Effect of Implementing Nutritional Support on Expected Clinical Outcomes of Patients with Chronic Obstructive Pulmonary Disease on Mechanical Ventilator | ||||
| Egyptian Journal of Health Care | ||||
| Article 43, Volume 11, Issue 2, June 2020, Page 670-689 PDF (681.01 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2020.170486 | ||||
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| Authors | ||||
| Jackleen Faheem Gendy1; Fatma Mostafa Mahrous1; Shereen El Shazly2 | ||||
| 1Medical Surgical Nursing Department, Faculty of Nursing-Ain Shams University | ||||
| 2Therapeutic Nutrition Department, Dar El Sheffa Hospital, Ain Shams university, Egypt | ||||
| Abstract | ||||
| Background: Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. Aim of the study: was to determine the effect of implementing nutritional support on expected clinical outcomes of patient with chronic obstructive pulmonary disease on mechanical ventilator. Research design: A quasi experimental research design was used. Subjects: A purposeful sample of 60 adult patients were selected according to inclusion and exclusion criteria and randomly divided alternatively into two equal groups; 30 in each group: Study group (I) received nutritional support as prescribed by the treating physician. Control group (II) received ordinary hospital diet. Setting: The study was conducted in chest intensive care units (ICU) at Ain Shams university hospital. Tools of the study: Four tools were used for data collection. 1- Nutritional assessment tool, 2- COPD Ventilator Parameters, 3- Respiratory assessment tool: It included two parts: Part 1. It assessed respiratory rate, breathing sound, and sputum, use of accessory muscles chest expansion, cyanosis, and cough. Part 2: Dyspnoea Analogue Scale and tool 4 was used to assess laboratory study. Results: There were a high proportions of patients of both study and control groups; slightly about two third of patients were in the age group of 50 to 60 years. Over half of each patient of both groups were males with no significant difference. Married patients constituted the majority of both study and control groups. Also, slightly more than two third of study group was illiterate as compared to one third of control group. There were statistical significant improvements among the study group as regard expected clinical outcomes; in the mean daily caloric intakes, the total energy intake from protein, carbohydrates fibre, vitamins and trace elements, and oxygenation than the control group. Conclusion: The study concluded that nutritional support proved to be an important aspect of patient care that improved oxygenation among the study than the control group. Recommendations: Continuing educational health guidance for nurses are needed to increase awareness of positive effect of nutritional support for patients with COPD on the improvement of their clinical outcomes, dietician must be included within the health staff in the ICU, and the hospital menu must be adapted according to patient needs and replication of the study on a larger probability sample to attain more generalizable area | ||||
| Keywords | ||||
| Chronic obstructive pulmonary disease; COPD Ventilator Parameters; dyspnoea; Oxygenation; Nutritional support | ||||
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