关键词: feeding guidelines quality improvement standardization

Mesh : Enteral Nutrition / methods Female Humans Infant, Extremely Low Birth Weight / growth & development Infant, Newborn Infant, Premature / growth & development Infant, Very Low Birth Weight / growth & development Male Neonatal Nursing / standards Parenteral Nutrition, Total / methods Practice Guidelines as Topic

来  源:   DOI:10.1891/0730-0832.37.4.218

Abstract:
OBJECTIVE: The purpose of this article was to develop standardized nutritional guidelines that would promote increased growth velocity (GV) in premature infants.
METHODS: Evidence-based standardized nutritional guidelines were developed. Guidelines included total parenteral nutrition advancement; enteral feeding advancement; and a bedside nurse gastric residual management algorithm. Staff education was given. Guideline compliance was measured. Nutritional intake and daily weights were recorded.
METHODS: Infants of birth weight <1,500 grams who were admitted to the NICU before day of life four.
METHODS: Increase in GV from 12 to 15 g/kg/d.
RESULTS: Growth velocity was unchanged. Compliance to the nutritional guidelines was 70 percent. No difference was seen in length of stay. Rate of necrotizing enterocolitis was decreased.
摘要:
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