Enteral nutrition is a common nutritional modality in intensive care units. Despite its valuable benefits, it has many complications among which diarrhea is the most important. However, the incidence of enteral nutrition-related diarrhea is variable in the literature, with no established baseline in Jordan. The aim of this study was to investigate the incidence of enteral nutrition-related diarrhea in intensive care units of a major public hospital in Jordan. A prospective cohort design was adopted over 4 months. Using a consecutive sampling technique, 84 critically ill patients receiving enteral nutrition were recruited. King's Stool Chart was used. The incidence of enteral nutrition-related diarrhea calculated per patient and per feeding day was 63.1% and 13.2%, respectively. Significant positive associations were found between the incidence of diarrhea with feeding days (r = .356, p = .001) and intensive care unit length of stay (r = .254, p = .020). The same was found for the frequency of diarrhea (r = .633, p = .000; r = .439, p = .000, respectively). Conversely, a significant negative association was found between baseline serum albumin and frequency of diarrhea (r = -.250, p = .037). Enteral nutrition-related diarrhea is prevalent in Jordanian intensive care units, but it should not be a barrier to enteral nutrition delivery. It would be beneficial for intensive care unit nurses to improve their nutritional practices by following a nurse-led enteral nutrition protocol to guide the enteral nutrition practices utilizing multidisciplinary approaches.

中文翻译：

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重症监护病房危重患者肠内营养相关腹泻的发生率。


肠内营养是重症监护病房常见的营养方式。尽管它有很多好处，但它有许多并发症，其中腹泻是最重要的。然而，文献中肠内营养相关腹泻的发生率各不相同，约旦没有确定基线。本研究的目的是调查约旦一家主要公立医院重症监护病房肠内营养相关腹泻的发生率。采用了 4 个多月的前瞻性队列设计。采用连续抽样技术，招募了 84 名接受肠内营养的危重患者。使用了国王的凳子图表。按每位患者和每个喂养日计算，肠内营养相关腹泻的发生率分别为 63.1% 和 13.2%。腹泻发生率与喂养天数 (r = .356, p = .001) 和重症监护病房住院时间 (r = .254, p = .020) 之间存在显着正相关。腹泻频率也存在同样的情况（分别为 r = .633，p = .000；r = .439，p = .000）。相反，基线血清白蛋白与腹泻频率之间存在显着负相关（r = -.250，p = .037）。肠内营养相关的腹泻在约旦重症监护室很常见，但这不应成为肠内营养输送的障碍。对于重症监护病房护士来说，遵循护士主导的肠内营养方案来指导利用多学科方法的肠内营养实践来改善他们的营养实践将是有益的。