Comparison Of Enteral Nutrition Using Intermittent Feeding And Gravity Drip To Decreasing Gastric Residual Volume In Palliative Care Of Critical Patients

Abstract

Critical patients experiencing malnutrition conditions can increase mortality and complications as well as prolong the length of stay, costs and healing time. The aim of the study was to determine the ratio of residual volume in critically ill patients receiving enteral nutrition through the NG tube using intermittent feeding and gravity drip methods. The type and design of this study used a quasy experimental two-group design by dividing respondents into two different groups, where the first group was given nutrition using the intermittent feeding method, while the second group used the gravity drip method. The population in the study were all critical patients who were treated in the Intensive Care Unit at Muhammadiyah Semarang Hospital. The sampling technique used was consecutive sampling, namely patients who met the inclusion criteria (using NGT and receiving enteral nutrition diet) with a total sample of 5 people. Measurement results Comparison of the average residual volume in the administration of enteral nutrition between the intermittent feeding and gravity drip methods showed that the average residual volume value 1 hour after administration using the intermittent feeding method (11 cc) was less than the gravity drip method (17,1 cc). The average residual volume 2 hours after administration with the intermittent feeding method (1,2 cc) is also less than the gravity drip method (4,7 cc). This study concludes that the intermittent feeding method of enteral nutrition has less gastric residual volume or is more effective than the gravity drip method.