Universidade Federal de Juiz de Fora, Hospital Universitário, Empresa Brasileira de Serviços Hospitalares, Juiz de Fora, MG, Brazil.
Universidade Federal de Juiz de Fora, Hospital Universitário, Juiz de Fora, MG, Brazil.
Rev Esc Enferm USP. 2024 Sep 9;58:e20240132. doi: 10.1590/1980-220X-REEUSP-2024-0132en. eCollection 2024.
To evaluate the impact of educational intervention on the occurrence of factors that interfere with the caloric-protein supply to critical and non-critical patients undergoing enteral nutritional therapy.
This is an intervention, a field experiment without a control group, carried out in a teaching hospital in Juiz de Fora, Minas Gerais, Brazil. Three training cycles were carried out with nursing professionals over 57 weeks, covering the same content. The data collected were divided into pre-intervention and intervention periods. Interference in caloric-protein support was analyzed based on the evaluation of days with non-conforming nutritional supply and the occurrence of factors that led to non-conformities.
Following interventions, there was a significant reduction (p < 0.05) in the number of non-conforming and inadequate days (nutritional supply < 80%), the frequency of occurrence of interfering factors and non-conformities caused by failure to follow the vomiting protocol.
The educational intervention was an effective strategy to increase the quality of the therapy evaluated, especially from the fifth day of enteral nutritional therapy onwards.
评估教育干预对接受肠内营养治疗的危重症和非危重症患者热量-蛋白质供给干扰因素发生情况的影响。
这是在巴西米纳斯吉拉斯州茹伊斯-迪福拉的一所教学医院进行的干预性、无对照组的现场试验。在 57 周的时间里，对护理专业人员进行了三轮培训，涵盖相同的内容。收集的数据分为干预前和干预后两个阶段。根据评估非规范营养供应天数和导致非规范供应的因素发生情况，分析热量-蛋白质支持的干扰情况。
干预后，不规范和不充分供应天数（营养供应<80%）、干扰因素发生频率以及因未遵循呕吐方案而导致的不规范供应天数显著减少（p<0.05）。
教育干预是提高所评估治疗质量的有效策略，尤其是在开始肠内营养治疗后的第五天。
