Nasogastric and Nasoenteric Tube-Related Incidents: A Cohort Study with Hospitalized Brazilian Older Adults.

IF 0.9 Q4 NURSING
Roberta Maria de Pina Pereira, Luana Baldin Storti, Maria Angélica Andreotti Diniz, Fernanda Raphael Escobar Gimenes, Claire Nierva Herrera, Luciana Kusumota
{"title":"Nasogastric and Nasoenteric Tube-Related Incidents: A Cohort Study with Hospitalized Brazilian Older Adults.","authors":"Roberta Maria de Pina Pereira, Luana Baldin Storti, Maria Angélica Andreotti Diniz, Fernanda Raphael Escobar Gimenes, Claire Nierva Herrera, Luciana Kusumota","doi":"10.5152/FNJN.2025.23271","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>The natural aging process, aggravated by the presence of disease and other factors, makes older adults more susceptible to the need for nutritional therapy. Patient safety is a worldwide concern, and older adults are one of the age groups at risk for incidents, especially related to the use of nasogastric and nasoenteric tube feeding.</p><p><strong>Methods: </strong>This prospective cohort study aimed to identify and analyze incidents related to the use of nasogastric and nasoenteric tubes, their consequences, and the associated factors in hospitalized older adults. The study was carried out in a public general hospital in the state of São Paulo. Data were collected between October 2016 and November 2017 for this study, and continued until April 2019 in other hospitals involved in the \"Multicentre study\" through voluntary reporting by healthcare providers, patients or their companions, active searches during ward visits, and reviews of medical records.</p><p><strong>Results: </strong>The sample consisted of 86 older adults, with a mean age of 71.33 years, high nursing care dependence (39.53%), and a high risk of death (59.30%). The primary reason for tube use among older adults was sensory decline in health (31.40%), followed by lack of appetite and poor oral diet acceptance (22.09%). The most common insertion technique was blind bedside insertion (45.35%), with gastric positioning being the most frequent (44.18%), according to patient records. The prevalence of incidents was 43.02%, among these 35.14% older adults experienced only one incident, 18.91% had two incidents, and 45.95% had three or more incidents. The unplanned removal of the tube was the most frequent event (28.71%), and 56.44% of the cases resulted in mild harm. The death of older adult patients using NGT/NET was not associated with age, sex, level of consciousness, level of nursing care dependence, risk of death, length of monitoring, length of hospital stays, or total incidents.</p><p><strong>Conclusion: </strong>The level of nursing care dependence and age were associated with the occurrence of incidents, highlighting the urgent need to adopt protocols based on updated scientific evidence to guarantee quality and safe care for hospitalized older adults.</p>","PeriodicalId":73033,"journal":{"name":"Florence Nightingale journal of nursing","volume":"33 ","pages":"1-9"},"PeriodicalIF":0.9000,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042238/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Florence Nightingale journal of nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5152/FNJN.2025.23271","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Aim: The natural aging process, aggravated by the presence of disease and other factors, makes older adults more susceptible to the need for nutritional therapy. Patient safety is a worldwide concern, and older adults are one of the age groups at risk for incidents, especially related to the use of nasogastric and nasoenteric tube feeding.

Methods: This prospective cohort study aimed to identify and analyze incidents related to the use of nasogastric and nasoenteric tubes, their consequences, and the associated factors in hospitalized older adults. The study was carried out in a public general hospital in the state of São Paulo. Data were collected between October 2016 and November 2017 for this study, and continued until April 2019 in other hospitals involved in the "Multicentre study" through voluntary reporting by healthcare providers, patients or their companions, active searches during ward visits, and reviews of medical records.

Results: The sample consisted of 86 older adults, with a mean age of 71.33 years, high nursing care dependence (39.53%), and a high risk of death (59.30%). The primary reason for tube use among older adults was sensory decline in health (31.40%), followed by lack of appetite and poor oral diet acceptance (22.09%). The most common insertion technique was blind bedside insertion (45.35%), with gastric positioning being the most frequent (44.18%), according to patient records. The prevalence of incidents was 43.02%, among these 35.14% older adults experienced only one incident, 18.91% had two incidents, and 45.95% had three or more incidents. The unplanned removal of the tube was the most frequent event (28.71%), and 56.44% of the cases resulted in mild harm. The death of older adult patients using NGT/NET was not associated with age, sex, level of consciousness, level of nursing care dependence, risk of death, length of monitoring, length of hospital stays, or total incidents.

Conclusion: The level of nursing care dependence and age were associated with the occurrence of incidents, highlighting the urgent need to adopt protocols based on updated scientific evidence to guarantee quality and safe care for hospitalized older adults.

鼻胃管和鼻肠管相关事件:巴西住院老年人队列研究
目的:自然衰老过程,由于疾病和其他因素的存在而加剧,使老年人更容易需要营养治疗。患者安全是一个全球关注的问题,老年人是发生事故风险的年龄组之一,特别是与使用鼻胃管和鼻肠管喂养有关。方法:本前瞻性队列研究旨在识别和分析住院老年人使用鼻胃管和鼻肠管的相关事件、其后果和相关因素。这项研究是在圣保罗州的一家公立综合医院进行的。本研究的数据收集于2016年10月至2017年11月,并通过医疗保健提供者、患者或其同伴的自愿报告、病房访问期间的主动搜索和医疗记录的审查,在参与“多中心研究”的其他医院中持续到2019年4月。结果:本组老年人86例,平均年龄71.33岁,护理依赖程度高(39.53%),死亡风险高(59.30%)。老年人使用管道的主要原因是感官健康下降(31.40%),其次是食欲不振和口腔饮食接受度差(22.09%)。根据患者记录,最常见的插入方式是床边盲插入(45.35%),胃定位最常见(44.18%)。发病率为43.02%,其中35.14%的老年人仅发生过一次,18.91%的老年人发生过两次,45.95%的老年人发生过三次及以上。意外拔管是最常见的事件(28.71%),其中56.44%的病例造成轻度伤害。使用NGT/NET的老年成人患者的死亡与年龄、性别、意识水平、护理依赖程度、死亡风险、监测时间、住院时间或总事件无关。结论:护理依赖程度和年龄与事件发生相关,迫切需要采用基于最新科学证据的方案,以保证住院老年人护理的质量和安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
0
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信