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Retningslinjer ökte bruk av enteral ernaering til intensivpasienter
Engelsk titel: Increased use of enteral nutrition for critical care patients after implementation of guidelines Läs online Författare: Petosic, Antonija ; Töien, Kirsti ; Tvedt, Christine Raaen Språk: Nor Antal referenser: 43 Dokumenttyp: Artikel UI-nummer: 15103518

Tidskrift

Sykepleien Forskning 2015;10(3)258-66 ISSN 0806-7511 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Background: Nutritional support with enteral or parenteral nutrition is important to avoid malnutrition in critically ill patients. Proper nutritional support to critically ill patients can lead to reduced mortality, fewer infections and improved health-related quality of life. A survey of the nutrition practices revealed that feeding practices were not in adherence with the guidelines. Objective: The purpose of this study is to examine whether an intervention to implement nutrition guidelines for critical care patients leads to earlier initiation of enteral nutrition instead of parenteral nutrition, and improved adequacy of calorie and protein requirements with enteral nutrition. Method: The study is a prospective observational study before and after an intervention. Result: More critical-care patients received an early initiation of enteral nutrition after the intervention. Fewer patients received parenteral nutrition which was more often initiated after day four following the intervention. Critical care patients received more enteral and less parenteral nutrition after the intervention. As a result of improved nutrition practices, a higher average percentage of calorie and protein requirements were met. Conclusion: The intervention led to implementation of guidelines and a change in practice that led to more enteral and less parenteral nutrition to critical-care patients.