Assessment of fecal output in patients receiving enteral tube feeding: validation of a novel chart

European Journal of Clinical Nutrition
K WhelanM A Taylor

Abstract

To develop a practical, valid and reliable chart to assist in the accurate visual characterization of fecal output in patients receiving enteral tube feeding (ETF). A chart incorporating verbal and pictorial descriptors of fecal output was developed. Validity and reliability were assessed by a questionnaire survey of health professionals and a clinical study of patients commencing ETF. Content validity was assessed from the results of the questionnaire, construct validity by contrasting groups analysis, concurrent validity by comparison of the chart with actual fecal weight and inter-rater reliability by independent characterization of the same fecal sample by two nurses. St George's Hospital, London, UK. In all, 35 health professionals completed a questionnaire with respect to the chart. The chart was then used to monitor fecal output in 36 patients commencing ETF for a total of 171 patient-days, during which time nurses used the chart to characterize 269 fecal samples, of which 59 were subsequently weighed. The results of the questionnaire suggested good content validity. The chart demonstrated statistically significant differences in fecal frequency, fecal consistency, fecal score and incidence of diarrhea for contrasting pa...Continue Reading

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Citations

Feb 8, 2013·The British Journal of Nutrition·Abby S KlosterbuerJoanne L Slavin
Jan 22, 2010·Annals of Nutrition & Metabolism·Maria L StewartJoanne L Slavin
Jul 27, 2010·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Anna LaureniusTorsten Olbers
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Mar 26, 2013·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·A VivantiK Campbell
Jun 9, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Ione de Brito-Ashurst, Jean-Charles Preiser
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Jan 14, 2020·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Masaru MatsumotoHiromi Sanada
May 7, 2015·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Gülten Sucu DagKevin Whelan
May 16, 2019·Journal of Intensive Care·Hiroomi Tatsumi
Mar 9, 2021·Journal of Gastroenterology and Hepatology·Pimsiri SripongpunChanon Kongkamol

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