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与管饲患者住院时间和死亡相关的因素:一项横断面多中心研究。

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

机构信息

University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brazil.

Federal University of Acre, Acre, Brazil.

出版信息

Nurs Open. 2021 Sep;8(5):2509-2519. doi: 10.1002/nop2.774. Epub 2021 Jan 27.

Abstract

OBJECTIVES

To analyse the factors associated with length of stay (LOS) and death in nasogastric/nasoenteric tube (NG/NET)-fed patients.

DESIGN

A cross-sectional multicentre study.

METHOD

Data collection took place from October 2017-April 2019, and the sample consisted of 365 participants from seven Brazilian hospitals. Demographic, clinical and therapeutic data were collected from the patients' medical records. Data analysis was performed using bivariate and multivariate tests, considering a significance level of p<.05.

RESULTS

Most patients were male, older adults, with high risk of death and highly dependent on nursing care. The LOS was associated with age, patient care complexity and length of NG/NET use. Death was associated with patient age. In the multivariate analysis, patients highly dependent on nursing care, and intensive and semi-intensive care had a greater chance of dying when compared with patients receiving minimal care. Screening for factors affecting LOS and death is important to plan effective nursing care.

摘要

目的

分析与鼻胃/肠管(NG/NET)喂养患者住院时间(LOS)和死亡相关的因素。

设计

一项横断面多中心研究。

方法

数据收集于 2017 年 10 月至 2019 年 4 月进行,样本包括来自巴西 7 家医院的 365 名参与者。从患者的病历中收集人口统计学、临床和治疗数据。使用双变量和多变量检验进行数据分析,p<.05 为显著性水平。

结果

大多数患者为男性、老年人,死亡风险高,高度依赖护理。LOS 与年龄、患者护理复杂性和 NG/NET 使用时间有关。死亡与患者年龄有关。在多变量分析中,与接受最低限度护理的患者相比,高度依赖护理以及接受强化和半强化护理的患者死亡的可能性更大。筛查影响 LOS 和死亡的因素对于计划有效的护理非常重要。

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Nasogastric/nasoenteric tube-related adverse events: an integrative review.经鼻胃/肠管相关不良事件:综合评价。
Rev Lat Am Enfermagem. 2021 Jan 8;29:e3400. doi: 10.1590/1518-8345.3355.3400. eCollection 2021.
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ESPEN guideline on clinical nutrition in the intensive care unit.ESPEN 重症监护病房临床营养指南。
Clin Nutr. 2019 Feb;38(1):48-79. doi: 10.1016/j.clnu.2018.08.037. Epub 2018 Sep 29.

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