Effect of case manager led multidisciplinary management on enteral nutrition for critically ill patients
10.3969/j.issn.1671-8283.2023.11.007
- VernacularTitle:个案管理师主导的多学科协作重症患者肠内营养管理方案的实践
- Author:
Fanmei KONG
1
;
Kunfan GAO
;
Jianli BAO
;
Xin CHEN
;
Huisong LIU
Author Information
1. 青岛市市立医院重症监护室,山东青岛,266011
- Keywords:
case manager;
multidisciplinary collaboration;
critically ill patients;
enteral nutrition management
- From:
Modern Clinical Nursing
2023;22(11):43-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of a multidisciplinary management program led by case managers on the tolerance to enteral nutrition,and the indicators for nutrition and inflammation in critically ill patients.Methods Fifty-one critically ill patients hospitalised in our hospital between January and June 2021 were assigned to a control group and another fifty-one critically ill patients hospitalised in our hospital between July and December 2021 were assigned to an observation group.The patients in control group received conventional nutritional support,while those in the observation group received the enteral nutrition managed with the case manager led multidisciplinary management program for 7 days.The tolerance to enteral nutrition,nutrition index and infection index were compared.Results One patient in the control group was withdrawn due to worsen conditions and another in the observation group was withdrawn as well because of incomplete medical data.It was found that the observation group was significantly better than the control group in the tolerance to enteral nutrition as well as the serum albumin,haemoglobin,white blood cells and C-reactive protein(all P<0.05).Conclusion The case manager led multidisciplinary management program is effective in the enhancement of tolerance to enteral nutrition and in the improvement of nutritional and inflammatory indicators in the critically ill patients.
