dc.contributor.author | Kiriba, Lucy N | |
dc.date.accessioned | 2015-12-08T08:45:11Z | |
dc.date.available | 2015-12-08T08:45:11Z | |
dc.date.issued | 2015-11 | |
dc.identifier.uri | http://hdl.handle.net/11295/93109 | |
dc.description.abstract | Background: Malnutrition is among the leading conditions that lead to disease complications
and prolonged hospital stay among the hospitalized. Patients that require assisted feeding will
need partial compensatory or supportive educative medical interventions that will help improve
patient outcome. Kenyatta National Hospital a teaching and referral hospital receives medical
patients from other facilities as referral-in and neighbouring area, who may be seen at the
medical outpatient clinic or be admitted to medical wards. Admissions can be from the accident
and emergency department or from the various medical outpatient clinics.
Objectives: The broad objective was to evaluate the nutritional management of adult patients
requiring assisted feeding at Kenyatta National Hospital (KNH) medical wards. The specific
objectives were to determine their bio-demographic profile, to assess the nutritional status using
anthropometric measures, to establish patients’ perception and nurses’ perspective on nutritional
management of adult in-patients requiring assisted feeding.
Methods: This was a cross-sectional design study. The independent variables were Patients’
characteristics: age, gender, educational level, economic status, expectations and institutional
factors: timing of meals, food presentation, and staff assistance. The dependent variables were
patients’ nutritional management. The outcome was based on level of nutrition. The study was
conducted at KNH medical wards among in-patients requiring assisted feeding. Systematic and
random sampling methods were adopted and questionnaires were used for data collection. Out of
a sample size of 187 patients and 89 nurses, 153 patients and 67 nurses were studied. Data was
coded and analyzed using Statistical Package on Social Science (SPSS) software. Quantitative
data was analyzed using descriptive statistics methods of percentiles, mean, mode and standard
deviation while inferential statistics were Chi-square, Fishers exact test and t-test. The study was
conducted according to the KNH/UON/ERC regulations upon being permitted.
Results and conclusion: The patients demographic profile revealed that patients requiring
assisted feeding were more likely to be females, of low educational level, self employed with
monthly income <Ksh5000. Formally employed patients were more likely to be malnourished. A
majority of the patients were within normal ranges of BMI, with 24.2% being malnourished.
Patients were partially satisfied with meals quality. Patients were rarely screened for xvi
malnutrition. The most interrupted meal by medical procedures was breakfast (76.2%) and the
most frequent feeding assistant was the nurses.
Recommendation: The researcher recommends that KNH administration to lay emphasis on
initial assessment of patients’ nutritional status and during hospital stay as recommended by
BAPEN. Since good nutrition is important in preventive medicine, the admission period should
be used to educate all patients on nutrition. Regular surveys of customer satisfaction should be
introduced. The researcher also recommend that an investigation be made on the factors
associated with nutritional status of formally employed | |
dc.description.sponsorship | Background: Malnutrition is among the leading conditions that lead to disease complications
and prolonged hospital stay among the hospitalized. Patients that require assisted feeding will
need partial compensatory or supportive educative medical interventions that will help improve
patient outcome. Kenyatta National Hospital a teaching and referral hospital receives medical
patients from other facilities as referral-in and neighbouring area, who may be seen at the
medical outpatient clinic or be admitted to medical wards. Admissions can be from the accident
and emergency department or from the various medical outpatient clinics.
Objectives: The broad objective was to evaluate the nutritional management of adult patients
requiring assisted feeding at Kenyatta National Hospital (KNH) medical wards. The specific
objectives were to determine their bio-demographic profile, to assess the nutritional status using
anthropometric measures, to establish patients’ perception and nurses’ perspective on nutritional
management of adult in-patients requiring assisted feeding.
Methods: This was a cross-sectional design study. The independent variables were Patients’
characteristics: age, gender, educational level, economic status, expectations and institutional
factors: timing of meals, food presentation, and staff assistance. The dependent variables were
patients’ nutritional management. The outcome was based on level of nutrition. The study was
conducted at KNH medical wards among in-patients requiring assisted feeding. Systematic and
random sampling methods were adopted and questionnaires were used for data collection. Out of
a sample size of 187 patients and 89 nurses, 153 patients and 67 nurses were studied. Data was
coded and analyzed using Statistical Package on Social Science (SPSS) software. Quantitative
data was analyzed using descriptive statistics methods of percentiles, mean, mode and standard
deviation while inferential statistics were Chi-square, Fishers exact test and t-test. The study was
conducted according to the KNH/UON/ERC regulations upon being permitted.
Results and conclusion: The patients demographic profile revealed that patients requiring
assisted feeding were more likely to be females, of low educational level, self employed with
monthly income <Ksh5000. Formally employed patients were more likely to be malnourished. A
majority of the patients were within normal ranges of BMI, with 24.2% being malnourished.
Patients were partially satisfied with meals quality. Patients were rarely screened for
malnutrition. The most interrupted meal by medical procedures was breakfast (76.2%) and the
most frequent feeding assistant was the nurses.
Recommendation: The researcher recommends that KNH administration to lay emphasis on
initial assessment of patients’ nutritional status and during hospital stay as recommended by
BAPEN. Since good nutrition is important in preventive medicine, the admission period should
be used to educate all patients on nutrition. Regular surveys of customer satisfaction should be
introduced. The researcher also recommend that an investigation be made on the factors
associated with nutritional status of formally employed. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Evaluating nutritional management of adult inpatients requiring assisted feeding at Kenyatta national hospital medical wards | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
dc.content | | |