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57376

Effect of intermittent enteral feeding schedule on the occurrence of gastrointestinal complications and hospital stay among critically ill patients

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Last updated: 24 Dec 2024

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Abstract

Nutrition support can result in improved wound healing, a decreased catabolic response to injury, enhanced immune system function, improved gastrointestinal structure and function, and improved clinical outcomes). The appropriately and timely nutritional intervention can improve patient recovery and survival, decrease complication rates, and decrease costs. Gastrointestinal complications (vomiting, diarrhea, constipation, and abdominal distension) are most commonly associated with complications derived from enteral feeding. Aim: this study was carried out to investigate the effect of the intermittent enteral feeding schedule on the occurrence of gastrointestinal complications and the length of the hospital stay among critically ill patients at Assiut University Hospitals. Design: a quasi-experimental design. Setting: trauma ICU at Assiut University Hospitals and the study took approximately one year started from July 2010 till July 2011. Patients: A convenience sample of 80 adults' critically ill patients on enteral feeding constituted the study sample. The patients were assigned randomly into two equal groups (control group and study group, 40 patients each).. Methods: The only manipulation was in the rest period and time interval in which the study group subjects were rested 8hours at night as compared to 6hours for the control ones, as well study group subjects were having 4hours time interval between each two consecutive feeding as compared to 2hours for control group subjects. Results: There was a significant statistical difference between both groups (p=0.000)indicating lesser hospital stay among study group subjects (52.5 % of the study group subjects were hospitalized less than one month as compared to 35 % of the control group subjects were stayed between 30 to less than 45 days). It was also found that, 57.5% of control group patients developed gastrointestinal complications as compared to 45% of the study group patients (n.s). Conclusion: intermittent 4-hour enteral feeding schedule had lowered the incidence of gastrointestinal complication and length of the hospital stay.

DOI

10.21608/asnj.2013.57376

Keywords

Enteral Feeding, Gastrointestinal Complications, Critically Ill Patients

Authors

First Name

Amal

Last Name

Abd El-Hafez

MiddleName

Ismael

Affiliation

Assistant lecturer in critical Care Nursing department, Faculty of Nursing , Assiut University

Email

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City

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Orcid

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First Name

Warda

Last Name

Mohamed

MiddleName

Youssef

Affiliation

Professor of Critical Care & Emergency, Faculty of Nursing , Cairo University

Email

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City

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Orcid

-

First Name

Enas

Last Name

Daef

MiddleName

abdel Mageed

Affiliation

Professor of Microbiology &Immunology Faculty of Medicine, Assiut University

Email

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City

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Orcid

-

First Name

Mogedda

Last Name

Mehany

MiddleName

Mohamed

Affiliation

Lecture in critical Care Nursing department, Faculty of Nursing ,Assiut University

Email

-

City

-

Orcid

-

First Name

Mona

Last Name

Mohammed

MiddleName

Aly

Affiliation

Lecture in critical Care Nursing department, Faculty of Nursing ,Assiut University

Email

-

City

-

Orcid

-

Volume

1

Article Issue

1

Related Issue

8550

Issue Date

2013-06-01

Receive Date

2019-11-07

Publish Date

2013-06-01

Page Start

12

Page End

23

Print ISSN

2314-8845

Online ISSN

2682-3799

Link

https://asnj.journals.ekb.eg/article_57376.html

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https://asnj.journals.ekb.eg/service?article_code=57376

Order

2

Type

Original Article

Type Code

1,040

Publication Type

Journal

Publication Title

Assiut Scientific Nursing Journal

Publication Link

https://asnj.journals.ekb.eg/

MainTitle

Effect of intermittent enteral feeding schedule on the occurrence of gastrointestinal complications and hospital stay among critically ill patients

Details

Type

Article

Created At

22 Jan 2023