Care Bundle for Prevention of Enteral Feeding Complications in Critically Ill Patients

Abstract: Background: Complications associated with enteral feeding can have various impacts including malnutrition and gastrointestinal complications, which further compromise the patient's health status and leading to prolonged recovery. Care bundle of enteral feeding integrates evidence-based practice to improve nutritional status, prevent enteral feeding complications and decrease duration of MV and ICU length of stay. Purpose of the study: to examine the effect of implementing care bundle for prevention of enteral feeding complications in critically ill patients. Setting: Intensive Care Units at Menoufia University Hospital. Sample: A convenient sample of 80 critically ill patients who were admitted to the ICU. Design: A quasi-experimental design was used. Instruments: (1) Demographic and clinical data sheet, (2) Modified Nutrition Risk Assessment in Critically ill (mNUTRIC), (3) Acute Physiology and Chronic Health Evaluation II (APACHE II), (4) Sequential Organ Failure Assessment (SOFA) score and (5) Observational Sheet. Results: there was a statistically significant improvement in nutritional status in the study group (2.75 ± 1.17) compared to the control group (4.65 ± 1.406) (p< 0.000) post-intervention. Additionally, after the intervention, the study group saw a highly statistically significant decrease in the frequency of enteral feeding complications as compared to the control group (P value<0.05). Also, the study group's mechanical ventilation duration was statistically significantly shorter than that of the control group (4.13 ± 1.43) and (6.18 ± 2.17), respectively (P value <0.000) post intervention. Furthermore, post intervention, the study group's mean ICU length of stay was lower than that of the control group's (7.13 ± 1.95) and (9.05 ± 2.12) respectively (p value<0.000). Conclusion: Care Bundle of Enteral Feeding has a positive effect on improving nutritional status and decreasing enteral feeding complications among critically ill patients. Recommendation: The Care Bundle of Enteral Feeding should be incorporated as a routine practice in the ICU to promote nutritional status and prevent the serious complications of enteral feeding among critically ill patients.

Keywords: Care Bundle, Critically Ill Patients, Enteral Feeding Complications and Nutritional Status.

Title: Care Bundle for Prevention of Enteral Feeding Complications in Critically Ill Patients

Author: Mostafa G. Ibrahim, Naglaa M. El-Mokadem, Nagwa M. Doha, Omima S. Shehata, Amal N. Abboud

International Journal of Novel Research in Healthcare and Nursing

ISSN 2394-7330

Vol. 11, Issue 2, May 2024 - August 2024

Page No: 18-34

Novelty Journals

Website: www.noveltyjournals.com

Published Date: 06-May-2024

DOI: https://doi.org/10.5281/zenodo.11120405

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