Enteralna prehrana mehansko ventiliranih pacientov na oddelku za intenzivno terapijo

Firer, Sergeja

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Title:	Enteralna prehrana mehansko ventiliranih pacientov na oddelku za intenzivno terapijo
Authors:	ID Firer, Sergeja (Author) ID Mičetić Turk, Dušanka (Mentor) More about this mentor... ID Vrbnjak, Dominika (Comentor)
Files:	MAG_Firer_Sergeja_2023.pdf (977,68 KB) MD5: 6D37C961B451978D7589BEF46DC5AD2C
Language:	Slovenian
Work type:	Master's thesis/paper
Typology:	2.09 - Master's Thesis
Organization:	FZV - Faculty of Health Sciences
Abstract:	Pomen prehrane pri kritično bolnih je vedno bolj priznan, zlasti pri pacientih, ki dolgotrajno bivajo v enoti za intenzivno terapijo in pogosto potrebujejo dolgotrajno podporo pri ohranjanju življenja ter gredo skozi stanje hudega katabolizma. Ustrezna prehrana lahko pripomore k hitrejšemu okrevanju ter prepreči dodatne zaplete. Z magistrskim delom želimo ugotoviti prehranjenost mehansko ventiliranih pacientov na intenzivni terapiji ter poiskati vzroke, zaradi katerih je prišlo do prekinitve hranjenja. V teoretičnem delu smo pregledali strokovno in znanstveno literaturo, pri iskanju ustrezne literature smo si pomagali s ključnimi besedami. V empiričnem delu smo s kvantitativno raziskavo zbrali podatke na oddelku za intenzivno terapijo ene izmed bolnišnic v Sloveniji. V raziskavo smo vključili 50 pacientov, ki so bili hospitalizirani od julija do decembra 2022. Zbrane podatke smo obdelali opisno v Microsoft Excel 2016 in jih prikazali v obliki grafov ter preglednic. Več kot polovica pacientov v intenzivni terapiji je prejela med 95 in 100 % predpisane enteralne hrane, nekoliko manj jih je prejelo med 85 in 95 % predpisane enteralne hrane, nekaj pacientov pa je prejelo manj kot 85 % predpisane enteralne hrane. Najpogostejši vzrok za zmanjšani prehranski vnos so bile slikovne preiskave. Na podlagi rezultatov raziskave smo ugotovili, da je s pomočjo enteralne hrane zagotovljena dnevna potreba po hranilih pri večini mehansko ventiliranih pacientov. Poslabšanje zdravstvenega stanja vpliva na izvajanje dodatnih preiskav ter posegov, zaradi česar je prekinjena dostava enteralne hrane in s tem tudi zmanjšan dnevni vnos hranil.
Keywords:	enteralna prehrana, intenzivna terapija, mehansko ventiliran pacient
Place of publishing:	Maribor
Publisher:	[S. Firer]
Year of publishing:	2023
PID:	20.500.12556/DKUM-86085
UDC:	613.2.032.33+612.216.3(043.2)
COBISS.SI-ID:	175400451
Publication date in DKUM:	08.12.2023
Views:	826
Downloads:	119
Metadata:
Categories:	FZV
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Licences

License:	CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International

Link:	http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:	The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:	05.10.2023

Secondary language

Language:	English
Title:	Enteral nutrition of mechanically ventilated patients in the intensive care unit
Abstract:	The importance of nutrition in the critically ill is increasingly recognized, especially in patients who have long-term intensive care unit stays and often require long-term life support and go through a state of severe catabolism. Adequate nutrition can help speed up recovery and prevent additional complications. With this master's thesis, we want to determine the nutritional status of mechanically ventilated patients in intensive care and to find the reasons for the interruption of nutrition. In the theoretical part, we reviewed the professional and scientific literature and used keywords to help us find relevant literature. In the empirical part, we used quantitative research to collect data from the intensive care unit of one of the hospitals in Slovenia. We included 50 patients in the research who were hospitalized from July to December 2022. The collected data were processed descriptively in Microsoft Excel 2016 and displayed in the form of graphs and tables. More than half of the intensive care patients received between 95-100 % of the prescribed nutrition, slightly fewer received between 85-95 % of the prescribed nutrition, and a few patients received less than 85 % of the prescribed nutrition. The most common reason for reductions in dietary intake was imaging investigation. Based on the results of the research, we found that with the help of enteral nutrition, the daily need for nutrients is ensured in most mechanically ventilated patients. Deterioration of the health condition affects the implementation of additional examinations and interventions, as a result of which the delivery of enteral food is interrupted, and thus the daily intake of nutrients is also reduced.
Keywords:	enteral nutrition, intensive care, mechanically ventilated patient

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