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149446

Enteral Feeding Protocol to Improvement Functional Outcome in Stroke Patient

Article

Last updated: 03 Jan 2025

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Abstract

Background: dysphagia and other swallowing difficulties in stroke patients may lead to
malnutrition which will reflect on health status and clinical outcomes including disability, and
mortality, especially patients admitted to stroke unit. Aim: determine the effects of enteral feeding
protocol as a role to improvement nutritional status in patients with recent stroke and its impact on
anthropometric measurements, complications, and functional outcomes. Setting and Subjects: A
total of 75 adult patients (26 male and 49 female) and 35 controls admitted to stroke unit and
neurology department at Aswan university hospital. Study Design: A quasi-experimental research
design was utilized in this study. Tools of data collection: tool l Nutritional status assessment tool
and Protocol for the enteral nutrition support in stroke patient, MRS (Modified Rankin scale) and
NIHSS (National Institute Health Stroke Scale). Results: Marked improvement with highly
significant difference (P<0.001) comparing follow-up with baseline and control group in all
symptoms (nausea, vomiting, esophageal reflux and malabsorption). Also significant difference
(P<0.001) between groups such as improvement of daily energy and protein intake, weight, BMI,
Hemoglobin (Hb), Platelets, lubricating lips and replace tape with follow-up between all groups.
MRS and NIHSS significantly improved on follow up. Conclusion: The application of the enteral
feeding protocols may result in low incidence of malnutrition, gastrointestinal complications and
enhance improvement in patients with recent stroke. Recommendations: Protocol for enteral
nutrition in patients with acute stroke and disturbed level of consciousness to improve functional
outcome in those patients and shortens hospital stay.

DOI

10.21608/ejhc.2021.149446

Keywords

Enteral Feeding, Nutritional Status, stroke

Authors

First Name

Entisar .

Last Name

G. Shabaan

MiddleName

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Affiliation

Department of Medical and Surgical Nursing, Faculty of nursing, Aswan University, Egypt.

Email

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City

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Orcid

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First Name

Ahmad .

Last Name

M. Abdelwarith

MiddleName

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Affiliation

Neurology department, Faculty of Medicine, Aswan University, Egypt.

Email

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City

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Orcid

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First Name

Thanaa .

Last Name

M. Diab

MiddleName

-

Affiliation

Department of Medical and Surgical Nursing, Faculty of nursing, Aswan University, Egypt.

Email

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City

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Orcid

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Volume

12

Article Issue

1

Related Issue

20169

Issue Date

2021-03-01

Receive Date

2021-02-17

Publish Date

2021-03-01

Page Start

735

Page End

745

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_149446.html

Detail API

https://ejhc.journals.ekb.eg/service?article_code=149446

Order

40

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Enteral Feeding Protocol to Improvement Functional Outcome in Stroke Patient

Details

Type

Article

Created At

22 Jan 2023