Indicadores de qualidade em terapia nutricional enteral: prevalência de adequação em um hospital universitário

Abstract

Nutritional deficit is often present in the hospital environment, with a predominance of 30 to 65%. THE IS is a mechanism used to repair and/or maintain the nutritional status of the individual, resulting in direct intervention in the clinical evolution of the patient. The individual who needs the use of this service is subject to some complications during the period of its use, thus monitoring the diet being offered is a usual practice indispensable to generate improvement of the therapy and provide better quality of the service offered. This study aims to evaluate the prevalence of non-conformities of quality indicators in enteral nutritional therapy (NSQI) in adult and elderly patients admitted to a university hospital. This is a prospective longitudinal study, through the analysis of 68 medical records of patients on ENT in a tertiary level university hospital, and application of indicators of therapy quality. The data were analyzed by excel table 2013 and statistical analysis was performed through the Statistical Package for Social Sciences (SPSS) program, version 20. 0. Of the 68 individuals evaluated, 51.5% were female and had a median age of 61 years, with a predominance of the elderly life phase (51.5%). Most of the evaluated indicators presented compliance, except for the performance of BMI of admission that reached 60% and episodes of intestinal constipation that obtained up to 50%. The use of IQTN is feasible and the results found indicate that it is a necessary instrument for the proper monitoring of individuals who use this service.