Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados
Ano de defesa: | 2019 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual do Oeste do Paraná
Francisco Beltrão |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências Aplicadas à Saúde
|
Departamento: |
Centro de Ciências da Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede.unioeste.br/handle/tede/4369 |
Resumo: | This randomized clinical study has objective to measure the nutritional response in patients using enteral probe in the post-pyloric position and in patients who received an enteral diet in the gastric position. Methods: Thirty-five patients hospitalized with exclusive enteral therapy were randomly divided into two groups, the only difference being the positioning of the probe: 18 patients with enteral probe in the post-pyloric position and 17 patients in the position for a defined period of 28 days. We used the serum values of albumin and transferrin as biochemical variables. As anthropometric variables, we measured the percentage of body fat and the body mass index provided by tetra-polar electric bioimpedance. The complications were represented by the variables diarrhea, vomiting and interruptions of the diet. Results: with regard to dietary indicators, it was possible to observe that the prescribed diet, the diet administered and the number of interruptions of the diet presented a statistically significant variation during the follow-up period. Both experimental groups increased the amount of calories prescribed and administered in the diet and reduced the number of interruptions of the diet, but with no difference between them. There was also an increase in the number of diarrhea records, with the main effect of time (p = 0.011), that is, also with no difference between the experimental groups (p [interaction] = 0.748). Regarding the indicators of body composition and blood parameters during the 28 days of follow-up in both experimental groups. While the patients' BMI decreased over time (no differences between groups), no statistically significant changes were observed in body fat indexes during follow-up. Among blood parameters, transferrin levels (p = 0.003) increased over time in a similar way between the post-pyloric and gastric groups. However, group vs time interaction was observed with respect to albumin (p = 0.002). Although similar values were observed up to day 21, the post-pyloric group presented increase in albumin levels compared to the gastric group at day 28. Conclusion: The albumin variable presented a statistically significant increase in the post-pyloric group in relation to the gastric group in the last week of the study and the transferrin variable was statistically significant in relation to the study time, but without significance between the groups. |
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Vieira, Ana Paulahttp://lattes.cnpq.br/4234494221394384Vieira, Ana Paulahttp://lattes.cnpq.br/4234494221394384Almeida, Lirane Elize Defante Ferreto dehttp://lattes.cnpq.br/5828944409163245Silva, Danilo Rodrigues Pereira dahttp://lattes.cnpq.br/9886233738710551http://lattes.cnpq.br/0940732822753367Opsfelder, Leandro Augusto Kuhl2019-06-24T11:12:17Z2019-03-12OPSFELDER, Leandro Augusto Kuhl. Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados. 2019. 78 f. Dissertação( Mestrado em Ciências Aplicadas à Saúde) - Universidade Estadual do Oeste do Paraná, Francisco Beltrão, 2019.http://tede.unioeste.br/handle/tede/4369This randomized clinical study has objective to measure the nutritional response in patients using enteral probe in the post-pyloric position and in patients who received an enteral diet in the gastric position. Methods: Thirty-five patients hospitalized with exclusive enteral therapy were randomly divided into two groups, the only difference being the positioning of the probe: 18 patients with enteral probe in the post-pyloric position and 17 patients in the position for a defined period of 28 days. We used the serum values of albumin and transferrin as biochemical variables. As anthropometric variables, we measured the percentage of body fat and the body mass index provided by tetra-polar electric bioimpedance. The complications were represented by the variables diarrhea, vomiting and interruptions of the diet. Results: with regard to dietary indicators, it was possible to observe that the prescribed diet, the diet administered and the number of interruptions of the diet presented a statistically significant variation during the follow-up period. Both experimental groups increased the amount of calories prescribed and administered in the diet and reduced the number of interruptions of the diet, but with no difference between them. There was also an increase in the number of diarrhea records, with the main effect of time (p = 0.011), that is, also with no difference between the experimental groups (p [interaction] = 0.748). Regarding the indicators of body composition and blood parameters during the 28 days of follow-up in both experimental groups. While the patients' BMI decreased over time (no differences between groups), no statistically significant changes were observed in body fat indexes during follow-up. Among blood parameters, transferrin levels (p = 0.003) increased over time in a similar way between the post-pyloric and gastric groups. However, group vs time interaction was observed with respect to albumin (p = 0.002). Although similar values were observed up to day 21, the post-pyloric group presented increase in albumin levels compared to the gastric group at day 28. Conclusion: The albumin variable presented a statistically significant increase in the post-pyloric group in relation to the gastric group in the last week of the study and the transferrin variable was statistically significant in relation to the study time, but without significance between the groups.Esse estudo clínico randomizado tem por objetivo mensurar a resposta nutricional em pacientes com uso de sonda enteral na posição pós-pilórica e de pacientes que receberam dieta enteral na posição gástrica. Metodologia: avaliaram-se trinta e cinco pacientes hospitalizados em uso de terapia enteral exclusiva, divididos de forma aleatória em dois grupos distintos, sendo a única diferença o posicionamento da sonda: 18 pacientes com sonda enteral na posição pós-pilórica e 17 pacientes na posição gástrica, por um período definido de 28 dias. Utilizaram-se como variáveis bioquímicas os valores séricos da albumina e da transferrina. Como variáveis antropométricas foram mensurados a porcentagem de gordura corpórea e o índice de massa corporal fornecidos pela bioimpedância elétrica tetra-polar. As complicações foram representadas pelas variáveis diarreia, vômito e as interrupções da dieta. Resultados: com relação aos indicadores dietéticos, foi possível observar que a dieta prescrita, a dieta administrada e o número de interrupções da dieta apresentaram variação estatisticamente significante ao longo do período de acompanhamento. Ambos os grupos experimentais tiveram um aumento da quantidade de calorias prescritas e administradas na dieta e reduziram o número de interrupção da dieta, porém sem diferença entre eles. Observou-se ainda o aumento no número de registros de diarreia, com efeito principal do tempo (p = 0,011), também sem diferença significativa entre os grupos experimentais (p [interação]= 0,748). Com relação aos indicadores de composição corporal e parâmetros sanguíneos ao longo dos 28 dias de acompanhamento em ambos os grupos experimentais, enquanto o IMC dos pacientes reduziu ao longo do tempo (sem diferença entre os grupos), nenhuma alteração estatisticamente significante foi observada nos índices de gordura corporal ao longo do acompanhamento. Dentre os parâmetros sanguíneos, observou-se o aumento nos níveis de transferrina (p = 0,003) ao longo do tempo de forma semelhante entre os grupos pós-pilórico e gástrico. Todavia, observou-se interação grupo vs tempo com relação à albumina (p = 0,002). Apesar de valores semelhantes serem observados até o dia 21, o grupo pós-pilórico apresentou aumento nos níveis de albumina comparativamente ao grupo gástrico no dia 28. Conclusão: A variável albumina apresentou uma elevação estatisticamente significativa no grupo pós-pilórico em relação ao grupo gástrico na última semana do estudo e a variável transferrina foi estatisticamente significativa em relação ao tempo de estudo, porém sem significância entre os grupos.Submitted by Almir Squinsani (almir.squinsani@unioeste.br) on 2019-06-24T11:12:17Z No. of bitstreams: 2 Leonardo_Opsfelder_2019.pdf: 1768005 bytes, checksum: b456d01ccc0193a8237819eb1cf97749 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2019-06-24T11:12:17Z (GMT). No. of bitstreams: 2 Leonardo_Opsfelder_2019.pdf: 1768005 bytes, checksum: b456d01ccc0193a8237819eb1cf97749 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2019-03-12application/pdfpor-5356284425524309716500Universidade Estadual do Oeste do ParanáFrancisco BeltrãoPrograma de Pós-Graduação em Ciências Aplicadas à SaúdeUNIOESTEBrasilCentro de Ciências da Saúdehttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessDesnutrição hospitalarTerapia nutrição enteralPosicionamento da sonda de alimentaçãoComplicações da terapia nutricionalHospital malnutritionEnteral nutrition therapyFood probe positioningNutritional therapy complicationsCIÊNCIAS DA SAÚDEEstudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizadosRandomized clinical study of the post - pyloric versus gastric enterprise in hospitalized patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis6290525253230630664600600292441653440865123reponame:Biblioteca Digital de Teses e Dissertações do UNIOESTEinstname:Universidade Estadual do Oeste do Paraná (UNIOESTE)instacron:UNIOESTEORIGINALLeonardo_Opsfelder_2019.pdfLeonardo_Opsfelder_2019.pdfapplication/pdf1768005http://tede.unioeste.br:8080/tede/bitstream/tede/4369/5/Leonardo_Opsfelder_2019.pdfb456d01ccc0193a8237819eb1cf97749MD55CC-LICENSElicense_urllicense_urltext/plain; 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dc.title.por.fl_str_mv |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
dc.title.alternative.eng.fl_str_mv |
Randomized clinical study of the post - pyloric versus gastric enterprise in hospitalized patients |
title |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
spellingShingle |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados Opsfelder, Leandro Augusto Kuhl Desnutrição hospitalar Terapia nutrição enteral Posicionamento da sonda de alimentação Complicações da terapia nutricional Hospital malnutrition Enteral nutrition therapy Food probe positioning Nutritional therapy complications CIÊNCIAS DA SAÚDE |
title_short |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
title_full |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
title_fullStr |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
title_full_unstemmed |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
title_sort |
Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados |
author |
Opsfelder, Leandro Augusto Kuhl |
author_facet |
Opsfelder, Leandro Augusto Kuhl |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Vieira, Ana Paula |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4234494221394384 |
dc.contributor.referee1.fl_str_mv |
Vieira, Ana Paula |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/4234494221394384 |
dc.contributor.referee2.fl_str_mv |
Almeida, Lirane Elize Defante Ferreto de |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/5828944409163245 |
dc.contributor.referee3.fl_str_mv |
Silva, Danilo Rodrigues Pereira da |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/9886233738710551 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/0940732822753367 |
dc.contributor.author.fl_str_mv |
Opsfelder, Leandro Augusto Kuhl |
contributor_str_mv |
Vieira, Ana Paula Vieira, Ana Paula Almeida, Lirane Elize Defante Ferreto de Silva, Danilo Rodrigues Pereira da |
dc.subject.por.fl_str_mv |
Desnutrição hospitalar Terapia nutrição enteral Posicionamento da sonda de alimentação Complicações da terapia nutricional |
topic |
Desnutrição hospitalar Terapia nutrição enteral Posicionamento da sonda de alimentação Complicações da terapia nutricional Hospital malnutrition Enteral nutrition therapy Food probe positioning Nutritional therapy complications CIÊNCIAS DA SAÚDE |
dc.subject.eng.fl_str_mv |
Hospital malnutrition Enteral nutrition therapy Food probe positioning Nutritional therapy complications |
dc.subject.cnpq.fl_str_mv |
CIÊNCIAS DA SAÚDE |
description |
This randomized clinical study has objective to measure the nutritional response in patients using enteral probe in the post-pyloric position and in patients who received an enteral diet in the gastric position. Methods: Thirty-five patients hospitalized with exclusive enteral therapy were randomly divided into two groups, the only difference being the positioning of the probe: 18 patients with enteral probe in the post-pyloric position and 17 patients in the position for a defined period of 28 days. We used the serum values of albumin and transferrin as biochemical variables. As anthropometric variables, we measured the percentage of body fat and the body mass index provided by tetra-polar electric bioimpedance. The complications were represented by the variables diarrhea, vomiting and interruptions of the diet. Results: with regard to dietary indicators, it was possible to observe that the prescribed diet, the diet administered and the number of interruptions of the diet presented a statistically significant variation during the follow-up period. Both experimental groups increased the amount of calories prescribed and administered in the diet and reduced the number of interruptions of the diet, but with no difference between them. There was also an increase in the number of diarrhea records, with the main effect of time (p = 0.011), that is, also with no difference between the experimental groups (p [interaction] = 0.748). Regarding the indicators of body composition and blood parameters during the 28 days of follow-up in both experimental groups. While the patients' BMI decreased over time (no differences between groups), no statistically significant changes were observed in body fat indexes during follow-up. Among blood parameters, transferrin levels (p = 0.003) increased over time in a similar way between the post-pyloric and gastric groups. However, group vs time interaction was observed with respect to albumin (p = 0.002). Although similar values were observed up to day 21, the post-pyloric group presented increase in albumin levels compared to the gastric group at day 28. Conclusion: The albumin variable presented a statistically significant increase in the post-pyloric group in relation to the gastric group in the last week of the study and the transferrin variable was statistically significant in relation to the study time, but without significance between the groups. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-06-24T11:12:17Z |
dc.date.issued.fl_str_mv |
2019-03-12 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OPSFELDER, Leandro Augusto Kuhl. Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados. 2019. 78 f. Dissertação( Mestrado em Ciências Aplicadas à Saúde) - Universidade Estadual do Oeste do Paraná, Francisco Beltrão, 2019. |
dc.identifier.uri.fl_str_mv |
http://tede.unioeste.br/handle/tede/4369 |
identifier_str_mv |
OPSFELDER, Leandro Augusto Kuhl. Estudo clínico randomizado do uso da sonda enteral pós – pilórica versus gástrica em pacientes hospitalizados. 2019. 78 f. Dissertação( Mestrado em Ciências Aplicadas à Saúde) - Universidade Estadual do Oeste do Paraná, Francisco Beltrão, 2019. |
url |
http://tede.unioeste.br/handle/tede/4369 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
6290525253230630664 |
dc.relation.confidence.fl_str_mv |
600 600 |
dc.relation.department.fl_str_mv |
292441653440865123 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Estadual do Oeste do Paraná Francisco Beltrão |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Ciências Aplicadas à Saúde |
dc.publisher.initials.fl_str_mv |
UNIOESTE |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Centro de Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Estadual do Oeste do Paraná Francisco Beltrão |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações do UNIOESTE instname:Universidade Estadual do Oeste do Paraná (UNIOESTE) instacron:UNIOESTE |
instname_str |
Universidade Estadual do Oeste do Paraná (UNIOESTE) |
instacron_str |
UNIOESTE |
institution |
UNIOESTE |
reponame_str |
Biblioteca Digital de Teses e Dissertações do UNIOESTE |
collection |
Biblioteca Digital de Teses e Dissertações do UNIOESTE |
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Biblioteca Digital de Teses e Dissertações do UNIOESTE - Universidade Estadual do Oeste do Paraná (UNIOESTE) |
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biblioteca.repositorio@unioeste.br |
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