경관급식환자의 급식실태 및 영양상태 조사연구

다국어 초록 (Multilingual Abstract)

This study was performed to investigate the status of neurosurgical tube-fed patients and to estimate nutritional assessment through biochemical measurements. The objective of this study was to improve the nutrition management of tube-fed patients.
The current practices of tube feeding and enteral nutrition formulas for 95 persons at one hospital were examined by reviewing the patient's charts, and interviewing patients, nurses and their family members. The nutritional status by age, tube feeding duration, mental state, diagnosis and formula type was examined by nutrient intake and biochemical parameters that included GOT, GPT, total protein, serum albumin, BUN, creatinine, hemoglobin, and hematocrit.
The results are summarized as follows:
1. 57.9% of patients that received the formula showed neurological symptoms. Among the subjects, 55.7% had nervous system diseases due to senility. Most of the tube fed patients were hospitalized in the emergency room and while hospitalized, the status of their respiratory organs was abnormal. The method of tube-feeding was by Bolus injection, and the type of the tube was a 16--18 Fr. size silicone tube.
The daily intakes of tube-feeding were on average 1424 kcal for men and 1322 kcal for women. The injection volume averaged 332.7 ml and 45% of patients received more then 300ml per injection. The tube-feeding intake rate was 127.9 ml/min and 50% of subjects were received at the rate of 50-100 ml/min, and 10% at 200 ml/min.
2. According to biochemical observations on patients tube-fed due to old age diseases between the start of hospitalization and after tube feeding, total protein and serum albumin were decreased after tube feeding GOT and total protein were decreased in biochemical examinations on trauma tube-fed patients of after tube feeding. The longer the hospitalization, the more decreased were the biochemical parameters.

목차 (Table of Contents)

• 목차 = 0
• Ⅰ. 서론 = 1
• 1. 연구의 필요성 및 목적 = 1
• Ⅱ. 이론적 배경 = 5
• 1. 경관급식의 적용 = 5
• 1) 경장영양 = 5
• 2) 경관급식의 투여 = 5
• 3) 경관유동식의 종류 = 9
• 2. 경관급식환자의 영양상태 평가 = 11
• Ⅲ. 연구방법 = 13
• 1. 조사대상 및 기간 = 13
• 2. 조사내용 및 조사방법 = 13
• 1) 조사대상자의 일반적 특성조사 = 13
• 2) 경관급식환자의 관리현황 = 13
• 3) 경관유동식의 종류, 식이처방 및 투여현황 = 13
• 4) 설사유발환자의 급식 현황 = 14
• 5) 생화학적 조사 = 14
• 3. 자료처리 및 분석 = 14
• Ⅳ. 연구결과 및 고찰 = 15
• 1. 전체대상자의 일반적 특성 = 15
• 2. 경관용 튜브의 특성 및 관리 = 22
• 3. 경관유동식의 섭취와 특성 및 영양지원 상황 = 24
• 1) 경관유동식의 투여방법 및 투여율 = 24
• 2) 경관유동식의 투여용량 및 투여횟수 = 26
• 4. 생화학적 영양상태 평가 = 29
• 1) 경관급식환자의 질환군에 따른 입원초기와 경관급식후의 생화학적 검사치의 변화 = 29
• 2) 경관급식환자의 입원기간에 따른 생화학적 검사치의 비교 = 33
• Ⅴ. 결론 및 요약 = 35
• 참고문헌 = 38
• 영문초록 = 42