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HEMŞİRELERİN ENTERAL BESLENME İŞLEMİNE YÖNELİK UYGULAMA VE KAYITLARININ İNCELENMESİ

Year 2011, Volume: 14 Issue: 2, 1 - 9, 23.06.2011

Abstract

Bu çalışma, hemşirelerin enteral beslenen hastalara yönelik uygulama ve kayıtlarının incelenmesi
amacıyla yapılmış tanımlayıcı bir çalışmadır. Bir üniversite hastanesinin beyin cerrahi, nöroloji ve dahiliye
kliniklerinde 26 hemşire (%86.6) ile yürütülmüştür. Veriler literatüre dayalı olarak geliştirilen “Gözlem Formu”
ile hemşireler iki gün gözlenerek toplanmıştır.
Gözlemlerin tümünde hemşirelerin; beslenme setini günlük olarak değiştirdikleri, düzenli olarak
beslenme tüpününün yerini ve rezidüel miktarı kontrol ettikleri ve beslenme tüpünden ilaç verdikleri
belirlenmiştir. Ancak, yapılan gözlemlerin %15.5’inde hemşirelerin beslenme tüpünü güvenli bir şekilde
sabitlemedikleri, %20.2’sinde rezidüel volüm ölçülen enjektörün üzerine günlük tarihi yazmadıkları, %15.5’inde
enjektörü yıkamadıkları belirlenmiştir. Gözlemlerin %9.5’inde hemşirelerin beslenme tüpü takılış tarihini,
%23’ünde beslenme seti değişim tarihini, %63.5’inde beslenme tüpünün dışarıda kalan uzunluğunu ve tümünde
beslenme tüp numarasını kayıt etmedikleri belirlenmiştir.
Kliniklerde, hemşirelerin kullanıma yönelik enteral beslenme bakım rehberinin oluşturulması
önerilmiştir

References

  • Adam S, Batson S (1997). A study of problems associated with the delivery of enteral feed in critically ill patients in five ICUs in the UK. Intensive Care Medicine 23: 261-266
  • Annette H, Wenström Y (2005). Implementing clinical guidelines for nutrition in a neurosurgical intensive care unit. Nursing and Health Sciences 7: 266-272.
  • Bankhead R, Boullata J, Brantley S et al. (2009). Enteral nutrition practice recommendations. Journal of Parenteral and Enteral Nutrition 33(2):122-167.
  • Best C (2005). Caring for the patient with a nasogastric tube. Nursing Standard 20(3):59-65.
  • Birol L (2004). Hemşirelik Süreci Hemşirelik Bakımında Sistematik Yaklaşım, Genişletilmiş 6. Baskı, Etki Matbacılık Yayıncılık Ltd Şti, İzmir.
  • Bowman A, Doerschug KC, Bombei CL et al. (2005). Implementation of an evidence-based feding protocol and aspiration risk reduction algorithm. Critical Care Nursing Quarterly 28(4):324-333.
  • De Jonghe B, Appere-De-Vechi C, Fournier M et al. (2001). A prospective survey of nutritional support practices in intensive care unit patients: What is prescribed? What is delivered? Critical Care Medicine 29(1): 8-12.
  • Deane A, Chapman MJ, Fraser RJ et al. (2007). Mechanisms underlying feed intolerance in the critically ill: Implications for treatment. World Journal of Gastroenterology 7, 13(29): 3909-3917.
  • DeLaune SC, Ladner PK (2002). Fundamentals of Nursing: Standards & Practice. Second Edition, Delmar, USA.
  • Dobson K, Scott A (2007). Review of ICU nutrition support practices: implementing the nurse led enteral feeding algorithm. Nursing in Critical Care 12(3): 114-123.
  • Durai R, Venkatraman R, Philip CH (2009). Nasogastric tubes 1: insertion technique and confirming the correct position. Nursing Times 105(16):12-13
  • Elpern EH, Luminata S, Peterson S et al. (2004). Outcomes associated with enteral tube feedings in a medical intensıve care unit. American Journal of Critical Care 13:221-227.
  • Fulbrook P, Bongers A, Albarran JW (2007). A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing 16(11):2132-41.
  • Heyland DK, Dhaliwal R, Drover JW et al. (2003). Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients, Journal of Parenteral and Enteral Nutrition 27:355-373.
  • Heyland DK, Tougas G, King D et al. (1996). Impaired gastric emptying in mechanically ventilated, critically ill patients, Intensive Care Medicine 22:1339-1344.
  • Howard P, Jonkers-Schuitema C, Furniss l et al. (2006). Managing the patient journey through enteral nutritional care. Clinical Nutrition 25: 187–195.
  • Huffman S, Pieper P, Jarczyk KS et al. (2004). Methods to confirm feeding tube placement: application of research in practice. Pediatric Nursing 30(1):10-13.
  • Karabulut N (1998). Hemşirelerin nazogastrik tüp uygulanan düzeylerinin
  • belirlenmesi. Yayınlanmamış Yükseklisans Tezi, Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Erzurum.
  • Keithley JK, Swanson B (2004). Enteral nutrition: An update on practice recommendations, Medsurg Nursing 13(2):131
  • Landzinski J, Kiser TH, Wischmeyer PE et al. (2008). Gastric motility function in critically ill patients tolerant ıntolerant to gastric nutrition. Journal of Parenteral and Enteral Nutrition 32(1):45-50.
  • McClave SA, Lukan JK, Stefater JA et al. (2005). Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Critical Care Medicine 33(2):324-330.
  • McClave SA, Snider HL (2002). Clinical use of gastric residual volume as a monitor for patient on enteral tube feding. Journal of Parenteral and Enteral Nutrition 26(6 Suppl):43-48.
  • McConnell EA (2002). Administering medication through a gastrostomy tube. Nursing 32(12):22.
  • Mentec H, Dupont H, Bocchetti M et al. (2001). Upper digestive intolerance during enteral nutrition in critically ill patients: Frequency, risk factors, and complications. Critical Care Medicine 29(10): 1955- 1961.
  • Metheny NA, Chang YH, Ye JS et al. (2002). Pepsin as a marker for pulmonary aspiration. American Journal of Critical Care 11:150-154.
  • Metheny NA, Stewart J, Nuetzel G et al. (2005). Effect of feding-tube properties on residual volume measurements in tube-fed patients. Journal of Parenteral and Enteral Nutrition 29(3):192-197.
  • Metheny NA, Titler MG (2001). Assessing placement of feeding tubes. American Journal of Nursing 101(5), 36-45.
  • Montejo JC (1999). Enteral nutrition-related gastrointestinal complications in critically ill patients: A multicenter study. Critical Care Medicine 27(8): 1447-1453.
  • Moreira TV, McQuiggan M (2009). Methods for the assessment of gastric emptying in critically ill, enterally fed adults. Nutrition in Clinical Practice 24(2): 261-273.
  • Ovayolu N, Bahar A (2006). Hemşirelik ve kalite. Atatürk
  • Dergisi 9(1): 104-110.
  • Özbayır T (1995). Yoğun bakımda tüple beslenen hastalarda, kullanılan yöntemin diyare oluşturma sıklığına etkisinin incelenmesi. Yayınlanmamış Doktora Tezi, Ege Üniversitesi Sağlık Bilimleri Enstitüsü. İzmir.
  • Pancorbo-Hidalgo PL, Garcia FFP, Ramirez PC (2001). Complications associated with enteral nutrition by nasogastric tube in an internal medicine unit. Journal of Clinical Nursing 10: 482-90.
  • Persenius MW, Larsson BW, Hall-Lord M (2006). Enteral nutrition in intensive care nurses’ perceptions and bedside observations. Intensive and Critical Care Nursing 22: 82-94.
  • Pinilla JC, Samphire J, Arnold C et al. (2001). Comparison of gastrointestinal tolerance to two enteral feeding protocols in critically ill patients: A prospective, randomized controlled trial. Journal of Parenteral and Enteral Nutrition 25(2): 81-86.
  • Sanko JS (2004). Aspiration assessment and prevention in critically ıll enterally fed patients evidence-based
  • Gastroenterology Nursing 27(6): 279-285.
  • Stroud M, Duncan H, Nightingale J (2003). Guidelines for enteral feeding in adult hospital patients.
  • 1136/gut.52.suppl_7.vii1.
  • Tepaske R, Binnekade JM, Goedhart PT et al. (2006). Clinically relevant differences in accuracy of enteral nutrition feeding pump systems. Journal of Parenteral and Enteral Nutrition 30(4):339-43.
  • Topeli A. (2001). Yoğun bakım ünitesinde beslenme. Yoğun Bakım Dergisi, 1(1):11-20.
  • Torres A, Serra-Batlles J, Ros E et al. (1992). Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: The effect of body position. Annals of Internal Medicine 116:540-543.
  • Turgay AS (2004). Nazogastrik tüpün doğru yerleştirilmesinde steteskopla dinleme ve ph ölçümü yöntemlerinin
  • Yayınlanmamış Doktora Tezi, Ege Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
  • Ulusoy MF, Görgülü RS (1997). Hemşirelik Esasları Temel Kuram, Kavram, İlke ve Yöntemler. 3. Baskı, Cilt 1, Ankara.
  • karşılaştırılması. kayıtlarına ilişkin görüşleri: Karşılaştırmalı bir çalışma. Türkiye Klinikleri Tıp Etiği-Hukuku-Tarihi Dergisi 17(2): 63-70.
  • Williams TA, Leslie GD (2005). A review of the nursing care of enteral feeding tubes in critically ill adults: Part II. Intensive and Critical Care Nursing 20:330-343.
Year 2011, Volume: 14 Issue: 2, 1 - 9, 23.06.2011

Abstract

References

  • Adam S, Batson S (1997). A study of problems associated with the delivery of enteral feed in critically ill patients in five ICUs in the UK. Intensive Care Medicine 23: 261-266
  • Annette H, Wenström Y (2005). Implementing clinical guidelines for nutrition in a neurosurgical intensive care unit. Nursing and Health Sciences 7: 266-272.
  • Bankhead R, Boullata J, Brantley S et al. (2009). Enteral nutrition practice recommendations. Journal of Parenteral and Enteral Nutrition 33(2):122-167.
  • Best C (2005). Caring for the patient with a nasogastric tube. Nursing Standard 20(3):59-65.
  • Birol L (2004). Hemşirelik Süreci Hemşirelik Bakımında Sistematik Yaklaşım, Genişletilmiş 6. Baskı, Etki Matbacılık Yayıncılık Ltd Şti, İzmir.
  • Bowman A, Doerschug KC, Bombei CL et al. (2005). Implementation of an evidence-based feding protocol and aspiration risk reduction algorithm. Critical Care Nursing Quarterly 28(4):324-333.
  • De Jonghe B, Appere-De-Vechi C, Fournier M et al. (2001). A prospective survey of nutritional support practices in intensive care unit patients: What is prescribed? What is delivered? Critical Care Medicine 29(1): 8-12.
  • Deane A, Chapman MJ, Fraser RJ et al. (2007). Mechanisms underlying feed intolerance in the critically ill: Implications for treatment. World Journal of Gastroenterology 7, 13(29): 3909-3917.
  • DeLaune SC, Ladner PK (2002). Fundamentals of Nursing: Standards & Practice. Second Edition, Delmar, USA.
  • Dobson K, Scott A (2007). Review of ICU nutrition support practices: implementing the nurse led enteral feeding algorithm. Nursing in Critical Care 12(3): 114-123.
  • Durai R, Venkatraman R, Philip CH (2009). Nasogastric tubes 1: insertion technique and confirming the correct position. Nursing Times 105(16):12-13
  • Elpern EH, Luminata S, Peterson S et al. (2004). Outcomes associated with enteral tube feedings in a medical intensıve care unit. American Journal of Critical Care 13:221-227.
  • Fulbrook P, Bongers A, Albarran JW (2007). A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing 16(11):2132-41.
  • Heyland DK, Dhaliwal R, Drover JW et al. (2003). Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients, Journal of Parenteral and Enteral Nutrition 27:355-373.
  • Heyland DK, Tougas G, King D et al. (1996). Impaired gastric emptying in mechanically ventilated, critically ill patients, Intensive Care Medicine 22:1339-1344.
  • Howard P, Jonkers-Schuitema C, Furniss l et al. (2006). Managing the patient journey through enteral nutritional care. Clinical Nutrition 25: 187–195.
  • Huffman S, Pieper P, Jarczyk KS et al. (2004). Methods to confirm feeding tube placement: application of research in practice. Pediatric Nursing 30(1):10-13.
  • Karabulut N (1998). Hemşirelerin nazogastrik tüp uygulanan düzeylerinin
  • belirlenmesi. Yayınlanmamış Yükseklisans Tezi, Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü, Erzurum.
  • Keithley JK, Swanson B (2004). Enteral nutrition: An update on practice recommendations, Medsurg Nursing 13(2):131
  • Landzinski J, Kiser TH, Wischmeyer PE et al. (2008). Gastric motility function in critically ill patients tolerant ıntolerant to gastric nutrition. Journal of Parenteral and Enteral Nutrition 32(1):45-50.
  • McClave SA, Lukan JK, Stefater JA et al. (2005). Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients. Critical Care Medicine 33(2):324-330.
  • McClave SA, Snider HL (2002). Clinical use of gastric residual volume as a monitor for patient on enteral tube feding. Journal of Parenteral and Enteral Nutrition 26(6 Suppl):43-48.
  • McConnell EA (2002). Administering medication through a gastrostomy tube. Nursing 32(12):22.
  • Mentec H, Dupont H, Bocchetti M et al. (2001). Upper digestive intolerance during enteral nutrition in critically ill patients: Frequency, risk factors, and complications. Critical Care Medicine 29(10): 1955- 1961.
  • Metheny NA, Chang YH, Ye JS et al. (2002). Pepsin as a marker for pulmonary aspiration. American Journal of Critical Care 11:150-154.
  • Metheny NA, Stewart J, Nuetzel G et al. (2005). Effect of feding-tube properties on residual volume measurements in tube-fed patients. Journal of Parenteral and Enteral Nutrition 29(3):192-197.
  • Metheny NA, Titler MG (2001). Assessing placement of feeding tubes. American Journal of Nursing 101(5), 36-45.
  • Montejo JC (1999). Enteral nutrition-related gastrointestinal complications in critically ill patients: A multicenter study. Critical Care Medicine 27(8): 1447-1453.
  • Moreira TV, McQuiggan M (2009). Methods for the assessment of gastric emptying in critically ill, enterally fed adults. Nutrition in Clinical Practice 24(2): 261-273.
  • Ovayolu N, Bahar A (2006). Hemşirelik ve kalite. Atatürk
  • Dergisi 9(1): 104-110.
  • Özbayır T (1995). Yoğun bakımda tüple beslenen hastalarda, kullanılan yöntemin diyare oluşturma sıklığına etkisinin incelenmesi. Yayınlanmamış Doktora Tezi, Ege Üniversitesi Sağlık Bilimleri Enstitüsü. İzmir.
  • Pancorbo-Hidalgo PL, Garcia FFP, Ramirez PC (2001). Complications associated with enteral nutrition by nasogastric tube in an internal medicine unit. Journal of Clinical Nursing 10: 482-90.
  • Persenius MW, Larsson BW, Hall-Lord M (2006). Enteral nutrition in intensive care nurses’ perceptions and bedside observations. Intensive and Critical Care Nursing 22: 82-94.
  • Pinilla JC, Samphire J, Arnold C et al. (2001). Comparison of gastrointestinal tolerance to two enteral feeding protocols in critically ill patients: A prospective, randomized controlled trial. Journal of Parenteral and Enteral Nutrition 25(2): 81-86.
  • Sanko JS (2004). Aspiration assessment and prevention in critically ıll enterally fed patients evidence-based
  • Gastroenterology Nursing 27(6): 279-285.
  • Stroud M, Duncan H, Nightingale J (2003). Guidelines for enteral feeding in adult hospital patients.
  • 1136/gut.52.suppl_7.vii1.
  • Tepaske R, Binnekade JM, Goedhart PT et al. (2006). Clinically relevant differences in accuracy of enteral nutrition feeding pump systems. Journal of Parenteral and Enteral Nutrition 30(4):339-43.
  • Topeli A. (2001). Yoğun bakım ünitesinde beslenme. Yoğun Bakım Dergisi, 1(1):11-20.
  • Torres A, Serra-Batlles J, Ros E et al. (1992). Pulmonary aspiration of gastric contents in patients receiving mechanical ventilation: The effect of body position. Annals of Internal Medicine 116:540-543.
  • Turgay AS (2004). Nazogastrik tüpün doğru yerleştirilmesinde steteskopla dinleme ve ph ölçümü yöntemlerinin
  • Yayınlanmamış Doktora Tezi, Ege Üniversitesi Sağlık Bilimleri Enstitüsü, İzmir.
  • Ulusoy MF, Görgülü RS (1997). Hemşirelik Esasları Temel Kuram, Kavram, İlke ve Yöntemler. 3. Baskı, Cilt 1, Ankara.
  • karşılaştırılması. kayıtlarına ilişkin görüşleri: Karşılaştırmalı bir çalışma. Türkiye Klinikleri Tıp Etiği-Hukuku-Tarihi Dergisi 17(2): 63-70.
  • Williams TA, Leslie GD (2005). A review of the nursing care of enteral feeding tubes in critically ill adults: Part II. Intensive and Critical Care Nursing 20:330-343.
There are 48 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Nurcan Uysal This is me

İsmet Eşer

Leyla Khorshid

Publication Date June 23, 2011
Submission Date June 14, 2010
Published in Issue Year 2011 Volume: 14 Issue: 2

Cite

Vancouver Uysal N, Eşer İ, Khorshid L. HEMŞİRELERİN ENTERAL BESLENME İŞLEMİNE YÖNELİK UYGULAMA VE KAYITLARININ İNCELENMESİ. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2011;14(2):1-9.

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Journal of Anatolian Nursing and Health Sciences is licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0)

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