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| Current status and influencing factors of barriers to enteral feeding of critically ill patients |
| 1 Ma Yinqin, 1 Rong Ning, 2 Shi Rongmei |
| 1 Emergency Department, the Fifth People's Hospital of Qinghai Province, Xining 810007,Qinghai, China; 2 Department of Emergency,
Second People's Hospital of Xining City, Xining 810007, Qinghai,China |
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Abstract Objective To explore the status of intestinal feeding disorders in intensive care unit nurses from five hospitals,
and to analyze the influencing factors. Methods This study was a cross⁃sectional survey. Using convenient sampling method,
180 ICU nurses from June 2016 to June 2019 in five hospitals were selected as subjects. The general data characteristics of
nurses were collected using enteral feeding management questionnaires. The ICU patients with intestinal feeding disorder
questionnaire were used to evaluate the status of intestinal feeding disorders. Univariate analysis was used to determine the effect
of general characteristics of nurses on intestinal feeding disorders. Multiple linear regression analysis was used to determine the
influencing factors of intestinal feeding disorders in ICU patients. Results The total score of the ICU nurses′ intestinal feeding
disorder questionnaire was (61.13±12.76) points, and the scores of the three dimensions were (3.21±0.43) points. The three
dimensions scored from high to low for patient EN supply (3.55±0.07) points, ICU care staff attitude and behavior (3.05±0.48)
points and ICU resources (2.82±0.05) points. The four highest scores among the 19 items were: doctors prescribed a delay in
starting the enteral nutrition (3.97±1.40) points, suspended enteral nutrition due to diarrhea (3.66±1.27) points, insufficient time
for education and training how to best feed patients (3.65±1.38) points, waiting for the doctor/radiologist to read the chest X⁃ray
to determine the correct position of the nutrition tube (3.56±1.23) points. EN⁃related training frequency (P<0.001), full⁃time ICU
nutritionist (P=0.002) and hospital grade (P=0.021), EN manual (P=0.043) and professional title (P=0.001) are the effects of
enteral feeding disorders in ICU patients factor. Conclusion Intestinal feeding disorders in ICU patients are affected by multiple
factors. Therefore, the hospital department should strengthen nurse standardized and systematic feeding training, provide full⁃time
nutritionist to ICU, and rationally allocate resources. In addition, an enteral feeding program is developed from the perspective of
an evidence⁃based guideline and the patient′s subjective initiative is exerted.
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