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논문 기본 정보

자료유형
학술저널
저자정보
Masoumeh Mirhosiny (Critical Care Nursing Payambar Azam Hospital Kerman) Mansour Arab (Faculty of Nursing and Midwifery Bam University of Medical Sciences) Parvin Mangolian Shahrbabaki (Kerman University of Medical Sciences Kerman Iran)
저널정보
대한중환자의학회 Acute and Critical Care Acute and Critical Care 제36권 제4호
발행연도
2021.11
수록면
342 - 350 (9page)
DOI
10.4266/acc.2021.00185

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Background Patients hospitalized in intensive care units are susceptible to chronic malnutrition from changes in protein and energy metabolism in response to trauma. Therefore, nutritional support, especially enteral nutrition, is one of the most important treatment measures for these patients. However, there are several barriers in the hospitals in treating patients with enteral nutrition. This study was performed to compare the perceptions of care providers (physicians and nurses) on the barriers to enteral nutrition in intensive care units. Methods This was a cross-sectional descriptive and analytic study. This study included 263 nurses and 104 physicians in the intensive care units of Kerman University of Medical sciences, in south east of Iran. A questionnaire of enteral nutrition barriers in intensive care units was used. IBM SPSS ver. 19 was used to analyze data. Results There was a significant difference between the two groups in the three subscales of intensive care units (P=0.034), dietician support (P<0.001) and critical care provider attitudes and behavior (P=0.031). There was also a significant difference between having completed educational courses and the score of enteral nutrition barriers in the two groups (P<0.05); the people who received an educational course had a better perception of enteral nutrition barriers. Conclusions Physicians and nurses agreed with the perception of enteral nutrition barriers, but there was a difference in their perception on some barriers. Strategies such as in-service training and increasing the knowledge and skills of physicians and nurses can reduce these differences.
#critical care #enteral nutrition #intensive care #nurse #physician.

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참고문헌 (25)

참고문헌 신청
McClave SA / 2016 / Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) / JPEN J Parenter Enteral Nutr 40:159~211 google schola Lewis SR / 2018 / Enteral versus parenteral nutrition and enteral versus a combination of enteral and parenteral nutrition for adults in the intensive care unit / Cochrane Database Syst Rev 6:CD012276 google schola Tappenden KA / 2013 / Critical role of nutrition in improving quality of care : an interdisciplinary call to action to address adult hospital malnutrition / JPEN J Parenter Enteral Nutr 37:482~497 google schola Wei X / 2015 / The association between nutritional adequacy and long-term outcomes in critically ill patients requiring prolonged mechanical ventilation : a multicenter cohort study / Crit Care Med 43:1569~1579 google schola O’Leary-Kelley C / 2017 / Nutrition support protocols: enhancing delivery of enteral nutrition / Crit Care Nurse 37:e15~e23 google schola

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