Enteral Feeding Protocol to Improvement Functional Outcome in Stroke Patient | ||
| Egyptian Journal of Health Care | ||
| Article 40, Volume 12, Issue 1, March 2021, Pages 735-745 PDF (749.23 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2021.149446 | ||
| Authors | ||
| Entisar . G. Shabaan1; Ahmad . M. Abdelwarith2; Thanaa . M. Diab1 | ||
| 1Department of Medical and Surgical Nursing, Faculty of nursing, Aswan University, Egypt. | ||
| 2Neurology department, Faculty of Medicine, Aswan University, Egypt. | ||
| Abstract | ||
| Background: dysphagia and other swallowing difficulties in stroke patients may lead to malnutrition which will reflect on health status and clinical outcomes including disability, and mortality, especially patients admitted to stroke unit. Aim: determine the effects of enteral feeding protocol as a role to improvement nutritional status in patients with recent stroke and its impact on anthropometric measurements, complications, and functional outcomes. Setting and Subjects: A total of 75 adult patients (26 male and 49 female) and 35 controls admitted to stroke unit and neurology department at Aswan university hospital. Study Design: A quasi-experimental research design was utilized in this study. Tools of data collection: tool l Nutritional status assessment tool and Protocol for the enteral nutrition support in stroke patient, MRS (Modified Rankin scale) and NIHSS (National Institute Health Stroke Scale). Results: Marked improvement with highly significant difference (P<0.001) comparing follow-up with baseline and control group in all symptoms (nausea, vomiting, esophageal reflux and malabsorption). Also significant difference (P<0.001) between groups such as improvement of daily energy and protein intake, weight, BMI, Hemoglobin (Hb), Platelets, lubricating lips and replace tape with follow-up between all groups. MRS and NIHSS significantly improved on follow up. Conclusion: The application of the enteral feeding protocols may result in low incidence of malnutrition, gastrointestinal complications and enhance improvement in patients with recent stroke. Recommendations: Protocol for enteral nutrition in patients with acute stroke and disturbed level of consciousness to improve functional outcome in those patients and shortens hospital stay. | ||
| Keywords | ||
| Enteral feeding; Nutritional status; stroke | ||
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