Efficacy of Uninterrupted Vs. Intermittent Naso Gastric Feeding on Patient Outcome among Critically Ill Patients Admitted in Intensive Care Units

Authors

  • Kapil Sharma1 , Neetu Beniwal2

DOI:

https://doi.org/10.37506/ijonc.v8i1.8604

Keywords:

Intensive care unit, uninterrupted naso gastric feeding, intermittent naso gastric feeding and Patient outcome

Abstract

Appropriate nutritional support is effective on achievement of expected outcomes in intensive care unit
(ICU) patients. Although several studies have suggested different conclusions about the effectiveness
of tube feeding methods, there is no specific program of nutritional support for patients who have been
hospitalized. There is a possibility for complications due to an inadequate nutrition. A Quasi experimental
study by using purposive sampling technique was conducted on 40 patients n1
= 20, n2
= 20 who were
admitted in ICUs of a tertiary care hospital, Ludhiana, Punjab. Data was collected by using a self-structured
checklist to assess the efficacy of uninterrupted vs. intermittent naso gastric feeding among critically ill
patients. Most of the patients were above 40years of age in both experimental and control groups. Out of 40
samples 25 were males. In addition, majority of patients were married. More than half 26 (65.00%) patients
were from urban area. Moreover, majority of patients were from Sikh religion 24 (60%) and only 1 (2.5%)
were Muslims. In addition 8 (20%) patients were graduate and 11 (27.5%) were in illiterate category. It is
seen that 19 (47.5%) were working in both experimental and control group whereas, 21 (52.5%) were nonworking in experimental and control groups. It is estimated that half 20 (50%) patients were known case of
sepsis and majority, 25 (62.5%) had diabetes and only 12 (30%) had renal disease. Approximately 6 (30%)
of the patients were having ventilator support in experimental group whereas, in control group 8 (40%)
of patients were on ventilator support. It is evident that there were 5 (25.36%) patients in experimental
group who had prior admission with the same pathological condition whereas 7 (37.43%) were in control
group. It is revealed that some patients have multiple co-morbidities. Among co-morbidities majority 25
(62.5%) of the patients were known cases of diabetes mellitus in both groups. It is evident that diarrhoea was
present in control group 13 (65%) as compared to experimental group it was only 3 (15%) and there was no
presence of vomiting in any group. Whereas, constipation, abdominal distension and high gastric residual
volume was higher in control group as compared to experimental group. It is concluded that uninterrupted
naso gastric feeding is better than the intermittent naso gastric feeding in reference to patient outcome and
gastrointestinal problems.

Author Biography

Kapil Sharma1 , Neetu Beniwal2

1
Associate Professor, College of Nursing, DMC & Hospital, Ludhiana, Punjab,
2
Nurse Practitioner in Critical Care, DMC & Hospital, Ludhiana, Punjab

Published

2020-01-30