Objective: To study the clinical effectiveness of different types of enteral nutrition support combined with humanized nursing in intensive care unit (ICU) stroke patients on mechanical ventilation.
Methods: One hundred patients with stroke admitted to our hospital's ICU from April 2019 to July 2020 were established as the study cohort and divided into a control group and an experimental group, with 50 cases in each group. The control group was administered one-time injections of enteral nutrition combined with general nursing, and the experimental group was administered enteral nutrition pump infusions combined with humanized nursing. The nursing efficiency, the nursing satisfaction, the Barthel index (BI) scores, the National Institutes of Health Stroke Scale (NIHSS) scores, the adverse reactions, the serum albumin, serum total protein, and serum prealbumin levels, the ICU stay durations, the hospital stay durations, and the mini-nutritional assessment (MNA) scores at 1, 2, and 3 weeks were compared between the two groups.
Results: Compared with the control group, the nursing efficiency and satisfaction levels, the BI index scores, the serum albumin, serum total protein, serum pre-albumin levels and the MNA nutritional evaluation scores at weeks 1, 2, and 3 in the experimental group were significantly higher (P < 0.05), while the NIHSS scores, the adverse reactions, the time costs in the ICU and the hospital stay durations were significantly lower, with statistical significance (P < 0.05).
Conclusion: Humanized nursing combined with enteral nutrition pumping can remarkably improve the quality of life and the malnutrition in ICU stroke patients on mechanical ventilation.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430089 | PMC |
Alzheimers Dement
December 2024
New York University, New York, NY, USA.
Background: Studies show that tube feeding does not improve clinical outcomes, and professional guidelines recommend against its use for individuals with advanced dementia. Yet, our preliminary work demonstrates a preference for tube feeding among Chinese-American dementia caregivers. We propose linguistic and cultural adaptation of "Making Choices: Feeding Options for Patients with Dementia (MCFODA) to create the Chinese version of this efficacious decision aid intervention.
View Article and Find Full Text PDFZhonghua Wei Zhong Bing Ji Jiu Yi Xue
December 2024
Department of Nursing, Guizhou Provincial People's Hospital, Guiyang 550004, Guizhou, China. Corresponding author: Yao Huan, Email:
Objective: To investigate the current status and influencing factors of feeding intolerance (FI) during enteral nutrition (EN) in intensive care unit (ICU) patients.
Methods: A retrospective case-control study was conducted, including patients from two ICU wards of a tertiary hospital in Guizhou Province from July 2019 to December 2022. Clinical data were collected using a self-designed data collection form, including general information [age, gender, acute physiology and chronic health evaluation II (APACHE II)], clinical treatment (mechanical ventilation, mild hypothermia therapy), medication use (vasoactive drugs, glucocorticoids, analgesics, sedatives), EN implementation (types of EN fluids, EN methods, tube feeding rate), EN tolerance, and blood glucose status.
Rev Paul Pediatr
January 2025
Fundação Lusíada, Faculdade de Ciências Médicas de Santos, Santos, SP, Brazil.
Objective: The primary objective of this systematic review was to evaluate the effect of enteral insulin supplementation provided to premature newborns on the time to achieve full enteral feeding. Secondary objectives included evaluating the effects on weight gain, the occurrence of adverse events, and mortality.
Data Source: A systematic review of randomized clinical trials was conducted using the databases PubMed, Scientific Electronic Library Online (SciELO), clinicaltrials.
BMJ Paediatr Open
January 2025
Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamilnadu, India
Background: Human milk, especially the mother's own milk (MOM), is highly recommended for preterm babies considering its numerous benefits. Prioritising the use of exclusive MOM in enteral feeding plans is essential for maximising the health and development of preterm babies. This study evaluated the effect of early establishment of full enteral feed (FEF) with exclusive MOM on feeding rate and neonatal nutritional outcomes at discharge among preterm babies.
View Article and Find Full Text PDFBackground: Enteral feeding tubes, used in patients who require enteral nutrition or medication, require flushing between medications and feedings to maintain patency. Various types of water can be used to flush enteral feeding tubes, which raises the question of which type of water is best supported by evidence.
Purpose: The aims of this quality improvement project were to examine the evidence on the use of tap water instead of sterile water for enteral tube flushes and to implement the use of tap water as a safe, cost-effective alternative to sterile water at a multisite oncology institution.
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