Adequate feeding of early enteral nutrition in critical patients with cancer

VernacularTitle:ICU恶性肿瘤患者早期肠内营养达标情况及影响因素调查
Author: Jiarui LI ; Huiying QIN ; Yingying MA ; Zhongwen SUN ; Xiumei ZOU ; Hui DU
Keywords: Nursing care; Intensive care units; Early enteral nutrition; Tolerance
From: Chinese Journal of Practical Nursing 2017;33(3):198-201
CountryChina
Language:Chinese
Abstract: Objective To describe the adequate feeding of early enteral nutrition in critical patients with cancer, and explore its influencing factors. Methods A retrospective analysis study was performed and 161 patients were involved. Results Nearly 57.14%patients got adequate feeding. The independent risk factors included complications (P < 0.05,OR=2.312,OR 95%CI 1.078-4.958), Acute Physiology and Chronic Health Evaluation Ⅱ (APACHEⅡ) scores (P < 0.05,OR=1.111,OR 95%CI 1.017-1.214) and hypoalbuminemia (P<0.05,OR=2.252,OR 95%CI 1.036-4.892) , and the protective factor was previous enteral nutrition experience (P<0.01,OR=0.123,OR 95%CI 0.021-0.494). Patients who got adequate feeding showed more increase in albumin levels, more decrease in APACHEⅡscores and shorter ICU stays. Conclusions Part of patients got inadequate feeding, due to comprehensive effects of many factors. And adequate feeding may be beneficial to the increase of albumin levels, also helps patients rehabilitate early and shorten the ICU stays.