Educational intervention with nursing professionals reduces interruption of enteral nutritional support.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-09-09 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0132en
Aline Oliveira Diniz, Igor Rosa Meurer, Kely Cristine Batista, Valesca Nunes Dos Reis, Ana Paula Boroni Moreira, Silvia Lanziotti Azevedo da Silva
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Abstract

Objective: 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.

Method: 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.

Results: 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.

Conclusion: 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.

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护理专业人员的教育干预可减少肠内营养支持的中断。
目的评估教育干预对危重和非危重肠内营养治疗患者热量-蛋白质供应干扰因素的影响:这是一项在巴西米纳斯吉拉斯州 Juiz de Fora 一家教学医院进行的无对照组实地干预实验。对护理专业人员进行了三个周期的培训,为期 57 周,内容相同。收集的数据分为干预前和干预期。根据对营养供应不达标天数的评估以及导致营养供应不达标的因素,对热量-蛋白质支持的干扰进行了分析:结果:干预后,不符合要求和营养供应不足(营养供应<80%)的天数、干扰因素发生的频率以及因未遵守呕吐规程而导致不符合要求的情况明显减少(P<0.05):教育干预是提高评估治疗质量的有效策略,尤其是从肠内营养治疗的第五天开始。
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