adequação do suporte nutricional na terapia nutricional enteral: comparação em dois hospitais adequacy of nutritional support provided by enteral feeding: a comparison of two hospitals

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ID: 212132
2009
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Abstract
OBJETIVO: Avaliar o estado nutricional de pacientes hospitalizados e comparar as condutas nutricionais enterais adotadas em dois hospitais gerais da região metropolitana de Maringá (PR), Brasil. MÉTODOS: O estudo foi realizado com 62 pacientes de ambos os sexos, em uso apenas de nutrição enteral. Os dados foram coletados em dois hospitais gerais. As necessidades energéticas dos pacientes foram calculadas por meio das equações propostas por Harris & Benedict e pela recomendação da European Society for Clinical Nutrition and Metabolism. O estado nutricional dos pacientes foi avaliado utilizando-se medidas antropométricas. RESULTADOS: Altos índices de desnutrição foram encontrados em ambos os hospitais, especialmente avaliando-se a Área Muscular do Braço. A prescrição energética mostrou-se adequada para 45,71% e 40,74% dos pacientes dos hospitais 1 e 2, respectivamente. CONCLUSÃO: Inadequações na terapia nutricional enteral, associadas a elevados índices de desnutrição, foram detectadas em ambos os hospitais. Os dados obtidos neste estudo demonstram a necessidade de melhoras nos dois serviços de nutrição enteral, sendo necessária a adoção de medidas de padronização e avaliação periódica dos pacientes.
OBJECTIVE: The objective of this study was to assess the nutritional status of inpatients and compare the enteral feeding practices of two general hospitals in the metropolitan region of Maringá (PR), Brazil. METHODS: The study included 62 patients of both sexes on exclusive enteral feeding. The data were collected in two general hospitals. The energy requirements of the patients were estimated using the equations proposed by Harris & Benedict and the European Society for Clinical Nutrition and Metabolism recommendation. The nutritional status of the patients was determined by anthropometric assessment. RESULTS: High rates of malnutrition were found in both hospitals, especially when the mid-arm muscle area was used as the indicator of nutritional status. The energy prescription was adequate for 45.71% and 40.74% of the patients of hospitals 1 and 2, respectively. CONCLUSION: Inadequate enteral feeding associated with high rates of malnutrition was found in both hospitals. The data obtained in this study show that both enteral feeding services need improvements. Standardization of enteral feeding practices and regular patient assessment are also needed.
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nozaki2009revistaadequao Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Vanessa Taís Nozaki;Rosane Marina Peralta
Journal statistics
Year 2009
DOI
10.1590/S1415-52732009000300004
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-52732009000300004
Keywords
enteral nutrition estado nutricional nutritional status foods and food supply nutrition therapynutrition

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