Evaluation of parenteral nutrition on the immune system of patients with polytrauma

Nutritional support for trauma and critically ill patients has been advocated to promote immune system recovery and to prevent as much tissue break down and nutritional deficit. The present study aiming to assessment of the parenteral nutrition on the immune system of patient with multiple trauma. Compare the effect of early parenteral nutritional and conventional hospital diet on the nutrition and immunology markers in trauma patients. A convenient sample of 40 severely traumatized patients within 8 hours after trauma they were enrolled sequentially into conventional [n = 20] and total parenteral nutrition [n = 20] groups [TPN]. Criteria for subject inclusion were, age 18-<45 years, Injury severity score [ISS] 20-40 score. Tools of data collection, four tools were utilized to collect data pertinent to the study. These tools were, nutritional assessment sheet, trauma scales and [APACHE] score [checklist], parenteral nutrition plans, evaluation tool which includes [Anthropometric measurement, Laboratory studies Immunological parameters]. Total parenteral nutritional has positive impact for trauma patients on anthropometric measurement, [weight loss, TSF and MAC] which was observed at the end of therapy [7th day.] for the conventional group while there were no changes for the same parameters in TPN group. As regard, laboratory tests, there were significantly increase in the values of total serum protein and albumin among patients of the TPN group after the end of therapy at [7th day] .As regard immune function, it was found that the mean values of [IL-10, IL-6, CD8] were significantly dropped in the TPN group after the end of therapy as compared to the admission. Also there were significantly increase in the values of complement C3, IGA, CD4, and CD4/CD8 ratio among patient of the TPN group at [7th day]. Establishment and implement of standardized protocol of parenteral nutrition support using nutritional screening and physical assessment forms, for the critically ill patients

Effect of an educational protocol for patients' with ulcerative colitis on their related knowledge and self-care practices

Ulcerative colitis [UC] refers to a disease in which the lining of the colon becomes inflamed. In patients with ulcerative colitis, the immune system inappropriately targets the lining of the colon. Most cases are treated at home, which points to the importance of self-care in its management. This study aim was to determine the effect of an educational program on ulcerative colitis patients' knowledge and self-care practices. To conduct this study a sample of sixty in patients with ulcerative colitis was selected from the tropical medicine department in Assiut University Hospital. They were divided into two equal study and the control groups. The study group received an educational program. Data were collected using a patient assessment interview sheet. Pre-post comparisons of patients' knowledge and practice showed statistically significant improvements in the study group but not in the control groups, p<0.001. The study concluded that although ulcerative colitis is a chronic condition with no cure, it could be well controlled through proper patient education. Therefore, it is important for nurses to teach patients about the condition to enable them to take an active role in own health-care decisions and treatment. The study recommends implementation of the developed educational program for all patients with ulcerative colitis