Evaluation of Clinical Practice Guideline for Enteral Feeding in Critically Ill Medical Patients in Mukdahan Hospital : ผลของการใช้แนวปฏิบัติทางคลินิกสำหรับให้อาหารผ่านทางเดินอาหาร ในผู้ป่วยวิกฤตอายุรกรรม โรงพยาบาลมุกดาหาร

บทคัดย่อ

          This quasi-experimental study aimed to evaluate the clinical practice guideline (CPG) for enteral feeding in critically ill medical patients in Mukdahan Hospital. The purposive sampling was applied to enroll the subjects into 2 groups; without and with developed guideline, 43 subjects per each group. The experimental instrument was the developed CPG for enteral feeding for critically ill medical patients with the content validity index of 0.97 and the AGREE score in each category was 82%. The data were collected from February to April, 2017. The data were analyzed using the descriptive statistics; frequency, percentage, mean and standard deviation. The variable different between two groups were compared with the independent t-test, Chi-square and relative risk.

          The results showed that the patients using the developed CPG were 2.4 times more likely to feed within the first 24 hours (RR= 2.4, 95%CI=1.12-5.26, p = .024), gained more energy (19.75 VS 15.12 Kcal/kg/day, p <.001), were 20 times more likely to reach energy goal within the first 7 days (RR = 20.0, 95%CI =2.81-142.47, p = .002) and had less collective energy imbalance (-2893.51 VS -4168.26 Kcal, p <.001) than the patients before using developed CPG. The possibility and satisfaction of implementation this CPS of registered nurses in all aspects were in the highest and high levels, respectively.

          This research demonstrated that the developed CPG for enteral feeding could help the critically ill medical patients to receive the feeding sufficiently and increase their achievement of energy goals.

          Keywords : Clinical practice guidelines, Nutrition support, critically ill patients, Enteral feeding