Zhang YY, Wang CY, Guo DX, Gao HN, Jin XS, Wu YL, Chen LH, Feng ZX. Improvement of the nutritional support management system for patients in intensive care units. World J Psychiatry 2024; 14(1): 44-52 [PMID: 38327888 DOI: 10.5498/wjp.v14.i1.44]
Corresponding Author of This Article
Zhi-Xian Feng, MS, Professor, Administrative Office, Shulan (Hangzhou) Hospital, Zhejiang Shuren University Shulan International Medical College, No. 848 Dongxin Road, Gongshu District, Hangzhou 310022, Zhejiang Province, China. zhixian.feng@shulan.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Jan 19, 2024; 14(1): 44-52 Published online Jan 19, 2024. doi: 10.5498/wjp.v14.i1.44
Table 1 Comparison of general data between the two groups
Groups
Proportion of males (%)
Proportion of females (%)
Age (yr)
APACHE II score (points)
NRS 2002 score (points)
Improvement group (n = 145)
64.14
35.86
63.68 ± 13.71
26.02 ± 10.23
4.57 ± 1.21
Control group (n = 136)
64.71
35.29
64.99 ± 13.45
25.85 ± 10.71
4.57 ± 1.30
P value
> 0.1
> 0.1
> 0.1
> 0.1
> 0.1
Table 2 Comparative analysis of knowledge, attitudes/beliefs, and practices regarding nutritional support among medical staff in the Department of Critical Care Medicine before and after project implementation
Groups
Number of cases (n)
Knowledge
Attitudes/beliefs
Practices
Before project implementation
88.00
54.09 ± 19.45
45.37 ± 5.25
39.27 ± 7.60
After project implementation
83.00
94.57 ± 7.86
47.23 ± 4.07
44.45 ± 5.77
P value
< 0.01
< 0.05
< 0.01
Table 3 Comparative analysis of knowledge, attitudes/beliefs, and practices regarding psychological support among medical staff in the Department of Critical Care Medicine before and after project implementation
Groups
Number of cases (n)
Knowledge
Attitudes/beliefs
Practices
Before project implementation
88.00
9.50 ± 3.22
29.49 ± 4.74
8.17 ± 1.51
After project implementation
83.00
13.05 ± 2.27
37.17 ± 4.71
9.76 ± 1.58
P value
< 0.01
< 0.01
< 0.01
Table 4 Comparison of each nutritional support mode as a percentage of total effective hospital stay between the two groups
Groups
Total parenteral nutrition
Parenteral nutrition + enteral nutrition
Total enteral nutrition
Improvement group (n = 733)
261 (35.61%)
345 (47.07%)
84 (11.46%)
Control group (n = 789)
293 (37.14%)
337 (42.71%)
44 (5.58%)
P value
> 0.05
< 0.05
< 0.01
Table 5 Comparison of the enteral nutrition initiation rate within 48 h and compliance rate within 72 h after admission to the intensive care unit between the two groups
Groups
Enteral nutrition initiation rate within 48 h after ICU admission
Enteral nutrition compliance rate within 72 h after ICU admission
Improvement group (n = 145)
48.28% (66)
31.72% (n = 46)
Control group (n = 136)
37.50% (47)
20.59% (n = 28)
P value
< 0.05
< 0.05
Table 6 Comparison of Self-rating Anxiety Scale and Self-rating Depression Scale scores between the two groups
Indicators
Improvement group (n = 145)
Control group (n = 136)
t value
P value
SAS (points, mean ± SD)
52.03 ± 9.02
61.07 ± 9.91
8.004
< 0.01
SDS (points, mean ± SD)
56.34 ± 9.83
62.47 ± 10.50
5.055
< 0.01
Table 7 Comparison of intensive care unit length of stay between the two groups of patients
Indicators
Improvement group (n = 145)
Control group (n = 136)
t value
P value
Length of ICU stay
5.10 ± 2.12
5.76 ± 2.77
2.28
< 0.05
Citation: Zhang YY, Wang CY, Guo DX, Gao HN, Jin XS, Wu YL, Chen LH, Feng ZX. Improvement of the nutritional support management system for patients in intensive care units. World J Psychiatry 2024; 14(1): 44-52