Factors Affecting Clinical Outcomes for Patient with Nasogastric Tube Feeding at Critical Care Unit | ||
| Egyptian Journal of Health Care | ||
| Article 18, Volume 13, Issue 4, December 2022, Pages 225-237 PDF (408.08 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2022.260803 | ||
| Authors | ||
| David Youssef Saleh GaddAllah1; Sahar Yassien Mohammad2; Dalia Ali Ameen3 | ||
| 1B.Sc. in Nursing Science -Faculty of Nursing - Ain Shams University | ||
| 2Professor of Medical Surgical Nursing -Faculty of Nursing - Ain Shams University | ||
| 3Assistant Professor of Medical Surgical Nursing-Faculty of Nursing - Ain Shams University | ||
| Abstract | ||
| Background: Nasogastric tube feeding consisting of delivering liquid nutrients through a tube passing through the nose and into the stomach for patients with a functioning gastrointestinal tract who can’t ingest enough nutrition orally to meet their needs, nurses should be aware of nasogastric feeding outcomes, These outcomes can be classified as respiratory, nutritional, endurance, hydration and bowel function categories, Aim: identify factors affecting clinical outcomes for patient with NGT feeding at Critical Care Unit. Design: a descriptive exploratory design was conducted to achieve the aim of this study. Setting: This study was conducted in general CCU at Dar El Shefa Hospital. Sample: A convenient sample of all available adult patients who receiving nasogastric tube feeding in critical care unit in Dar El Shefa Hospital. Based on sample size equation 150 patients, and 50 nurses participated in the study. Tools of data collection: a structured assessment questionnaire, outcome assessment sheet, and factors assessment forms. Results: the psychological assessment for the patients there 22.7% of total patients had a bad psychological status, regarding clinical outcomes 68% of patients were moderate compromised and 24.7% of patients were severely compromised, there was a significant relation between clinical nasogastric feeding outcomes and total level of nurses' knowledge and practice, there were 81.8% of mildly compromised patients were cared by a satisfactory knowledgeable nurses versus 97.3% of the severely compromised patients whom were cared by unsatisfactory knowledgeable nurses, there were 72.7% of mildly compromised patient were cared by competent nurses, while 91.9% of severely compromised patients were cared by incompetent nurses. in addition there was a significant relation between nurses' total level of knowledge about nasogastric feeding tube and their total level of practice. Conclusion: There are many factors portrayed under patient related factor, environmental related factor, and nurses' performance related factors affect the clinical outcome for patient with nasogastric tube feeding in the critical care units. Recommendations: Close supervision and teaching on spot is needed to ensure the quality of care provided by nurses during administration of nutrition for patients with nasogastric tube feeding. | ||
| Keywords | ||
| Enteral feeding; Nasogastric tube; Complications; Critical Care Nurses; Nasogastric feeding | ||
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