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Revista de Administração em Saúde
Article . 2019 . Peer-reviewed
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Indicadores de qualidade em terapia nutricional: uma revisão integrativa

Authors: Hammes, Thais Ortiz;

Indicadores de qualidade em terapia nutricional: uma revisão integrativa

Abstract

Introdução: Indicadores de qualidade em terapia nutricional são ferramentas mensuráveis com habilidade reconhecida para avaliar e acompanhar a efetividade e da aderência aos protocolos e procedimentos assistências em nutrição. O objetivo deste estudo é conhecer os principais indicadores de qualidade de terapia nutricional utilizados na gestão e monitoramento da assistência nutricional por meio de revisão de literatura. Métodos: Foi realizado um levantamento bibliográfico de artigos científicos, no período de 2014 a 2018 publicados nas bases de dados bases MEDLINE e LILACS em conformidade aos descritores em Ciências da Saúde. Resultados: A busca inicial nas bases de dados resultou na seleção de 72 artigos, dos quais 61 foram excluídos por duplicidade ou por não preencherem os critérios de inclusão. Dos 11 artigos selecionados, 8 eram artigos originais e 3 eram revisões. Sete dos artigos incluídos, tiveram como objetivo classificar ou propor indicadores para gestão da qualidade na terapia nutricional. Em sua maioria, sinalizavam para a necessidade de ter uma equipe especializada no atendimento nutricional, realização de avaliação nutricional, indicação e acompanhamento nutricional sistemático e direcionado. Quanto ao resultado da aplicação de indicadores na prática clínica, 3 estudos mostraram a necessidade de adequação de indicadores para infusão de dieta na quantidade adequada, tempo de jejum e ocorrência de diarreia. Dois estudos incluídos avaliaram indicadores em outros cenários que não o ambiente hospitalar e apontavam para o uso de indicadores para triagem, avaliação e acompanhamento nutricional, bem como os respectivos registros em prontuário. Conclusão: Os principais indicadores de qualidade na terapia nutricional são relacionados a triagem e avaliação nutricional, indicação precoce e adequada de terapia nutricional, monitoramento da oferta nutricional frente prescrição e acompanhamento de intercorrências relacionada a terapia nutricional.Palavras-chave: Indicadores de Qualidade em Assistência à Saúde. Terapia Nutricional. Nutrição Enteral. Avaliação Nutricional. ABSTRACTIntroduction: Quality indicators in nutrition therapy are measurable tools with recognized ability to assessing and monitoring the effectiveness and adherence to nutrition assistance protocols and procedures. The aim of this study is to know the mainly quality indicators in nutrition therapy used in the management and monitoring of nutritional assistance through a literature review. Methods: A review of scientific articles was carried out from 2014 to 2018, published in the databases MEDLINE and LILACS according to the descriptors in Health Sciences. Results: The initial search in the databases resulted in the selection of 72 studies, of which 61 were excluded for duplicity or did not meet the inclusion criteria. Eight studies were original and 3 were reviews. Seven studies were included aimed to classify or propose quality indicators in the management in nutritional therapy. They indicated the need to have a team specialized in nutritional care and an adequate nutritional assessment and monitoring. Regarding the results of the application of indicators in clinical practice, 3 studies showed that is necessary to optimize the results of indicators for diet infusion in adequate quantity, fasting time and occurrence of diarrhea. Two studies evaluated indicators in other settings than the hospital settings and they pointed out to the use of quality indicators for the screening, evaluation and nutritional monitoring, as well as the registry in medical records. Conclusion: The main quality indicators in nutrition therapy are related to nutritional screening and evaluation, early and adequate indication of nutrition therapy, monitoring of nutritional supply in comparison to the prescription, and monitoring of intercurrences related to nutrition therapy.Keywords: Quality Indicators in Health Care. Nutritional Therapy. Enteral nutrition. Nutritional Evaluation 

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Keywords

Nutritional therapy, Indicadores de qualidade em assistência à saúde, Quality indicators in health care, Nutrição enteral, Avaliação nutricional, Revisão, Terapia nutricional, Enteral nutrition, Nutritional evaluation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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bronze