Analysis of nutritional assistance to dysphagic patients hospitalized from a quality perspective

DOI: 10.15343/0104-7809.200933.3.7

Authors

  • Patricia Bissoli Sonsin Nutricionista pela Faculdade de Saúde Pública da Universidade de São Paulo. Aprimoranda do Programa Nutrição Hospitalar – Serviço de Nutrição e Dietética do Hospital Universitário – USP – 2008.
  • Cristiane Bonfim Nutricionista pelo Centro Universitário de Rio Preto. Aprimoranda do Programa Nutrição Hospitalar – Serviço de Nutrição e Dietética do Hospital Universitário – USP – 2008.
  • Ana Lúcia Neves Duarte da Silva Nutricionista do Serviço de Nutrição e Dietética do Hospital Universitário da USP. Especialista em Nutrição Clínica pelo Centro Universitário São Camilo-SP
  • Lúcia Caruso Nutricionista do Serviço de Nutrição e Dietética do Hospital Universitário da USP. Mestre em Nutrição Humana Aplicada – USP. Coordenadora do Programa de Aprimoramento Profissional Nutrição Hospitalar HU-USP. Docente e Coordenadora do Curso de Especialização em Nutrição Clínica do Centro Universitário São Camilo – SP

Keywords:

Deglutition Disorders. Nutrition Assessment. Nutrition Therapy.

Abstract

Dysphagia is a highly debilitating clinical condition that can result in serious complications as aspiratory pneumonia, dehydration and malnutrition. This
study had as its aim to improve the quality of nutritional assistance to dysphagic patients in HU-USP, with approval by the Committee of Ethics in Research (CEP
58/08). For doing this, we established the nutritional profile by means of anthropometric (analysis from standards of reference according to age and gender) and
biochemical evaluation, and we also considered phase angle evaluated by electric bioimpedance. On the other hand, the standard of diets of HU-USP was analyzed
as regards nutritional composition by using the computer program Nutwin®. From August to December 2008 30 dysphagic patients were monitored; 50% were acute
cases and 50% chronic. As the main causes of oropharyngeal dysphagia, most cases were due to diseases of neurogenic origin (90% of the cases), with a practically
homogeneous distribution as concerns gender (53,3% men and 46.7% women) and predominance of aged patients (86,7%). It was verified the existence of nutritional
compromising for most subjects of the sample. Phase angle was > 4° in 63,3% of patients, indicating favorable prognostic and conditions for rehabilitation, and we
observed a significant statistical difference among averages of the group that was discharged from the hospital and the one whose patients has died in the period.
Moreover, a significant correlation was observed between phase angle and age, BMI, albumen, hemoglobin and hematocrites. The alimentary standard was adapted
to take account of nutritional necessities of patients, and an algorithm was proposed for the transition of enteric nutritional therapy by mouth to occur assuring
a good enough nutritional supply. We may conclude that the assistance to dysphagic patients was realigned on the basis of the analysis carried through and the
development of strategies for nutritional intervention, guaranteeing quality assistance.

Downloads

Download data is not yet available.

Downloads

Published

2009-07-01

How to Cite

Bissoli Sonsin, P., Bonfim, C. ., Neves Duarte da Silva, A. L., & Caruso, L. . (2009). Analysis of nutritional assistance to dysphagic patients hospitalized from a quality perspective: DOI: 10.15343/0104-7809.200933.3.7. O Mundo Da Saúde, 33(3), 310–319. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/755

Issue

Vol. 33 No. 3 (2009): JULY/SEPTEMBER 2009

Section

Articles