Implementation of an Evidence-Based Nursing Protocol for Mechanical Complications of Enteral Nutrition: A Randomized Controlled Trial.

IF 1.7 4区 医学 Q3 NURSING Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI:10.1097/NCQ.0000000000000838
Min Hu, Ping Tu, Fang-Ting Xiong, Yan Ling
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Abstract

Background: Patients admitted to the intensive care unit (ICU) are at risk for malnutrition. To provide sufficient nutritional support, enteral nutrition (EN) is the preferred method for patients admitted to the neurology ICU.

Purpose: The purpose of this study was to examine the clinical effectiveness of an evidence-based nursing protocol for preventing and managing mechanical complications of EN for patients admitted to the neurology ICU.

Methods: A randomized controlled trial design was used. The control group received general care, and the test group received care per the evidence-based nursing protocol.

Results: A total of 118 patients participated in the study (59 each in the control and test group). The test group showed improved nutritional status measured by the Nutrition Risk Screening 2002 score, lower acute gastrointestinal injury grading, improved serum nutritional indicators, and less mechanical complications.

Conclusion: Implementing an evidence-based nursing protocol was feasible and led to positive patient outcomes.

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肠内营养机械性并发症循证护理方案的实施:一项随机对照试验。
背景:入住重症监护病房(ICU)的患者存在营养不良的风险。为了提供足够的营养支持,肠内营养(EN)是神经内科ICU患者的首选方法。目的:本研究的目的是研究一种循证护理方案在预防和管理神经内科ICU患者EN机械并发症方面的临床效果。方法:采用随机对照试验设计。对照组接受一般护理,试验组接受循证护理方案护理。结果:共118例患者参与研究(对照组59例,试验组59例)。试验组通过2002年营养风险筛查评分显示营养状况改善,急性胃肠道损伤分级降低,血清营养指标改善,机械并发症减少。结论:实施循证护理方案是可行的,并带来积极的患者预后。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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