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首页> 外文期刊>Southern African Journal of Critical Care >Nutrition support practices in South African ICUs: Results from a nationwide pilot survey
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Nutrition support practices in South African ICUs: Results from a nationwide pilot survey

机译：南非加护病房的营养支持实践：全国性试点调查结果

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BACKGROUND: Nutrition support of the critically ill can positively affect clinical outcomes. International audit data of nutrition practices in intensive care units (ICUs) suggest that inconsistent application of recommended nutrition support practices (NSPs) occurs. There are no data on NSPs in South African (SA) ICUs. OBJECTIVE: To perform a national pilot survey of NSPs in private SA adult ICUs. METHODS: A descriptive, observational, cross-sectional survey was performed among prescribers of nutrition support in private ICU facilities. Participants were targeted through non-randomised convenience sampling and invited to complete a 51-item electronic questionnaire covering ICU demographics, profile of nutrition prescribers, and nutrition assessment support, delivery and monitoring practices. RESULTS: Responses were received from 125 practitioners in 60% of representative private hospitals with ICU facilities, mainly general/ mixed ICUs. Forty-six percent of respondents reported structured nutrition support teams and 61% reported that practices were governed by formal nutrition support protocols. Enteral nutrition was reported to be based upon published guidelines by 72% of dietitians, while parenteral nutrition decisions were reportedly based mainly on clinical judgement (43%). For both enteral and parenteral feeding practices, compliance with guidelines was inconsistent. There was a disjuncture between various NSPs as reported by dietitians and by nurses. Nurses generally appeared unaware of published nutrition guidelines. CONCLUSION: Various disparities in reported nutrition practices were revealed, suggesting that the organisation and operations of teams and the implementation of protocols informed by published nutrition guidelines may not be well established in private SA ICUs.
机译：背景：重症患者的营养支持可以积极影响临床结果。重症监护病房（ICU）营养措施的国际审计数据表明，推荐的营养支持措施（NSP）的应用不一致。南非（SA）ICU中没有关于NSP的数据。目的：对私人SA成人ICU中的NSPs进行全国性的试点调查。方法：在私人ICU设施中对营养支持的处方者进行描述性，观察性横断面调查。通过非随机便利抽样确定参加者的目标，并邀请他们填写一份51项电子调查表，内容涵盖ICU的人口统计资料，营养处方者的概况以及营养评估支持，实施和监测做法。结果：在60％的具有ICU设施的代表性私立医院中，有125位从业者收到了答复，主要是普通/混合ICU。 46％的受访者报告了结构化的营养支持团队，而61％的受访者称其做法受正式的营养支持协议约束。肠内营养据报道是由72％的营养师根据已发布的指南制定的，而肠胃外营养决定则主要基于临床判断（43％）。对于肠内和肠胃外喂养做法，均未遵守准则。营养师和护士报告说，各种NSP之间存在脱节。护士通常似乎不知道已发布的营养指南。结论：报告的营养实践存在各种差异，表明在私人SA ICU中可能无法很好地建立团队的组织和运作以及已发布的营养指南所指导的方案的实施。

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