Nutritional risk, nutritional care and clinical outcomes of patients with major surgery

Main Article Content

สุกัญจนา พันธ์ศรี
พรรณวดี พุธวัฒนะ
นพวรรณ เปียซื่อ

Abstract

The purposes of this descriptive research were to explore and study the relationship of nutritional risk, nutritional care, and clinical outcomes of patients with major surgery. The purposive sample consisted of 70 of patients undergoing major surgery at Ramathibodi Hospital, Bangkok, Thailand. Data was collected by data recording form and nutrition alert form. The Data was analysed by descriptive statistics and Spearman Rank correlation.  The results revealed that 24.3% of the sample group had nutritional risk and 7.1% had severe malnutrition. The enteral nutrition was started at 1 to 112 hours or 4.67 days after surgery. Most of the sample (92.9%) received early enteral nutrition (within 48 hours after surgery) and 97.1 % of them attained nutritional goal within 7 days. The median length of hospital stay was 4 days, mean 5.1 days. Postoperative infection was 2% and no one died. Time to start enteral nutrition and time to attained nutritional goal were significantly correlated with length of hospital stay (rs =0.514, p <.01, rs = 0.740, p < .01, respectively). The score of nutritional risk was not correlated with length of hospital stay (rs = 0.073, p >.05).

Downloads

Download data is not yet available.

Article Details

How to Cite
พันธ์ศรี ส., พุธวัฒนะ พ., & เปียซื่อ น. (2019). Nutritional risk, nutritional care and clinical outcomes of patients with major surgery. Thai Journal of Nursing, 67(4), 44–52. Retrieved from https://he02.tci-thaijo.org/index.php/TJN/article/view/204014
Section
Research Article

References

ไพรินทร์ แสนรังค์, พรรณวดี พุธวัฒนะ, กุสุมา คุววัฒนสัมฤทธิ์ และปรีดา สัมฤทธิ์ประดิษฐ์. (2013). การ
ดูแลด้านโภชนาการ และผลลัพธ์ทางคลินิกในผู้ป่วยวิกฤตศัลยกรรม. รามาธิบดีพยาบาลสาร, 18(3),
343-357.

รังสรรค์ ภูรยานนทชัย. (2549). การให้โภชนบำบัดในผู้ป่วยวิกฤต. สงขลานครินทร์เวชสาร, 24(5),
425-443.

อภิญญา กุลทะเล. (2557). ปัจจัยด้านโภชนาการที่มีอิทธิพลต่อระยะเวลาการใช้เครื่องช่วยหายใจในผู้ป่วย
วิกฤต. วิทยานิพนธ์พยาบาลศาสตรมหาบัณฑิต สาขาการพยาบาลผู้ใหญ่, มหาวิทยาลัยบูรพา.

Alexander, J. W. (1990). Nutrition and translocation. Journal of Parenteral and Enteral Nutrition, 14,
170S-174S.

Andersen, H. K., Lewis, S. J., & Thomas, S. (2006). Early enteral nutrition within 24 h of colorectal
surgery versus later commencement of feeding for postoperative complications. The Cochrane
Database of Systematic Reviews, 4:CD004080.

Barker, L. A., Gout, B. S., & Crowe, T. C. (2011). Hospital malnutrition: Prevalence, identification and
impact on patients and the healthcare system. International Journal of Environmental Research
and Public Health, 8(2), 514-527.

Correia, M. I. T., Campos, A. C. L., & Study, E. C. (2003). Prevalence of hospital malnutrition in Latin
America: The multicenter ELAN study. Nutrition, 19(10), 823-825.

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*
Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4),
1149-1160.

Garth, A. K., Newsome, C. M., Simmance, N., & Crowe, T. C. (2010). Nutritional status, nutrition
practices and post-operative complications in patients with gastrointestinal cancer. Journal of
Human Nutrition and Dietetics, 23(4), 393-401.

Ho, J. W., Wu, A. H., Lee, M. W., Lau, S. Y., Lam, P. S., Lau, W. S., et al. (2015). Malnutrition risk
predicts surgical outcomes in patients undergoing gastrointestinal operations: Results of a
prospective study. Clinical Nutrition, 34(4), 679-684.

Keusch, G. T. (2003). The history of nutrition: Malnutrition, infection and immunity. The Journal of
Nutrition, 133(1), 336S-340S.

Komindr, S., Tangsermwong, T., & Janepanish, P. (2013). Simplified malnutrition tool for Thai
patients. Asia Pacific Journal of Clinical Nutrition, 22(4), 516-521.

Marik, P. E., & Zaloga, G. P. (2001). Early enteral nutrition in acutely ill patients: A systematic
review. Critical Care Medicine, 29(12), 2264-2270.

McClave, S. A., Martindale, R. G., Vanek, V. W., McCarthy, M., Roberts, P., Taylor, B., et al. (2009).
Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill
patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral
Nutrition (ASPEN). Journal of Parenteral and Enteral Nutrition, 33(3), 277-316.

Mueller, C., Compher, C., Ellen, D. M., & American Society for Parenteral and Enteral Nutrition
(ASPEN) Board of Directors. (2011). ASPEN clinical guidelines: Nutrition screening, assessment,
and intervention in adults. Journal of Parenteral and Enteral Nutrition, 35(1), 16-24.

Permsombut, N., Chindavijak, B., & Teawprasert, P. (2013). Nutrition screening tools and prediction of
malnutrition incidence in major abdominal surgery patients at tertiary hospital in Bangkok,
Thailand. Mahidol University Journal of Pharmaceutical Sciences, 40(3), 26-34.

Weimann, A., Braga, M., Harsanyi, L., Laviano, A., Ljungqvist, O., Soeters, P., et al. (2006). ESPEN
guidelines on enteral nutrition: Surgery including organ transplantation. Clinical Nutrition, 25(2),
224-244.