 ICU 住院期间提供的总热量和蛋白质方面，MNT 后组达到营养目标的天数明显多于 MNT 前组（63.7%比 47.6%，P<0.05 和 44.3%比 29.9%，P<0.05）。MNT 活动显著改善了医疗 ICU 的营养供应和充足性。
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