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Har administreringsformen av enteral nutrition betydelse för antalet lösa avföringar per dygn?: - En retrospektiv registerstudie av intensivvårdspatienter
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
2012 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Does the form of administration of enteral nutrition have an impact on the number of loose stools per day? : - A retrospective registry study of intensive care patients (English)
Abstract [sv]

Bakgrund:

Patienter inlagda på sjukhus behöver näringstillförsel för att kunna återhämta sig. Enteral nutrition är troligen att föredra framför parenteral nutrition, och bör sättas in så tidigt som möjligt. Enteral nutrition kan administreras på olika sätt. Den kan ges intermittent och innehålla nattvila, eller ges kontinuerligt för att undvika plötsliga sänkningar i blodsockernivåer. En oönskad komplikation är lösa avföringar hos patienten. Frågan är om administrationsformen av enteral nutrition kan påverka frekvensen av diarré.

Syfte:

Att med hjälp av en registerstudie jämföra antal lösa avföringar per dygn mellan två olika administrationsformer av enteral nutrition: intermittent med nattvila jämfört med kontinuerlig tillförsel över hela dygnet.

Metod:

En kvantitativ retrospektiv registerstudie har genomförts på totalt 50 intensivvårdspatienter med traumatisk skallskada vid Norrlands Universitetssjukhus. Journaler från 2007 till 2012 har använts i studien.

Resultat:

Ingen signifikant skillnad kunde påvisas mellan grupperna i antal lösa avföringar per dygn, p=0.5. Däremot visade denna studie att de patienter som fick intermittent enteral nutrition fick signifikant större mängd enteral nutrition (699±249 ml) per dygn jämfört med patienter som fick sin enterala nutrition kontinuerligt (505±278 ml/dygn), p = 0.008.

Slutsats:

Resultatet från studien visar att antalet lösa avföringar inte verkar bero på administreringsformen av enteral nutrition. Mängden tillförd enteral nutrition skiljer sig dock statistiskt signifikant varav betydelsen av det borde studeras vidare för att avgöra vilken administreringsform som är att föredra.

Abstract [en]

Background:

Patients admitted to hospital need nutrition to recover. Enteral nutrition is probably preferable to parenteral nutrition should be initiated as early as possible. Enteral nutrition may be administered in various ways, it can be intermittent and include night rest, or given continuously to avoid abrupt reductions in blood sugar levels. An unwanted complication is loose stools of the patient. The question is whether the form of administration of enteral nutrition can affect the frequency of diarrhea.

Aim:

With the help of a retrospective registry study comparing number of loose stools per day between two different forms of administration of enteral nutrition: intermittent with night sleep compared with continuous supply throughout the day.

Method:

A quantitative retrospective registry study has been carried out on a total of 50 ICU patients with traumatic head injury at Norrlands University Hospital. Records from 2007 to 2012 were used in the study.

Results:

No significant difference was detected between the groups in the number of diarrhea per day, p = 0.5. However, this study demonstrated that patients receiving intermittent enteral nutrition was significantly greater amount of enteral nutrition (699 ± 249 ml) per day compared with patients who received their enteral nutrition continuously (505 ± 278 mL / day), p = 0008.

Conclusion:

The results from the study show that the number of loose stools do not seem to depend on the form of administration of enteral nutrition. Quantities of enteral nutrition differ statistically significantly significance of which it should be further studied to determine which form of administration is preferred.

Place, publisher, year, edition, pages
2012. , 12 p.
Keyword [en]
Critical care nurse, Diarrhea, Enteral nutrition, Intensive care, Registry study
Keyword [sv]
Diarré, Enteral nutrition, Intensivvård, Intensivvårdssjuksköterska, Registerstudie
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-17132OAI: oai:DiVA.org:miun-17132DiVA: diva2:558298
Subject / course
Nursing Science OM1
Educational program
Specialistutbildning - Intensivvårdssjuksköterska VINTA 60 hp
Presentation
2012-09-12, Sundsvall, 08:30 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2013-01-30 Created: 2012-10-02 Last updated: 2013-01-30Bibliographically approved

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