The knowledge of intensive care professionals about diarrhea.
| Autor: | Lordani CR; Serviço de Nutrição, Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brasil., Eckert RG; Serviço de Nutrição, União Oeste Paranaense de Estudos e Combate ao Câncer, Cascavel, PR, Brasil., Tozetto AG; Serviço de Nutrição, Hospital São Lucas, Faculdade Assis Gurgacz, Cascavel, PR, Brasil., Lordani TV; Serviço de Enfermagem, Hospital São Lucas, Faculdade Assis Gurgacz, Cascavel, PR, Brasil., Duarte PA; Unidade de Terapia Intensiva, Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brasil. |
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| Jazyk: | English; Portuguese |
| Zdroj: | Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2014 Jul-Sep; Vol. 26 (3), pp. 299-304. |
| DOI: | 10.5935/0103-507x.20140042 |
| Abstrakt: | Objective: To assess the opinions and practices of intensive care professionals with regard to diarrhea in critically ill patients. Methods: A multicenter cross-sectional study was conducted among health care professionals working at three adult intensive care units.Participants responded individually to a self-administered questionnaire about their length of work experience in intensive care; the definition,characterization, and causes of diarrhea;types of records in the patient's medical record; and training received. Results: A total of 78 professionals participated in this study, of whom 59.0% were nurse technicians, 25.7%were nurses, and 15.3% were physicians;77.0% of them had worked in intensive care for over 1 year. Only 37.2% had received training on this topic. Half of the interviewees defined diarrhea as "liquid and/or pasty stools" regardless of frequency, while the other 50.0% defined diarrhea based on the increased number of daily bowel movements. The majority of them mentioned diet as the main cause of diarrhea, followed by "use of medications" (p<0.001). Distinct nutritional practices were observed among the analyzed professionals regarding episodes of diarrhea, such as discontinuing, maintaining, or reducing the volume of enteral nutrition; physicians reported that they do not routinely communicate the problem to other professionals (for example, to a nutritionist) and do not routinely record and quantify diarrhea events in patients' medical records. Conclusion: Different opinions and practices were observed in intensive care professionals with regard to diarrhea. |
| Databáze: | MEDLINE |
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