Eventos adversos em terapia nutricional enteral
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/7388 |
Resumo: | This study aims to determine the occurrence of adverse events related to the use of enteral nutrition in patients hospitalized at the University Hospital of Santa Maria (HUSM), based on the quality indicators. This is an exploratory study, longitudinal, descriptive study with a quantitative approach. Follow-up of 46 adult patients of both sexes aged was conducted from 18 years in the use of enteral nutritional therapy in the Intensive Care Unit and Adult Medical Clinic II, in the period January-May 2012. To collect the a semistructured data form with information about the identification data, sociodemographic and data quality indicators (inadvertent output, tube obstruction and received diet volume) was used. Among the patients treated there was a predominance of males (71.7%), aged between 41 and 80 years (69.6%), skin color / Caucasians (93.6%), single (51.1 %) with incomplete 1st grade (53.2%) and from Santa Maria (53.2%). The diagnoses had a higher frequency were related to neurological disorders (N = 18), respiratory (N = 12) and neoplastic (N = 12). The average number of days in which patients used the probe to enteral feeding was 18.5 days (SD = 8.6), minimum of three and maximum of 30 days. Among the reasons that led to the suspension of the diet are: pause for body care (N = 2, 2.4%), exams and procedures (N = 46, 54.8%), for nausea and vomiting (N = 29 , 34.5%) and delay in installation of new bottle for not available in the unit (N = 7, 8.3%). In the study period 39 inadvertent exits the probe and tube obstruction occurred, showing incidence rates of 4.6% and 2.1%, respectively. On average, patients stopped receiving 176.4 ml (± 117.8), with a median of 81.4 ml. 72 drugs administered by tube feeding of patients who used NE were also identified. We conclude that the use of quality indicators in nursing constitutes a useful tool to assess the quality of care. |
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2014-06-302014-06-302013-04-26CERVO, Anamarta Sbeghen. Adverse events in nutrition therapy enteral. 2013. 93 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2013.http://repositorio.ufsm.br/handle/1/7388This study aims to determine the occurrence of adverse events related to the use of enteral nutrition in patients hospitalized at the University Hospital of Santa Maria (HUSM), based on the quality indicators. This is an exploratory study, longitudinal, descriptive study with a quantitative approach. Follow-up of 46 adult patients of both sexes aged was conducted from 18 years in the use of enteral nutritional therapy in the Intensive Care Unit and Adult Medical Clinic II, in the period January-May 2012. To collect the a semistructured data form with information about the identification data, sociodemographic and data quality indicators (inadvertent output, tube obstruction and received diet volume) was used. Among the patients treated there was a predominance of males (71.7%), aged between 41 and 80 years (69.6%), skin color / Caucasians (93.6%), single (51.1 %) with incomplete 1st grade (53.2%) and from Santa Maria (53.2%). The diagnoses had a higher frequency were related to neurological disorders (N = 18), respiratory (N = 12) and neoplastic (N = 12). The average number of days in which patients used the probe to enteral feeding was 18.5 days (SD = 8.6), minimum of three and maximum of 30 days. Among the reasons that led to the suspension of the diet are: pause for body care (N = 2, 2.4%), exams and procedures (N = 46, 54.8%), for nausea and vomiting (N = 29 , 34.5%) and delay in installation of new bottle for not available in the unit (N = 7, 8.3%). In the study period 39 inadvertent exits the probe and tube obstruction occurred, showing incidence rates of 4.6% and 2.1%, respectively. On average, patients stopped receiving 176.4 ml (± 117.8), with a median of 81.4 ml. 72 drugs administered by tube feeding of patients who used NE were also identified. We conclude that the use of quality indicators in nursing constitutes a useful tool to assess the quality of care.Este estudo tem como objetivo verificar a ocorrência de eventos adversos relacionados ao uso de nutrição enteral em pacientes internados no Hospital Universitário de Santa Maria (HUSM), tendo por base os indicadores de qualidade. Trata-se de um estudo exploratório, longitudinal, descritivo, com abordagem quantitativa. Foi realizado acompanhamento de 46 pacientes adultos de ambos os sexos com idade a partir de 18 anos, em uso de terapia nutricional enteral, na Unidade de Terapia Intensiva Adulto e Clínica Médica II, no período de janeiro a maio de 2012. Para a coleta dos dados foi utilizado um formulário semiestruturado com informações sobre os dados de identificação, caracterização sociodemográfica e dados sobre os indicadores de qualidade (saída inadvertida, obstrução da sonda e volume recebido da dieta). Dentre os pacientes acompanhados houve predomínio do sexo masculino (71,7%), com faixa etária entre 41 e 80 anos (69,6%), de cor da pele/raça branca (93,6%), solteiros (51,1%), com 1º grau incompleto (53,2%) e procedentes de Santa Maria (53,2%). Os diagnósticos que apresentaram maior frequência estavam relacionados aos distúrbios neurológicos (N=18), respiratórios (N=12) e neoplásicos (N=12). A média de dias em que os pacientes utilizaram a sonda para alimentação enteral foi de 18,5 dias (DP= 8,6), mínimo de três e máximo de 30 dias. Dentre os motivos que levaram à suspensão da dieta estão: pausa para higiene corporal (N=2; 2,4%), realização de exames e procedimentos (N=46; 54,8%), por náusea e vômito (N=29; 34,5%) e demora na instalação de novo frasco por não haver disponível na unidade (N=7; 8,3%). No período avaliado ocorreram 39 saídas inadvertidas da sonda e uma obstrução da sonda, evidenciando taxas de incidência de 4,6% e 2,1%, respectivamente. Em média os pacientes deixaram de receber 176,4 ml (±117,8), com mediana de 81,4 ml. Também foram identificados 72 medicamentos administrados pela sonda de alimentação dos pacientes que fizeram uso de NE. Conclui-se que o uso de indicadores de qualidade na enfermagem se constitui em uma ferramenta útil para avaliar a qualidade da assistência.application/pdfporUniversidade Federal de Santa MariaPrograma de Pós-Graduação em EnfermagemUFSMBREnfermagemEnfermagemNutrição enteralIndicadores de qualidade em assistência à saúdeSegurança do pacienteNursingEnteral nutritionQuality indicators health carePatient safetyCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMEventos adversos em terapia nutricional enteralAdverse events in nutrition therapy enteralinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisMagnago, Tânia Solange Bosi de Souzahttp://lattes.cnpq.br/3081145376769567Urbanetto, Janete de Souzahttp://lattes.cnpq.br/8935137454685552Lima, Suzinara Beatriz Soares dehttp://lattes.cnpq.br/6711164523602200http://lattes.cnpq.br/4646967434757198Cervo, Anamarta Sbeghen4004000000004003003003003009b412eb4-b119-487a-9f1b-42de7602f821e9815aea-129c-4fee-aec8-a0a43fe2c2f09337a2c9-acf7-43ad-ab1b-c787b6c8e38521f0a112-ca64-4a13-88ce-e22c123e3162info:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALCERVO, ANAMARTA SBEGHEN.pdfapplication/pdf1742049http://repositorio.ufsm.br/bitstream/1/7388/1/CERVO%2c%20ANAMARTA%20SBEGHEN.pdf793c42e94cd8388bcdaa5f53523b7b0bMD51TEXTCERVO, ANAMARTA SBEGHEN.pdf.txtCERVO, ANAMARTA SBEGHEN.pdf.txtExtracted texttext/plain164292http://repositorio.ufsm.br/bitstream/1/7388/2/CERVO%2c%20ANAMARTA%20SBEGHEN.pdf.txt125b6d15b4888af6095fe1f9f0bf322aMD52THUMBNAILCERVO, ANAMARTA SBEGHEN.pdf.jpgCERVO, ANAMARTA SBEGHEN.pdf.jpgIM Thumbnailimage/jpeg4571http://repositorio.ufsm.br/bitstream/1/7388/3/CERVO%2c%20ANAMARTA%20SBEGHEN.pdf.jpg301442f2714115a821720dd562282388MD531/73882022-01-11 16:12:51.843oai:repositorio.ufsm.br:1/7388Repositório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestopendoar:39132022-01-11T19:12:51Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Eventos adversos em terapia nutricional enteral |
dc.title.alternative.eng.fl_str_mv |
Adverse events in nutrition therapy enteral |
title |
Eventos adversos em terapia nutricional enteral |
spellingShingle |
Eventos adversos em terapia nutricional enteral Cervo, Anamarta Sbeghen Enfermagem Nutrição enteral Indicadores de qualidade em assistência à saúde Segurança do paciente Nursing Enteral nutrition Quality indicators health care Patient safety CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Eventos adversos em terapia nutricional enteral |
title_full |
Eventos adversos em terapia nutricional enteral |
title_fullStr |
Eventos adversos em terapia nutricional enteral |
title_full_unstemmed |
Eventos adversos em terapia nutricional enteral |
title_sort |
Eventos adversos em terapia nutricional enteral |
author |
Cervo, Anamarta Sbeghen |
author_facet |
Cervo, Anamarta Sbeghen |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Magnago, Tânia Solange Bosi de Souza |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3081145376769567 |
dc.contributor.referee1.fl_str_mv |
Urbanetto, Janete de Souza |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/8935137454685552 |
dc.contributor.referee2.fl_str_mv |
Lima, Suzinara Beatriz Soares de |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6711164523602200 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4646967434757198 |
dc.contributor.author.fl_str_mv |
Cervo, Anamarta Sbeghen |
contributor_str_mv |
Magnago, Tânia Solange Bosi de Souza Urbanetto, Janete de Souza Lima, Suzinara Beatriz Soares de |
dc.subject.por.fl_str_mv |
Enfermagem Nutrição enteral Indicadores de qualidade em assistência à saúde Segurança do paciente |
topic |
Enfermagem Nutrição enteral Indicadores de qualidade em assistência à saúde Segurança do paciente Nursing Enteral nutrition Quality indicators health care Patient safety CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Nursing Enteral nutrition Quality indicators health care Patient safety |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
This study aims to determine the occurrence of adverse events related to the use of enteral nutrition in patients hospitalized at the University Hospital of Santa Maria (HUSM), based on the quality indicators. This is an exploratory study, longitudinal, descriptive study with a quantitative approach. Follow-up of 46 adult patients of both sexes aged was conducted from 18 years in the use of enteral nutritional therapy in the Intensive Care Unit and Adult Medical Clinic II, in the period January-May 2012. To collect the a semistructured data form with information about the identification data, sociodemographic and data quality indicators (inadvertent output, tube obstruction and received diet volume) was used. Among the patients treated there was a predominance of males (71.7%), aged between 41 and 80 years (69.6%), skin color / Caucasians (93.6%), single (51.1 %) with incomplete 1st grade (53.2%) and from Santa Maria (53.2%). The diagnoses had a higher frequency were related to neurological disorders (N = 18), respiratory (N = 12) and neoplastic (N = 12). The average number of days in which patients used the probe to enteral feeding was 18.5 days (SD = 8.6), minimum of three and maximum of 30 days. Among the reasons that led to the suspension of the diet are: pause for body care (N = 2, 2.4%), exams and procedures (N = 46, 54.8%), for nausea and vomiting (N = 29 , 34.5%) and delay in installation of new bottle for not available in the unit (N = 7, 8.3%). In the study period 39 inadvertent exits the probe and tube obstruction occurred, showing incidence rates of 4.6% and 2.1%, respectively. On average, patients stopped receiving 176.4 ml (± 117.8), with a median of 81.4 ml. 72 drugs administered by tube feeding of patients who used NE were also identified. We conclude that the use of quality indicators in nursing constitutes a useful tool to assess the quality of care. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-04-26 |
dc.date.accessioned.fl_str_mv |
2014-06-30 |
dc.date.available.fl_str_mv |
2014-06-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
CERVO, Anamarta Sbeghen. Adverse events in nutrition therapy enteral. 2013. 93 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2013. |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/7388 |
identifier_str_mv |
CERVO, Anamarta Sbeghen. Adverse events in nutrition therapy enteral. 2013. 93 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2013. |
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http://repositorio.ufsm.br/handle/1/7388 |
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