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Asian nursing research v.4 no.2, 2010년, pp.102 - 110   SCIE SSCI 피인용횟수: 2
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Adequacy of Nutritional Support and Reasons for Underfeeding in Neurosurgical Intensive Care Unit Patients

Kim, Hwa-Soon  
  • 초록

    Purpose The purpose of the study was to identify the adequacy of enteral feeding, and the reason and prevalence of under-nutrition, and to determine the relationships between caloric intake and resulting nutritional parameters among neurosurgical intensive care unit (ICU) patients. Methods The participants for this descriptive study were 47 neurosurgical ICU patients who had enteral feeding initiated after ICU admission. Data were collected from the initial day of enteral feeding for 7 days. Data related to enteral feeding, feeding interruptions or delay, prealbumin, and transferrin were collected. Results The mean age of the participants was 56.62 years. Twenty-six patients did not receive their feeding formula more than once during 7 days, and 11 had interruptions more than 6 times. The mean number of feeding interruptions was 3.23 (SD= 4.47). On the average, only 76.44% of the estimated energy requirement was provided by enteral feeding to the patients. The frequency of underfeeding was 52.17% with respect to enteral feeding. The most frequent reason for the feeding interruption was observation before and after intubation and extubation, which was unavoidable. The next most common reason was gastrointestinal bleeding, mostly due to old clots or trace, followed by residual volume less than 100 mL. Changes in prealbumin and transferrin levels for 7 days between the underfed and adequately fed groups were not statistically significant. Conclusion The management of enteral feeding by nurses was overprotective because of the unpredictable nature of ICU patients in terms of their underlying disease process. The management of feeding intolerance needs to be evidence-based and nurses must consistently follow the protocol that has been supported as a useful measure.


  • 주제어

    enteral feeding .   intensive care unit .   neurosurgical procedure .   undernutrition.  

  • 참고문헌 (27)

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  • 이 논문을 인용한 문헌 (2)

    1. Kim, Hyunjung 2013. "Nutritional Intake and Timing of Initial Enteral Nutrition in Intensive Care Patients: A Pilot Study" 성인간호학회지 = Korean Journal of Adult Nursing, 25(4): 444~453     
    2. Kim, Hyunjung ; Chang, Sun Ju 2014. "Clinical Usefulness of Gastric Residual Volume as An Indicator to Provide Approximately Enteral Nutrition for Patients in Intensive Care Units: A Systematic Literature Review" Journal of Korean biological nursing science, 16(4): 267~275     

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