내과 환자의 섭취량/배설량 측정법 비교 연구
Comparison between Fluid Intake and Output Measurement Methods of the Patients Hospitalized in Medical Units
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: 본 연구는 내과 환자를 대상으로 두 가지 방법의 섭취량/배설량 측정법을 비교하여, 보다 효율적이고 환자 순응도를 높일 수 있는 방법을 찾기 위해 시도되었다. Methods: 총 71명의 내과 환자가 본 연구에 참여하였다. “액체 방법”은 액체 형태의 음식 내 수분 함량만을 포함한 수분 섭취량과 정맥 주입량을 포함하며, “고체액체 방법”은 고형식 및 액체 등 모든 종류의 식품 내 수분 함량을 포함한 수분 섭취량과 정맥 주입량을 포함한다. SPSS 18.0 프로그램을 이용하여 자료 분석을 시행하였다. Result: 3일 평균 수분 섭취량은 “액체 방법”은 2105.29mL 였으며, “고체액체 방법“은 2523.54mL 로 나타났으며, 3일 평균 배설량은 2148.98mL 이었다. 섭취량과 배설량의 일치도는 ”액체 방법“은 0.803, 고체 액체 방법은 0.826 이었다. 섭취량/배설량 차이와 체중 변화와의 상관관계는 각각 r=.347 (p=.003), r=.375 (p=.001) 으로 나타났다. 두 방법 모두 체내 수분량 변화와 약한 정도의 양의 상관관계가 있었다(r=.287, p=.015; r=.289, p=.014). Conclusion: 본 연구 결과 두 가지 방법 모두 수분 균형을 사정하기 위한 방법으로 사용될 수 있음을 알 수 있었다. 따라서 간호 효용성과 환자 순응도 및 간편성을 고려해 볼 때, 내과계 환자에게 ”액체 방법“ 사용을 제안할 수 있다.
Abstract
Purpose: The purpose of this study was to compare the fluid intake and output (I&O) measurement methods in order to figure out more effective and easier method for medical patients Methods: 71 hospitalized patients participated in the study. In “liquid only (LO)” method, all amount of water was summed up including any liquid types of food and IV fluids. In “whole food(WF) intake,” all liquid and solid food intake and IV fluids were added up. Results: The average amount of fluid intake was 2105.29ml for LOmethod and 2523.54ml forWFmethod. The average amount of fluid output was 2148.98ml. The intra-class correlations (ICC) between the intake and output measures by the two different methods was 0.803 and 0.826, respectively. The correlation between the differences of intake/output and body weight change in two different methods was r=.347 (p=.003), and r=.376 (p=.001), respectively. Conclusion: The results of this study indicate that both LOand WF method may be useful in monitoring patients’ fluid balance. Given the comparability of using LOoverWF, it is suggested that measuring just liquid only intake as the indicator of patient’s intake is applicable in clinical setting.
참고문헌 (23)
- Kang NY, "Nurses’ perception and accomplishment of intake and output measurement, department of nursing", master, pp.2014
- Timby BK, "Fundamental nursing skills and concepts" (2008), Lippincott Williams &Wilkins
- Lindsey Alexander, "Establishing an Evidence-Based Inpatient Medical Oncology Fluid Balance Measurement Policy", Clinical Journal of Oncology Nursing, 15(1), pp.23~25 (2011), Oncology Nursing Society (ONS)[DOI]
- Lowell C. Wise, "Evaluating the Reliability and Utility of Cumulative Intake and Output", Journal of Nursing Care Quality, 14(3), pp.37~42 (2000), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Meiner SE, "Fluid balance documentation : Acase study of daily weight and intake", output omissions, 2002, pp.23(1), 46~47
- Yang YH, "Astudy of the fluid balance of the patients on soft diets", Journal of Korean Academy of Nursing, 26(3), pp.688~696 (1996)
- Lee SJ, "Correlation between themethod of measurement of intake, output and the weight change-Lung resection patients", Paper presented at: The SamsungMedical Center Nursing Conference (2004), Samsung Medical Center
- Choi-Kwon S, "A study on fluid intake and output measurements", Journal of Korean Academy of Nursing, 25(1), pp.88~98 (1995)
- Glenn M. Eastwood, "Evaluating the reliability of recorded fluid balance to approximate body weight change in patients undergoing cardiac surgery", Heart & Lung: The Journal of Acute and Critical Care, 35(1), pp.27~33 (2006), Elsevier BV[DOI]
- Vincent CY Tang, "Fluid balance chart: do we understand it?", Clinical Risk, 16(1), pp.10~13 (2010), SAGE Publications[DOI]
- Lee KY, "Human physiology", pp.1~485 (2009), Hyunmunsa
- 이창관, "수분 섭취량 측정법에 관한 연구", 성인간호학회지, 25(5), pp.567~573 (2013), 성인간호학회
- 이진홍, "암환자의 수분 균형 상태 사정 방법 비교: 수분 섭취 및 배설량 측정법과 체중측정법", Asian Oncology Nursing, 11(3), pp.247~253 (2011), 대한종양간호학회
- Potter PA, "Fundamentral of nursing" (2008), Mosby
- 김화순, "중환자의 체중변화와 섭취량과 배설량 균형과의 관계", 기본간호학회지, 18(2), pp.168~176 (2011), 기본간호학회
- A. Mank, "Monitoring Hyperhydration during High-Dose Chemotherapy: Body Weight or Fluid Balance?", Acta Haematologica, 109(4), pp.163~168 (2003), S. Karger AG[DOI]
- Antoine G. Schneider, "Estimation of fluid status changes in critically ill patients: Fluid balance chart or electronic bed weight?", Journal of Critical Care, 27(6), pp.745.e7~745.e12 (2012), Elsevier BV[DOI]
- Daffurn K, "Fluid balance charts : do theymearsure up?", British Journal of Nursing, 3(16), pp.816~820 (1994)
- Chae BS, "Nutrition Dictionary" (1998), Academy Book
- Douglas G. Bonett, "Sample size requirements for estimating intraclass correlations with desired precision", Statistics in Medicine, 21(9), pp.1331~1335 (2002), Wiley-Blackwell[DOI]
- "Food Composition Table" (2011)[URL]
- Perren A, "Fluid balance in critically ill patients : Shouldwe really rely on it?", Minerva Anestesiologica, 77(8), pp.802~811 (2011)
- Antoine Guillaume Schneider, "Electronic bed weighing vs daily fluid balance changes after cardiac surgery", Journal of Critical Care, 28(6), pp.1113.e1~1113.e5 (2013), Elsevier BV[DOI]