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检查接受肠内和肠外营养的重症监护病房患者的营养、口腔粘膜炎和胃肠道系统症状。

Examining the Nutrition, Oral Mucositis, and Gastrointestinal System Symptoms of Intensive Care Units Patients Receiving Enteral and Parenteral Nutrition.

机构信息

Department of Fundamentals of Nursing, Osmaniye Korkut Ata University Faculty of Health Sciences, Osmaniye, Turkey.

出版信息

Turk J Gastroenterol. 2023 Aug;34(8):813-821. doi: 10.5152/tjg.2023.22125.

Abstract

BACKGROUND

This descriptive study aims to examine the complications that might develop in patients who receive enteral or parenteral nutrition treatment in intensive care unit in this process and to examine the nutritional status, oral mucositis, and gastrointestinal system symptoms among patients who receive enteral or parenteral nutrition treatment in intensive care unit.

MATERIALS AND METHODS

A sample of this study consists of 104 patients who received enteral or parenteral nutrition treatment in intensive care units between January and June 2019. The data were collected face to face by using Sociodemographic Form, constipation severity scale, Mini Nutritional Assessment Scale, Mucositis Assessment Scale, visual analog scale, and gastrointestinal system Symptoms Scale. The results were calculated as numbers, percentage, SD, and mean values.

RESULTS

Among the participating patients, 67.4% were older than 65 years, 55.8% were female, 42.3% were receiving treatment in internal medicine intensive care units, and 43.4% had severe mucositis. It was determined that 31.7% of the patients receiving treatment in intensive care units required nutrition treatment. It was determined that patients receiving parenteral nutrition had more symptoms such as gastrointestinal system symptoms, mucositis, constipation, and colonic inertia.

CONCLUSIONS

It was determined that when compared to the patients receiving enteral nutrition, the patients receiving parenteral nutrition had higher scores in mucositis, visual analog scale pain, Mini Nutritional Assessment Test, constipation, obstructive defecation, colonic inertia, and gastrointestinal symptom total scores.

摘要

背景

本描述性研究旨在检查重症监护病房中接受肠内或肠外营养治疗的患者可能出现的并发症,并检查接受肠内或肠外营养治疗的重症监护病房患者的营养状况、口腔黏膜炎和胃肠道系统症状。

材料和方法

本研究的样本包括 2019 年 1 月至 6 月期间在重症监护病房接受肠内或肠外营养治疗的 104 名患者。通过使用社会人口学表格、便秘严重程度量表、迷你营养评估量表、黏膜炎评估量表、视觉模拟量表和胃肠道系统症状量表面对面收集数据。结果以数字、百分比、标准差和平均值计算。

结果

在参与的患者中,67.4%的年龄大于 65 岁,55.8%为女性,42.3%在内科重症监护病房接受治疗,43.4%患有严重的黏膜炎。确定重症监护病房中 31.7%的患者需要营养治疗。确定接受肠外营养治疗的患者有更多的胃肠道系统症状、黏膜炎、便秘和结肠惰性等症状。

结论

与接受肠内营养的患者相比,接受肠外营养的患者在黏膜炎、视觉模拟量表疼痛、迷你营养评估测试、便秘、梗阻性排便、结肠惰性和胃肠道症状总评分方面得分更高。

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