Risk factors of diarrhea associated with enteral nutrition in elderly patients with severe disease
10.3760/cma.j.issn.1674-2907.2017.05.013
- VernacularTitle:老年重症患者肠内营养期间腹泻发生的危险因素分析
- Author:
Yanmei SHI
1
;
Yating ZHOU
;
Lin BAI
;
Shuxiang ZHANG
Author Information
1. 潍坊医学院护理学院
- Keywords:
Enteral nutrition;
Diarrhea;
Intensive care unit (ICU);
Elderly patients
- From:
Chinese Journal of Modern Nursing
2017;23(5):646-649
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the risk factors of diarrhea associated with enteral nutrition in elderly patients with severe disease.Method One hundred elderly patients with enteral nutrition from July 2015 to May 2016 were divided into two groups. 36 elderly patients were enrolled in the diarrhea group,while 64 elderly patients without diarrhea were allocated in the control group. Body mss index (BMI),APACHEⅡscore, whether have hypoproteinemia and mechanical ventilation,whether use antibiotics,antiacids and prokinetics, etc. Information of patients were collected,and relevant data of patients in two groups were analyzed by logistic regression.Results The multivariate logistic regression analysis showed that the most dangerous factors of enteral nutrition associated with diarrhea in patients were hypoproteinemia and mechanical ventilation during enteral nutrition (OR=2.528,4.184;P<0.05).Conclusions The serum protein should be assessed before carrying out enteral nutrition in elderly patients in case the presence of hypoproteinemia. For elderly patients with mechanical ventilation,the speed of enteral nutrition should slow down,the dose should be reduced with intermittent infusion.
