Factors Affecting Clinical Outcomes for Patient with Nasogastric Tube Feeding at Critical Care Unit

Youssef Saleh GaddAllah, David; Yassien Mohammad, Sahar; Ali Ameen, Dalia

doi:10.21608/ejhc.2022.260803

Factors Affecting Clinical Outcomes for Patient with Nasogastric Tube Feeding at Critical Care Unit

Document Type : Original Article

Authors

¹ B.Sc. in Nursing Science -Faculty of Nursing - Ain Shams University

² Professor of Medical Surgical Nursing -Faculty of Nursing - Ain Shams University

³ Assistant Professor of Medical Surgical Nursing-Faculty of Nursing - Ain Shams University

10.21608/ejhc.2022.260803

Abstract

Background: Nasogastric tube feeding consisting of delivering liquid nutrients
through a tube passing through the nose and into the stomach for patients with a functioning
gastrointestinal tract who can’t ingest enough nutrition orally to meet their needs, nurses
should be aware of nasogastric feeding outcomes, These outcomes can be classified as
respiratory, nutritional, endurance, hydration and bowel function categories, Aim: identify
factors affecting clinical outcomes for patient with NGT feeding at Critical Care Unit.
Design: a descriptive exploratory design was conducted to achieve the aim of this study.
Setting: This study was conducted in general CCU at Dar El Shefa Hospital. Sample: A
convenient sample of all available adult patients who receiving nasogastric tube feeding in
critical care unit in Dar El Shefa Hospital. Based on sample size equation 150 patients, and
50 nurses participated in the study. Tools of data collection: a structured assessment
questionnaire, outcome assessment sheet, and factors assessment forms. Results: the
psychological assessment for the patients there 22.7% of total patients had a bad
psychological status, regarding
clinical outcomes 68% of patients were moderate
compromised and 24.7% of patients were severely compromised, there was a significant
relation between clinical nasogastric feeding outcomes and total level of nurses' knowledge
and practice, there were 81.8% of mildly compromised patients were cared by a satisfactory
knowledgeable nurses versus 97.3% of the severely compromised patients whom were cared
by unsatisfactory knowledgeable nurses, there were 72.7% of mildly compromised patient
were cared by competent nurses, while 91.9% of severely compromised patients were cared
by incompetent nurses. in addition there was a significant relation between nurses' total level
of knowledge about nasogastric feeding tube and their total level of practice. Conclusion:
There are many factors portrayed under patient related factor, environmental related factor,
and nurses' performance related factors affect the clinical outcome for patient with
nasogastric tube feeding in the critical care units. Recommendations: Close supervision and
teaching on spot is needed to ensure the quality of care provided by nurses during
administration of nutrition for patients with nasogastric tube feeding.

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