制定并验证一项适用于住院患者的肠内营养安全管理方案。
Elaboration and validation of a protocol for safe administration of enteral nutrition in hospitalized patients.
机构信息
Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.
Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, Rio Grande do Sul, Brasil.
出版信息
Rev Gaucha Enferm. 2021 Feb 3;42(spe):e20200181. doi: 10.1590/1983-1447.2021.20200181. eCollection 2021.
OBJECTIVE
To describe the elaboration and validation of a protocol for administration of enteral nutrition.
METHOD
Validation study by consensus of experts conducted in a university hospital. The construction took place after literature review. The validation was guided by the tool: plan, do, study and act. For validation of the final protocol, 100% consensus was considered. After implementation, preceded by training, evaluation was carried out by using indicators.
RESULTS
The protocol describes the actions that guide the nursing team in enteral nutrition. In the validation, there was a 100% consensus on the protocol items. The presential training brought together 425 participants in 80 meetings. After the pilot period, the rate of care for patients with enteral nutrition increased from 39.5% to 73.3%. There was a reduction of 41 hours in the time to release the X-ray report.
CONCLUSION
The protocol provided elements for the prevention of adverse events in patients with enteral nutrition.
目的
描述肠内营养管理方案的制定和验证过程。
方法
在一所大学附属医院进行专家共识验证研究。方案构建是在文献复习的基础上进行的。验证过程遵循“计划、执行、研究和行动”工具。最终方案的验证需要达到 100%的共识。在实施之前进行培训，然后使用指标进行评估。
结果
该方案描述了指导护理团队进行肠内营养的操作步骤。在验证过程中，方案的所有项目都达到了 100%的共识。现场培训共召集了 425 名参与者，举办了 80 次会议。在试点阶段之后，接受肠内营养的患者的护理率从 39.5%提高到了 73.3%。X 光报告的发布时间减少了 41 小时。
结论
该方案为预防肠内营养患者的不良事件提供了依据。
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