Analysis of enteral nutrition tolerance in ICU patients and nursing strategy

VernacularTitle:ICU患者肠内营养耐受性分析及护理对策
Author: Yangyang JIANG ; Qin XU ; Yanbo SONG ; Meihong LIU ; Yan LI ; Jing ZHOU
Publication Type:Journal Article
Keywords: Enteral nutrition; Tolerance; Critically ill patients
From: Chinese Journal of Practical Nursing 2011;27(2):17-19
CountryChina
Language:Chinese
Abstract: Objective To explore tolerance-related factors of enteral nutrition(EN) by nasogastric (NG) tube in ICU patients, and to provide several nursing strategies for improving the patients' tolerance. Methods 83 patients using EN with NG tube in ICU were collected.Tolerance-related factors of EN were analyzed by multivariate Logistic regression analysis. Results Among the 83 patients, 36 patients (43.3%) could tolerate very well, 47 patients (56.6%) couldn't tolerate.After treatment 27 patients' tolerance was fair, the other was poor.Multivariate Logistic regression analysis showed that age, APACHE-Ⅱ score, the time of beginning EN, albumin level, drug administration by NG tube or not were the major factors affecting tolerance of NG tube feeding. Conclusions Patients' feeding with NG tube was well-tolerated in ICU.Besides the factors from patients as the severity of disease status and level of serum albumin,the time of beginning EN, drug administration by NG tube were significantly correlated with tolerance.