{"id":10036,"date":"2024-10-27T17:10:20","date_gmt":"2024-10-27T16:10:20","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=10036"},"modified":"2025-07-14T20:15:39","modified_gmt":"2025-07-14T18:15:39","slug":"ernaerings-gap-ved-udskrivelse-fra-intensiv-til-stamafdeling","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/10\/27\/ernaerings-gap-ved-udskrivelse-fra-intensiv-til-stamafdeling\/","title":{"rendered":"Ern\u00e6rings Gap ved udskrivelse fra intensiv- til stamafdeling"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Knudsen AW, Hansen SM, Thomsen T, Knudsen H, Munk, T. Nutritional gap after transfer from the intensive care unit to a general ward – a retrospective quality assurance study, Australian Critical Care, <\/span>https:\/\/doi.org\/10.1016\/j.aucc.2024.07.083<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>D\u00e6kning af patienternes energi- og proteinbehov er vigtig, b\u00e5de ved kritisk sygdom, men ogs\u00e5 igennem rehabiliteringsperioden, da ern\u00e6ringsbehandling bedrer en r\u00e6kke kliniske effektm\u00e5l. Derfor \u00f8nskede vi at unders\u00f8ge 1) andel der havde en ern\u00e6ringsplan med ved udskrivelse fra intensiv- til stamafdeling 2) d\u00e6kningsprocent for energi- og protein dagen f\u00f8r, dagen efter samt tredje dag efter udskrivelse fra intensiv- til stamafdeling.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et retrospektivt kvalitetssikringsstudie. Inklusionskriterier; patienter udskrevet fra intensivafdelingen til en stamafdeling p\u00e5 Herlev Hospital. Eksklusionskriterier; < 18 \u00e5r, indlagt > 2 sammenh\u00e6ngende dage p\u00e5 intensivafdelingen, d\u00f8d indenfor de f\u00f8rste 3 dage p\u00e5 stamafdelingen.<\/span><\/p>\n

En ern\u00e6ringsplan blev defineret som:
\n<\/span>1. Dokumenteret energi- og proteinbehov
\n<\/span>2. Dokumenteret d\u00e6kningsprocent, udregnet som indtag af energi- og proteinbehov
\n<\/span>3. Ern\u00e6ringsvej (pr.os., enteralt, parenteralt)
\n<\/span>Ved enteral- eller parenteralern\u00e6ring:
\n<\/span>4. M\u00e6ngde af produkt
\n<\/span>5. Navn p\u00e5 produkt<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Vi inkluderede 57 patienter, n=43 (75%) m\u00e6nd. Gennemsnitsalder 64 \u00e5r (\u00b111,1). Indlagt p\u00e5 intensivafdelingen i median 6 dage (IQR: 3-11). En (2 %) patient havde en ern\u00e6ringsplan. Patienternes d\u00e6kningsprocent faldt signifikant fra dagen f\u00f8r til dagen efter udskrivelse fra intensivafdelingen (energi; fra 94 % til 30,5 %; p=0,0051, protein; fra 73 % til 27,5 %, p=0,0117). Faldet i d\u00e6kningsprocent forblev u\u00e6ndret fra f\u00f8rste til tredje dag efter udskrivelse fra intensivafdelingen.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Det var i litteraturen ikke defineret hvilke oplysninger, der som minimum skulle indg\u00e5 ved udskrivelse fra intensiv- til stamafdeling. Vi fandt store variationer i hvilke oplysninger, der bliver videregivet ved udskrivelsen. Et signifikant faldt i dokumenteret d\u00e6kning af energi- og proteinbehov, indikerer at fokus p\u00e5 ern\u00e6ringsbehandling i overgangen er utilstr\u00e6kkeligt.<\/span><\/p>\n

Konklusion & Implikationer for praksis
\n<\/span><\/strong>En patient havde en ern\u00e6ringsplan ved udskrivelse fra intensiv- til stamafdeling, og dokumentation for d\u00e6kningen af energi- og proteinbehovet faldt signifikant. Ved udskrivelse fra intensivafdelinger b\u00f8r der udarbejdes vejledning for minimum indhold i en ern\u00e6ringsplan, med henblik p\u00e5 at \u00f8ge d\u00e6kningsprocenten.<\/span><\/p>\n

Anne Wilkens Knudsen, Forskningsmedarbejder, RN, RD, Ph.d. <\/span>Enheden af Di\u00e6tister og Ern\u00e6ringsforskning, EATEN, anne.wilkens.knudsen.01@regionh.dk<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Download som PDF Knudsen AW, Hansen SM, Thomsen T, Knudsen H, Munk, T. Nutritional gap after transfer from the intensive […]<\/p>\n","protected":false},"author":1,"featured_media":12689,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[159,13],"tags":[],"class_list":["post-10036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fundamental-sygepleje-omsorg-palliation-resume-af-forskning","category-resume-af-forskning"],"acf":[],"jetpack_featured_media_url":"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/12\/Sundhed.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/10036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=10036"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/10036\/revisions"}],"predecessor-version":[{"id":17221,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/10036\/revisions\/17221"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12689"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=10036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=10036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=10036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}