Dysphagia management by nurses in Spanish intensive care units.

Autor: Santana-Padilla YG; Subdirección de Enfermería del Hospital Universitario Materno-Infantil de Canarias, Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain. Electronic address: yeraysantana@celp.es., Linares-Pérez T; Centro de Salud Cueva Torres, Gerencia de Atención Primaria, Las Palmas de Gran Canaria, Spain., Santana-López BN; Cuidados Intensivos, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain; Departamento de Enfermería, Universidad Fernando Pessoa-Canarias (UFPC), Santa María de Guía, Spain., Santana-Cabrera L; Medicina Intensiva, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.
Jazyk: angličtina
Zdroj: Enfermeria intensiva [Enferm Intensiva (Engl Ed)] 2024 Oct-Dec; Vol. 35 (4), pp. 329-339. Date of Electronic Publication: 2024 Jul 08.
DOI: 10.1016/j.enfie.2024.06.004
Abstrakt: Introduction/purpose: Dysphagia is a disorder that presents with specific signs and symptoms in critically ill patients. Intensive care unit (ICU) nurses are responsible for monitoring and detecting abnormalities in critically ill patients, so they must be trained to assess swallowing and the complications that may arise. The aim of this research is to analyse the dynamics of the detection and assessment of dysphagia by ICU nurses.
Method: Cross-sectional descriptive study using an electronic questionnaire to nurses from different Spanish ICUs. The survey was adapted from previous research and consisted of 6 sections with 30 items of qualitative questions. The collection period was between December 2022 and March 2023. Statistical analysis was performed using frequencies and percentages, and the Chi-Square test was used for bivariate analysis.
Outcomes: 43 nurses were recruited. Dysphagia is considered an important problem (90,7%) but in 50,3% of the units there is no standard or care protocol for this disorder. The most common technique is the swallowing test (32,6%). There is a consensus in our sample that aspiration pneumonia is the main problem; however, nurses in the busiest care units consider sepsis to be a frequent complication (p = ,029). The most common treatment is modification of food consistency (86,0%).
Conclusion: The findings of this research show a low systematisation of dysphagia screening in the units included. There is a need for greater implementation of interventions and clinical protocols for monitoring complications as well as for compensatory and rehabilitative management.
(Copyright © 2024 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Published by Elsevier España S.L.U. All rights reserved.)
Databáze: MEDLINE
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