경관급식을 공급한 중환자실 환자의 영양상태 평가
- 경관급식을 공급한 중환자실 환자의 영양상태 평가
- Other Titles
- Nutritional Assessment of ICU Inpatients with Tube Feeding
- 서정숙; 김유진
- tube feeding; nutritional assessment; nutrition screening indicator; intensive care unit; inpatients
- Issue Date
- 대한영양사협회 학술지, v.21, no.1, pp.11 - 24
- This study investigated the general status of tube feeding for intensive care unit (ICU) inpatients and evaluatedthe consequent nutritional status of patients. This study was approved by the Institutional Review Board(IRB) of a general hospital located in Daegu metropolitan city. The subjects of this study were 80 adult patientswho had been admitted to the ICU of a hospital, received fed tube feeding, and then been discharged.
The differences in nutrition screening indicators, including percentage ideal body weight (PIBW), serum albumin,hemoglobin, total lymphocyte count, and total cholesterol, before and after tube feeding according tobody mass index (BMI) or nutrient feeding levels were investigated. The ratios of actually provided amountsto calorie and protein requirements of patients were 72.8±15.8% and 72.6±19.8%, respectively. The change inPIBW before and after tube feeding was significantly different among the BMI groups (P＜0.01). The changein hemoglobin concentration before and after tube feeding was also significantly different among the BMIgroups (P＜0.01). When subjects were divided into three groups (＜60%, 60∼79%, ≥80%) according to theratio of actually provided calories to required calories, there was no significant difference in nutrition screeningindicators before and after tube feeding. When the subjects were divided into three groups (＜60%, 60∼79%, ≥80%) according to the ratio of actually provided protein to required protein, serum albumin concentrationshowed a significant difference among the groups before and after tube feeding (P＜0.05). Therefore,an intensive nutrition intervention program would be needed for the nutritional improvement of ICU inpatientsreceiving tube feeding.
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