关键词: intensive care unit nursing nutritional assessment nutritional risk nutritional status

来  源:   DOI:10.3390/nursrep14010045   PDF(Pubmed)

Abstract:
BACKGROUND: Nutritional assessment on admission of critical patients is of vital importance to determine critical patients in whom there is a risk of malnutrition. Currently, it has been detected in most of the patients admitted to the Intensive Care Unit (ICU) that 60% of the daily calories are not achieved. Nurses play an essential role in the comprehensive assessment of the patient, including the nutritional area; however, significant deficits have been detected in some knowledge regarding Enteral Nutrition (EN).
OBJECTIVE: We aim to determine the level of knowledge of nurses in the nutritional assessment of critically ill patients.
METHODS: A systematic review of the scientific literature was conducted using the PRISMA statement. Between January 2017 and February 2023, articles were rescued from the electronic databases \"Pubmed\", \"Scopus\" and \"The Cochrane Library\", which analyzed the level of knowledge of ICU nurses regarding nutritional assessment.
RESULTS: Most of the results found showed that nurses had deficient levels of knowledge in relation to nutritional assessment and practices. Interventions related to nutritional assessment were scarce, in contrast to those associated with the management of Nasogastric Tube (NGT) or patient positioning.
CONCLUSIONS: The level of knowledge described was low or inadequate in relation to the care associated with the nutritional assessment of critically ill patients. The use of scales to assess the risk of malnutrition was not reported. This study was prospectively registered at PROSPERO on 25/10/2023 (insert date) with registration number CRD: 42023426924.
摘要:
背景:重症患者入院时的营养评估对于确定存在营养不良风险的重症患者至关重要。目前,在重症监护病房(ICU)收治的大多数患者中发现,每天没有达到60%的卡路里。护士在病人的全面评估中起着至关重要的作用,包括营养区域;然而,在一些关于肠内营养(EN)的知识中已经发现了显著的缺陷。
目的:我们旨在确定护士在危重患者营养评估中的知识水平。
方法:使用PRISMA声明对科学文献进行了系统综述。在2017年1月至2023年2月之间,文章从电子数据库“Pubmed”中被救出,“Scopus”和“Cochrane图书馆”,分析ICU护士营养评估知识水平。
结果:大多数结果显示护士在营养评估和实践方面的知识水平不足。与营养评估相关的干预措施很少,与鼻胃管(NGT)或患者定位相关的管理。
结论:与危重患者营养评估相关的护理相关的知识水平较低或不足。未报告使用量表评估营养不良风险的情况。本研究于2023年10月25日(插入日期)在PROSPERO进行了前瞻性注册,注册编号CRD:42023426924。
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