Barriers to the delivery of enteral nutrition in pediatric intensive care units: A national survey.

Autor:	Alsohime F; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia., Assiry G; College of Medicine, King Saud University, Riyadh, Saudi Arabia., AlSalman M; College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alabdulkareem W; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia., Almuzini H; College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alyahya M; College of Medicine, King Saud University, Riyadh, Saudi Arabia., Allhidan R; College of Medicine, King Saud University, Riyadh, Saudi Arabia., Al-Eyadhy A; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia., Temsah MH; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Pediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia., Al Sarkhy AA; College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Gastroenterology Unit, Pediatric Department, King Khalid University Medical City, King Saud University, Riyadh, Saudi Arabia.; Prince Abdullah Bin Khalid Celiac Disease Research Chair, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	International journal of pediatrics & adolescent medicine [Int J Pediatr Adolesc Med] 2021 Sep; Vol. 8 (3), pp. 186-190. Date of Electronic Publication: 2020 Dec 17.
DOI:	10.1016/j.ijpam.2020.12.003
Abstrakt:	Background and Aim: According to previously reported studies in the literature, a significant number of patients do not receive enteral nutrition in pediatric intensive care unit (PICU) because of avoidable barriers. Optimal nutrition is a fundamental goal in PICU. This study aims to identify the barriers of enteral nutrition in PICU. Setting and Design: A cross-sectional study of the results of a 25-item questionnaire-based survey distributed during the Annual International Critical Care Conference by the Saudi Critical Care Society. Methods and Material: A 7-point Likert-type scale was used to rank the participants' responses, and the relative importance index (RII) approach was used to analyze the relative contribution of each indicator to its main theme.The factor and parallel analysis methods were used to assess the factorial and unidimensionality of the enteral feeding barriers scale. Results: A total of 223 PICU healthcare workers from various intensive care settings responded to the survey. The top-three perceived barriers for commencing enteral feeding were due to the patient being hemodynamically unstable (M = 3.6 and SD = 1.70), delays and difficulties in obtaining small bowel access in patients not tolerating other types of enteral nutrition (M = 3.4 and SD = 1.52), or severe fluid restriction, particularly in postoperative cardiac surgery (M = 3.3 and SD = 1.59). The top perceived overall barriers to enteral feeding were the dietician-related issues (M = 3.3, SD = 1.32), barriers related to enteral feeding delivery (M = 3.16 and SD = 1.13), and medical practice-related (M = 3 and SD = 1.10) issues. The lowest reported overall barriers were the resource-related obstacles (M = 2.7 and SD = 1.26). Conclusion: Being hemodynamically unstable and other dietician-related reasons were the top overall barriers in commencing enteral feeding. Competing Interests: The authors declare that they have no competing interests. (© 2020 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia.)
Databáze:	MEDLINE
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