Dr. Zahra Farsi is Associate Professor. She received her MSC degree in Medical - Surgical Nursing and doctoral (Ph.D) degree in nursing from Tehran University of Medical Sciences. She teaches at AJA University of Medical Sciences, Tehran, Iran. The qualitative and quantitative researches are her interest field.
Introduction: Nutrition is a basic human need and one of the great challenges in intensive care units. Studies showed that malnutrition is associated with numerous side effects. Nutritional feeding in patients hospitalized in intensive care units is usually associated with several complications, such as constipation, diarrhea, and abdominal distention. The aim of this study was to compare two methods of bolus and intermittent feeding on the intolerance nutrition criteria in patients with sepsis hospitalized in intensive care units.
Method: This study is a triple blind randomized controlled trial that performed on 60 patients with sepsis hospitalized in the intensive care units of Chamran Hospital, Tehran, Iran during 3 days in 2015-2016. Patients divided in three groups (bolus feeding, intermittent feeding and control). Data collection tool was a check list that consists of two parts. The first and second parts included demographic characteristics and feeding intolerance criteria, such as constipation, diarrhea, vomiting, abdominal distention, and residual volume. SPSS (version: 22) software was used to analyze the data.
Results: The Kruskal-Wallis test indicated no significant difference between groups in term of frequency of intolerance nutrition criteria in first, second and third days of study )P>0/05). Friedman and Cochran tests also showed no significant difference in the intolerance nutrition criteria in three consecutive days in each of groups (P>0/05).
Conclusion: The present study showed no significant difference among the three groups (bolus feeding, intermittent feeding and routine) in terms of intolerance nutrition criteria.More studies with larger sample sizes in longer period were suggested.