Document Type : Original Article
Authors
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1Demonstrator at Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt
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2Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt
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3Assistant Professor of Anethesia, Surgical ICU and Pain Therapy Faculty of Medicine, Tanta University, Egypt
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4Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Tanta University, Egypt
Abstract
Background: Total parenteral nutrition (TPN) represents an essential modality of nutritional support for critically ill patients who are unable to utilize the gastrointestinal tract. However, its associated complications necessitate the implementation of structured nursing interventions to enhance patient safety and optimize clinical outcomes. Aim: This study designed to assess the impact of nursing interventions on critically ill patients receiving TPN. Design: A quasi-experimental research design was employed. Setting: The study was executed in the Surgical ICU at the Emergency Hospital of Tanta University, which operates under the Ministry of Higher Education and Scientific Research. Subjects: A purposive sample of 60 adult critically ill patients was recruited and equally placed into two groups, with 30 participants in each. Tools: Data collection was facilitated through three instruments: (I) critically ill patient assessment tool, (II) nutritional assessment tool, and (III) TPN clinical outcomes assessment tool. Results: The main findings demonstrated that 56.67% of patients in the intervention group regained full consciousness, in contrast to 30% of those in the control group. Hemodynamic parameters were observed, with normal temperature (37.81 ± 1.69°C), lower respiratory rate (16.07 ± 4.59), and improved oxygen saturation (93.67 ± 6.72%). Moreover, the study group also had fewer metabolic complications, including hypoglycemia (13.33% versus. 43.33%).Catheter-related infections (e.g., drainage: 16.67% versus 53.33% in control group). Conclusion: Structured nursing interventions proved effective role in reducing TPN-associated complications and improving patients’ clinical outcomes. Recommendations: It is recommended to incorporate nursing interventions as a standard component of care for critically ill patients having TPN is essential to enhance patient safety and optimize clinical outcomes.
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