Factors Affecting Hydration Status among Critically Ill Patients | ||
| Egyptian Journal of Health Care | ||
| Article 88, Volume 13, Issue 2, June 2022, Pages 1213-1225 PDF (190.56 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2022.240854 | ||
| Authors | ||
| Samar Samir Afifi1; Ola Abd Elaty Ahmed2; Asmaa Abd Elrahman Abd Elrahman3; Shimaa Nabil Abd Elsalam3 | ||
| 1Clinical Instructor at Faculty of Nursing, Modern University for Technology and Information | ||
| 2Professor of Medical-Surgical Nursing, Ain Shams University-Cairo-Egypt | ||
| 3Assistant Professor of Medical Surgical Nursing, Ain Shams University-Cairo-Egypt. | ||
| Abstract | ||
| Background: Hydration is a complex physiological condition that includes total body water, its distribution, and the concentration of the major electrolytes. Hydration status is linked with health, wellness, and performance, it can be evaluated by water intake and urine output. Aim of study: (1): Assess critically ill patient's hydration status (2): Assess the factors affecting hydration status among critically ill patient. Research design: A descriptive exploratory research design was utilized. Subjects: A convenient samples of 100 patients were included in the current study. Setting: This study was carried out at the Intensive Care Units of Elzaitoun specialized Hospitals. Tools of data collection: (1): Patient’s hydration status physical assessment tool, (2): Factors affecting hydration status of critically ill patient’s assessment tool. Results: revealed that half (51%) of the studied patients suffering from fluid volume deficit (dehydration), and one third (33%) of the patients had fluid volume excess (overhydration) and less than one fifth (16%) of the studied patients were euhydrated. There is a significant relation between patient’s hydration status and age, history of ischemic heart disease, vital signs, conscious level, cumulative fluid balance, diuretics, betablockers, anticonverting enzyme (ACEI) medications at p. value < 0.001. Conclusion: It can be concluded that there were many factors affecting patients' hydration status such as: antibiotic, antacid, calcium channel blockers, beta blockers, diuretic medications, level of consciousness, respiratory infection, smoking, overweight, vomiting, fever, and impaired skin integrity Recommendation: Future studies are recommended to evaluate patients’ hydration status and factors affecting hydration among critically ill patients and regular follow up for all patients with hydration alterations to evaluate their health conditions and to detect complications early. | ||
| Keywords | ||
| Critically ill patient; Hydration Status; Factors | ||
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