Factors Affecting Nutritional Adequacy Delivered by Enteral Tube Feeding among ICU Patients
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Introduction: Adequate nutritional support is crucial in the prevention and treatment of malnutrion in critically ill patient. Patient in the intensive care unit who cannot take food orally require either enteral or parenteral nutritional support. Enteral nutrition is generally preferred over parenteral nutrition because the former associated with lower incidence of infectious and non-infectious complication, reduced cost, and decreased length of hospital stay.Aim: Aim of this study is to investigate factors affecting nutritional adequacy delivered by enteral feeding among ICU patient.Material and Method:A prospective, descriptive design was used in this study.The present study was conducted in the Critical Care Unit at KingFahdUniversityHospital. Al-khobar, Eastern Province. The subjects consisted of 60 patients who are on continuous enteral feeding via nasogastric tube are coming during the period of data collection. Two instruments were used for data collection:1) Demographic and medical data sheet, 2) Nutritional data sheet.Results: The result of the present study showed a mean age of 50.05 ± 22.46 years, 56.7 % of the subjects were males. There is highly significant relationship between the daily prescribed energy and actual daily energy intake (P< 0.005). The common causes for enteral feeding interruption were found to be because of change in position and suctioning (40%),during morning care, before extubation and feeding hold for increasing residual volume (33%). Patients were kept nil per oral (NPO) because of surgicalor diagnostic procedure (27%). Beside this there is no replacement for feeding interruption.Conclusion & Recommendation:It can be concluded that there is an inadequacy of enteral nutritional intake for critically ill patient. Also the factors affecting nutritional adequacy delivered by enteral feeding are change position, suctioning, during morning care, extubation, feeding hold for increasing residual volume, NPO, surgical procedure and diagnostic procedure. It can be recommended that specific nutritional protocols, a multidisciplinary approach to nutritional support, regular training of medical and nursing staff involved in nutritional support, routine review prescribed and actual calorie intake might help to achieve optimal nutrition care for critically ill patients.
Authors and Affiliations
Hanan Elkafafi Hassan, Fatima Khalifa AL Naimi, Rakesh Kumar Gupta
Keywords
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- EP ID EP437183
- DOI 10.9790/1959-0706076572.
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