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High frequency of non-compliance with quality indicators during oral nutrition support in hospitalized patients.
Nogueira, Daiane Aparecida; Ferreira, Lara Princia; Andrade de Lúcia, Renata Paniago; Pena, Geórgia das Graças.
Afiliação
  • Nogueira DA; Graduate Program in Health Science, Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil.
  • Ferreira LP; Undergraduate at Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil.
  • Andrade de Lúcia RP; Management of Nutrition and Dietetics, Clinical Hospital of the Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil.
  • Pena GDG; Graduate Program in Health Science, Federal University of Uberlândia (UFU), Uberlândia, MG, Brazil. Electronic address: georgia@ufu.br.
Clin Nutr ESPEN ; 40: 363-368, 2020 12.
Article em En | MEDLINE | ID: mdl-33183564
BACKGROUND & AIMS: Quality indicators are important tools in clinical practice for assessing and monitoring the quality of care in nutritional therapy. Application of these indicators can improve care and may help to decrease the high frequency of malnutrition and associated hospital costs. Therefore, the purpose of the present study was to estimate the frequency of oral nutritional supplements (ONS) use and to evaluate compliance with the four available quality indicators in oral nutritional therapy (QIONT) in a university hospital. METHODS: A prospective study was conducted from November 2017 to May 2018, using data from all patients with an ONS prescription aged 18 years or older admitted to the medical clinical or surgical clinical wards. Four indicators were investigated, as recommended by the International Life Science Institute. RESULTS: Of the 727 hospitalized patients in the included wards, 214 were on ONS. The frequency of ONS prescription was 29.4%. Of the 4 QIONT evaluated, none achieved the goals: frequency of subjective global assessment and reassessment nutritional (48.1% and 5.6%, respectively); frequency of non-compliance for the indication of ONS (73.36%); and fasting over 24 h during ONS (50%). CONCLUSION: A high frequency of non-compliance (100% of QIONT) was observed in hospitalized patients on ONS in medical clinical and surgical clinical wards. These results will enable health professionals in the evaluated service to elaborate protocols to improve the evaluation and recording of the nutritional follow-up of hospitalized patients on ONS. This will help to improve the quality of nutritional care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Indicadores de Qualidade em Assistência à Saúde / Desnutrição Tipo de estudo: Guideline / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: Clin Nutr ESPEN Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Indicadores de Qualidade em Assistência à Saúde / Desnutrição Tipo de estudo: Guideline / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: Clin Nutr ESPEN Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido