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Journal Article
Research Support, Non-U.S. Gov't
Food intake reported versus nursing records: is there agreement in surgical patients?
Nutrición Hospitalaria : Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral 2015 June 2
OBJECTIVES: To evaluate the agreement between oral feeding by patients and chart records of this acceptance.
METHOD: Besides the food intake surveys of surgical patients, the nursing records of nutrition were evaluated. Is was considered good oral feeding: intake ≥ 75% of total calories prescribed at the day; medium acceptance: 50 to 74.9%; low acceptance: < 50% and NPO (nothing per oral). The Kappa coefficient was adopted to assess agreement.
RESULTS: There were similar answers between patient and nursing records in 91.3% of NPO situations, 87.1% for good oral feeding, 17.8% for medium acceptance and 16.5% for low acceptance (Kappa = 0.45).
CONCLUSION: Agreement between patient's reports and nursing records was moderate to low. A higher proportion of similar answers were observed when the patients related good oral feeding or NPO.
METHOD: Besides the food intake surveys of surgical patients, the nursing records of nutrition were evaluated. Is was considered good oral feeding: intake ≥ 75% of total calories prescribed at the day; medium acceptance: 50 to 74.9%; low acceptance: < 50% and NPO (nothing per oral). The Kappa coefficient was adopted to assess agreement.
RESULTS: There were similar answers between patient and nursing records in 91.3% of NPO situations, 87.1% for good oral feeding, 17.8% for medium acceptance and 16.5% for low acceptance (Kappa = 0.45).
CONCLUSION: Agreement between patient's reports and nursing records was moderate to low. A higher proportion of similar answers were observed when the patients related good oral feeding or NPO.
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