Critical Care Nursing

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https://hdl.handle.net/20.500.11888/15995

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Browsing Critical Care Nursing by Author "Hamdan, Eshtyaq"

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    THE EFFECTIVENESS OF EARLY ENTERAL FEEDING PROTOCOL ON CLINICAL OUTCOMES IN NEONATAL INTENSIVE CARE UNITS IN A LARGE HOSPITAL IN PALESTINE
    (جامعة النجاح الوطنية, 2024-09-08) Hamdan, Eshtyaq
    Background: About 70% of preterm infants struggle with oral feeding due to poor motor maturity, neural pathways, respiratory and gastrointestinal system pathology, low tolerance for interaction, and unstable behavioral state organization. Objectives:The study aims to evaluate the clinical outcomes of preterm infants receiving early enteral feeding protocols compared to those receiving standard enteral feeding protocols in NICUs. Methodology: The study employed a quasi-experimental design comparing two groups of 45 preterm infants in each group. There was an intervention group, a control group (groupC) who did not receive early enteral protocol, and an experimental group (group E) who received an early enteral feeding protocol . Results:The results show a significant difference at the 0.05 level between the study groups (C and E) in increased weight only on the first and sixth days. For vital signs within normal for each group, group C had a higher HR on selected days and in total compared to group E. For laboratory values, group C had higher WBC, BUN, Na, K, albumin (only on day 5), and bilirubin than group E, which is within the normal range for these variables, and group C had lower PLT and Ca than group E, with no significant differences in HGB, CR, and glucose. On mechanical ventilator setup, the total FiO2 for 7 days in group C was higher than in group E, and the set rate in group C was higher than in group E. Therefore, the percentage of babies who were extubated faster in Group E was higher than in Group C, indicating that the percentage of hospital stays for Group E was lower than for Group C by reducing the percentage of oxygen to them faster. Conclusion:Implementing early enteral feeding protocols may lead to improved outcomes, clinical stability in preterm infants, and reduced length of stay in the hospital, contributing to enhanced overall health outcomes during their neonatal period.