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营养支持小组的活动可以改善重症监护病房的肠内营养管理。

Nutrition support team activities can improve enteral nutrition administration in intensive care units.

机构信息

Universidade de Brasília, Departamento de Nutrição. Campus Universitário Darcy Ribeiro, Brasília, Brasil; Hospital Regional de Ceilândia, Brasil.

Hospital de Base do Distrito Federal, Residência multiprofissional em terapia intensive, SMHS - Área Especial, Brasília, Brasil.

出版信息

Nutrition. 2019 Jan;57:275-281. doi: 10.1016/j.nut.2018.04.017. Epub 2018 May 24.

Abstract

OBJECTIVES

The aim of this study was to evaluate the effect of the nutritional support team (NST) activities on the quality of enteral nutrition administration in intensive care units.

METHODS

An observational, analytical, and cross-sectional study was performed in nine hospitals in the Brazilian Federal District through the administration of two questionnaires. One questionnaire focused on the activities of the NST and the other on the quality of enteral nutrition administration in intensive care units.

RESULTS

There was a strong correlation between the scores of the two questionnaires, which was confirmed by a linear regression model (R = 0.623; P = 0.007). The results suggest that high scores in the NST activities questionnaire predict a better performance in enteral nutrition administration. The sections of the NST activity questionnaire that most strongly affected enteral nutrition administration were the protocols (r = 0.895; P < 0.01), quality control (r = 0.779; P < 0.05), and continuing education (r = 0.753; P < 0.05).

CONCLUSIONS

The NST has the potential to positively influence enteral nutrition management in intensive care units and investments could be directed to the areas of continuing education, protocols, and quality control to maximize the effect of NST in intensive care units.

摘要

目的

本研究旨在评估营养支持小组(NST)的活动对重症监护病房肠内营养管理质量的影响。

方法

通过在巴西联邦区的 9 家医院进行观察性、分析性和横断面研究,使用了两份问卷。一份问卷侧重于 NST 的活动,另一份则侧重于重症监护病房的肠内营养管理质量。

结果

两份问卷的评分之间存在很强的相关性,这一结果得到了线性回归模型的证实(R=0.623;P=0.007)。结果表明,NST 活动问卷的高分预示着肠内营养管理的表现更好。对肠内营养管理影响最大的 NST 活动问卷部分是方案(r=0.895;P<0.01)、质量控制(r=0.779;P<0.05)和继续教育(r=0.753;P<0.05)。

结论

NST 有可能对重症监护病房的肠内营养管理产生积极影响,投资可以集中在继续教育、方案和质量控制领域,以最大限度地发挥 NST 在重症监护病房的效果。

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