Comparison of Enteral Feeding Implementation with Standards in Educational Centers, Selected Therapeutics in Babol University of Medical Sciences

Abstract

Introduction: In patients who are not able to feed the mouth, but the digestive system has the ability to digest food, enteral feeding is used. This method is safe and affordable for the patient, leading to maintaining the function of the digestive system, reducing the risk of infection and sepsis. However, failure to properly implement this type of feeding causes problems such as pneumonia aspiration, infection, diarrhea, blockage of the enteral feeding, and if the above feeding method is implemented in accordance with its standard, it can play a major role in reducing the burden of complications and improving the quality of life, reducing the length of hospitalization, and reducing their costs. Method: This is a cross-sectional descriptive-analytic study. The researchers studied 37 nurses working in general and nervous wards who fed patients with gastrostomy. The checklist that was verified in terms of validity and reliability was used to collect information. For data analysis, descriptive statistics (frequency and mean) and inferential statistics (paired t-test, Spearman correlation coefficient, analysis of variance with repeated observations) were used. Results: The results showed that the mean score of actions in all stages (before, during, after implementation) was significantly lower than standard (p<0.001). There was also a reverse relationship between the score of actions in all three stages (before, during, after implementation) with work experience and duration of work experience in the section. There was also a significant difference between the mean score of actions in all three stages between female and male (p-value -0.331), so that the average score of female was higher than that of male. Also, there was a significant difference between the mean score of the actions in all three stages and the employment status of the samples. The mean score of informal people was higher than the official ones. Conclusion: According to the findings, the mean score of the measures before, during and after the implementation of feeding through gastrostomy was significantly lower than the standard (p<0.001), to enteral  feeding a gynecologist at gastre and intrology, a clinical nurse and a nutritionist should educate patients and their families and personnel about the preparation and storage of food, the administration of food, the care of the entrance of the enteral  and the enteral  feeding, in light of the problems and complications of this type of feeding [1,2]. Based on the findings of the present study, nurses' retraining, especially men nurses, nurses with more work experience and formal nurses in the field of proper nursing clinical skills such as this type of feeding is needed.