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Clinical Nursing Research
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What's this?

What's New on Defining Diarrhea in Tube-Feeding Studies?

Kelly J. Lebak

University of Minnesota School of Nursing

Donna Zimmaro Bliss

University of Minnesota School of Nursing

Kay Savik

University of Minnesota School of Nursing

Kathleen M. Patten-Marsh

University of Minnesota School of Nursing

Nurses who are involved in studies of tube-feeding tolerance or who review the literature on this topic are confronted with a myriad of definitions and methods of reporting diarrhea. In a 1992 study, the authors reported that these definition differences influenced results. In a review of the current literature, they determined that little progress had been made toward standardizing definitions and reports of diarrhea in studies of tube feeding. A secondary analysis of stool characteristics of hospitalized patients using various definitions of diarrhea showed there was a positive association between stool frequency and consistency. Criteria for stool consistency in the definitions of diarrhea appeared to have a greater influence on diarrhea outcomes when stool frequency was low. The authors suggest recognition of a taxonomy of definitions of diarrhea in the absence of consensus, which will help guide the design of future investigations and facilitate the evaluation and utilization of research.

Key Words: diarrhea • tube feeding • enteral feeding

Clinical Nursing Research, Vol. 12, No. 2, 174-204 (2003)
DOI: 10.1177/1054773803012002005


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