Improving clinical outcome in patients with intestinal failure using individualised nutritional advice
Autor: | A. Culkin, S. M. Gabe, Angela Madden |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male Health Knowledge Attitudes Practice Parenteral Nutrition Pediatrics medicine.medical_specialty MEDLINE Nutritional Status Medicine (miscellaneous) Feeding Methods Patient Education as Topic Quality of life Intestinal failure medicine Clinical endpoint Humans Aged Nutrition and Dietetics business.industry Data Collection Nutritional status Middle Aged Diet Intestinal Diseases Regimen Treatment Outcome Parenteral nutrition Chronic Disease Quality of Life Physical therapy Female business Body mass index |
Zdroj: | Journal of Human Nutrition and Dietetics. 22:290-298 |
ISSN: | 1365-277X 0952-3871 |
DOI: | 10.1111/j.1365-277x.2009.00954.x |
Popis: | Background: Patients with intestinal failure are required to adhere to a complex regimen. Written information may increase knowledge leading to improvements in clinical outcomes. The present study aimed to evaluate the effectiveness of nutrition advice incorporating the use of a booklet. Methods: Each patient completed a questionnaire evaluating their knowledge of the regime and quality of life and kept a diet and gastrointestinal output diary. The diary was assessed and they were given the booklet with a verbal explanation tailored to individual requirements. The booklet explained the causes of intestinal failure, diet and fluid recommendations in relation to intestinal anatomy, information on medications and long-term monitoring. Patients were reassessed at their next appointment using the same tools. The primary endpoint was an improvement in knowledge. Secondary endpoints were an improvement in oral nutritional intake, nutritional status, quality of life and the content of home parenteral nutrition. Results: Forty-eight patients completed the study. Knowledge improved significantly after dietetic intervention in association with the provision of the booklet (P |
Databáze: | OpenAIRE |
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