Elevada frequência de não conformidade de indicadores de qualidade em terapia nutricional oral em pacientes hospitalizados

Abstract

Background: Quality indicators are important tools in clinical practice for assessing and monitoring the quality of nutritional therapy. The objective of the study was to evaluate the quality of oral nutritional therapy of a Public University Hospital at tertiary level, through Quality Indicators in Oral Nutrition Therapy (IQTNO). Methods: A cross-sectional study was conducted with data related to all patients using Oral Nutrition Therapy, admitted to four clinical and surgical patients' wards, aged 18 years and over, between November/2017 and May/2018. Four indicators were applied, as recommended by the Clinical Nutrition task force of the International Life Sciences Institute (ILSI-Brazil) and a specific recommendation of the literature, using percentage targets. Statistical analyzes were performed in the Statistical Package for Social Sciences program. Results: Data were collected from 214 patients, 59.3% male, with a mean age of 58.5 ± 1.26 years. No indicator reached the proposed target, being in non compliance: application of Subjective Global Assessment (48.13%); non-compliance with oral nutritional therapy indication (73.36%); fasting over 24 hours in oral nutritional therapy (50%) and reassessment of patients in the last 7 days (5.61%). Conclusion: None of the indicators evaluated reached the goals for compliance in the analyzed service. The non-conformities found could be corrected with the implementation of protocols, as well as training and continuing education for health professionals.