Compare the Quality of Nursing Care Related to Enteral Nutrition with Standards in Patients at Intensive Care Unit (ICU) in Hospitals of Qazvin University of Medical Sciences

摘要

Background: Malnutrition is a common clinical problem in critically ill patient at ICU. It has irreversible consequences for patients and causes heavy health care costs for the healthcare system. Nurses are the main responsible for providing nutritional care to patients, but studies show that nurses' compliance with standards in patient care is very low. Therefore, it is important to determine the quality of nursing care in the field of nutrition of patients for behavioral at the individual and organizational level and to develop a guide for evaluating these standards. The present study was designed to compare the quality of nursing care of tubal nutrition with standards in patients admitted to intensive care units of educational hospitals affiliated to Qazvin University of Medical Sciences. Methods: This is a descriptive comparative study. The research population included all nurses working in intensive care units. According to the number of nurses working in the intensive care unit and considering three observations for each nurse, a total of 495 observations were recorded. The data were collected using standard feeding tube checklist. Then, data were analyzed using SPSS v.21 using statistical tests. Results: The results of this study showed that 38% of nurses had a moderate performance and 62% had a good performance in nursing care and the difference was 4.8 in nurses' average performance (p0.0001). There was a significant relationship between the findings of the quality of tubal nutritional care and sex, marital status, and the level of graduate and postgraduate education. (p0/001) Conclusions: The low level of nurses' performance in standard entrnal feeding nursing care is potentially a serious risk to ICU patients. Because proper nutrition for patients has a direct consequence of the patient's recovery process. This factor can be influenced by the lack of attention to the existence of an effective educational program and the lack of attention to the implementation of the nursing care process in feeding standard patients by nursing managers.