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Måluppfyllelse av nutritionsordinationer hos brännskadepatienter
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Svårt brännskadade patienter befinner sig i en mycket utsatt nutritionssituation med tanke på det stora stresspåslag som efterföljer skadan och leder till omfattande hypermetabolism. Detta gör att nutritionsbehandling är en central del av vården för patientgruppen.

Syftet med föreliggande studie var att undersöka måluppfyllelsen av nutritionsordinationer avseende energiintag samt vad som utmärkte gruppen med låg måluppfyllelse.

För att undersöka dessa valdes 60 patienter äldre än arton år, med en vårdtid på minst 20 dygn och brännskada som inläggningsorsak ut. Urvalet utgjorde en totalpopulation av de patienter som mött inklusionskriterierna sedan år 2005. Efter bortfall återstod 54 patienter, vilka studerades.

Cirka hälften av de studerade patienterna nådde sina sina målordinationer avseende energiintag. Det förelåg inga signifikanta samband mellan de studerade variablerna och otillräcklig måluppfyllelse. Vidare fanns inga signifikanta skillnader mellan gruppen som uppnådde nutritionsmålen respektive gruppen med otillräcklig målupppfyllelse avseende de studerade variablerna. Sondstopp var ovanligt som orsak till inskränkt intag medan ventrikelretention förekom hos 20% respektive 35% av patienterna under studievecka ett respektive två. Ett flertal studerade variabler var dock osäkra.

Slutsatsen är således måluppfyllelse av nutritionsordinationer och vad som påverkar detsamma även fortsättningsvis är ett outforskat område väl lämpat för framtida studier.

Abstract [en]

Severely burned patients are in a very fragile nutritional situation, given the high stressrate that complies with the injury and leads to extensive hyper metabolism. This indicates that nutrition therapy is an essential part of care for these patients.

The purpose of this study was to examine the effectiveness of nutrition ordinations on energy intake and the features of the group with low goal achievements.

Sixty patients older than eighteen years, with a hospital stay of at least 20 days and burns as cause of admission was enrolled. The sample represented a total population of patients who met the inclusion criteria since 2005. After the loss 54 patients remained and were studied.

Approximately half of the studied patients reached their nutritional goals. There was no significant correlation between the studied variables and inadequate goal achievement. There were no significant differences between the group achieving nutrition goals and the group with inadequate goal acheivment. Gastric tube occlusion was an unusual cause of restricted intake, while gastric retention occurred in various patients. Several studied variables were, however, uncertain.

The conclusion is thus goal acheivment of nutrition prescriptions, and what has bearing upon it remains unexplored and well suited for further study.

Place, publisher, year, edition, pages
2011.
Keyword [en]
severe burns, nutrition, adults, inpatients
Keyword [sv]
brännskada, nutrition, vuxna, slutenvårdspatienter
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-173439OAI: oai:DiVA.org:uu-173439DiVA: diva2:517670
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktining mot intensivvård
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-04-24 Created: 2012-04-24 Last updated: 2012-04-24Bibliographically approved

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