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Undersökning av följsamhet till lokal riktlinje om enteral och parenteral nutrition hos intensivvårdspatienter - en journalgranskning
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Survey of compliance of enteral and parenteral guidelines of intensive care patients - a review of medical records (English)
Abstract [sv]

En svårt sjuk patient som vårdas på en intensivvårdsavdelning, med svikt i ett eller flera organsystem, löper betydande risk att drabbas av malnutrition med ökad risk för infektioner och längre vårdtider. När en väl utarbetad riktlinje inom nutrition följs ökar patientens möjligheter att nå upp till sitt kalorimål med minskad malnutrition och förkortade vårdtider som följd. Syftet med studien var att undersöka följsamheten till en befintlig riktlinje om nutrition på en intensivvårdsavdelning i västra Sverige med hjälp av journalgranskning. Ett konsekutivt urval gjordes och 31 uppfyllde inklusionskriterierna. Journalerna granskades enligt deskriptiv analys. Resultatet visade en varierande följsamhet till riktlinjen med högst följsamhet mot slutet av vårdtiden och lägst följsamhet i början av vårdtiden. Med hjälp av resultatet i denna studie kan följsamheten till riktlinjen förbättras och på så sätt kan bedömning och behandling av nutrition för intensivvårdspatienten optimeras.

Abstract [en]

A critically ill patient within the intensive care unit, with failure in one or more organ systems, has an increased risk of malnutrition with infections and extended hospital stay as a result. When a wellestablished guideline of nutrition is used, the patients possibility of reaching the caloric goal increases which lead to decreased malnutrition and shortened hospital stay. The aim of the study was to investigate the compliance of an enteral and parenteral guideline in an intensive care unit in a hospital in the west of Sweden with a review of medical records. A consecutive sample was made and 31 patients met the criteria. The medical records were reviewed according to descriptive analysis. The results showed a varying compliance to the guideline, with the highest compliance in the end of hospital stay and the lowest compliance in the beginning of hospital stay. Using the results in this study, the compliance of the nutritional guideline can be improved, and nutritional assessment and treatment for the intensive care patient can be optimized.

Place, publisher, year, edition, pages
2015. , 14 p.
Keyword [en]
Compliance. Intensive care. Nutrition. Guidelines.
Keyword [sv]
Följsamhet. Intensivvård. Nutrition. Riktlinje.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-27588OAI: oai:DiVA.org:hh-27588DiVA: diva2:783297
Subject / course
Nursing
Supervisors
Examiners
Available from: 2015-01-29 Created: 2015-01-25 Last updated: 2015-01-29Bibliographically approved

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CiteExportLink to record
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