Effects of a Nutrition Clinical Practice Guideline among Critically Ill Trauma Patients

Abstract

          This quasi-experimental, non-randomized control with pretest-posttest design aimed to evaluate the effects of a nutrition clinical practice guideline (CPG) among 46 critically ill trauma patients who were inclusion criteria and admitted to the Trauma Surgical Intensive Care Unit of Khon Kaen Hospital during May 2017 and August 2017. They were assigned two groups, each group of 23 people. Frist group was assigned to the comparison group and received routine hospital nutrition protocol and second group was assigned to the experimental group and received the nutrition CPG. T-test, Chi-square and relative risk ratios were used for data analysis. 1) The effect of critically ill trauma patients. Experimental group was 22 times more likely to have good nutritional status (RR = 22, 95%CI [3.23, 149.89]) and had significantly better nutritional status compared to the comparison group (average BNT = 3.43 and 6.39 respectively). 2) Experimental group was 10.5 times more likely to receive adequate daily energy (RR=10.5, 95%CI [2.77, 39.71]) and 11 times more likely to receive sufficient daily protein (RR = 11, 95%CI [2.91, 41.47]). 3) Experimental group patients were 3.29 times less likely to develop nasogastric tube feeding-related complications (RR = 3.29, 95%CI [1.45, 7.47]). 2) The effect of Competency register nurses. Experimental group patients were able to give nutrition appropriately by 86.95%. They were 1.52 times more likely to have better competency in nutrition management (RR = 1.52, 95%CI [1.12, 2.05]), 33 times more likely to better manage complications associated with feeding (RR = 33, 95%CI [2.10, 519.32]), had a 100 percent adherence to the nutrition CPG and had the highest level of satisfaction in using.