내과 환자의 섭취량/배설량 측정법 비교 연구 = Comparison between Fluid Intake and Output Measurement Methods of the Patients Hospitalized in Medical Units

다국어 초록 (Multilingual 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 (Reference)

1 김화순, "중환자의 체중변화와 섭취량과 배설량 균형과의 관계" 기본간호학회 18 (18): 168-176, 2011

2 이진홍, "암환자의 수분 균형 상태 사정 방법 비교: 수분 섭취 및 배설량 측정법과 체중측정법" 대한종양간호학회 11 (11): 247-253, 2011

3 이창관, "수분 섭취량 측정법에 관한 연구" 성인간호학회 25 (25): 567-573, 2013

4 Douglas G. Bonett, "Sample size requirements for estimating intraclass correlations with desired precision" Wiley-Blackwell 21 (21): 1331-1335, 2002

5 Chae BS, "Nutrition Dictionary" Academy Book 1998

6 Kang NY, "Nurses’ perception and accomplishment of intake and output measurement, department of nursing" ChungnamNationalUniversity 2014

7 A. Mank, "Monitoring Hyperhydration during High-Dose Chemotherapy: Body Weight or Fluid Balance?" S. Karger AG 109 (109): 163-168, 2003

8 Lee KY, "Human physiology" Hyunmunsa 1-485, 2009

9 Potter PA, "Fundamentral of nursing" Mosby 2008

10 Timby BK, "Fundamental nursing skills and concepts" Lippincott Williams &Wilkins 2008

11 National Institute ofAgricultural Sciences, "Food Composition Table" National Institute of Agricultural Sciences

12 Perren A, "Fluid balance in critically ill patients : Shouldwe really rely on it?" 77 (77): 802-811, 2011

13 Meiner SE, "Fluid balance documentation : Acase study of daily weight and intake/output omissions" 23 (23): 46-47, 2002

14 Daffurn K, "Fluid balance charts : do theymearsure up?" 3 (3): 816-820, 1994

15 Vincent CY Tang, "Fluid balance chart: do we understand it?" SAGE Publications 16 (16): 10-13, 2010

16 Glenn M. Eastwood, "Evaluating the reliability of recorded fluid balance to approximate body weight change in patients undergoing cardiac surgery" Elsevier BV 35 (35): 27-33, 2006

17 Lowell C. Wise, "Evaluating the Reliability and Utility of Cumulative Intake and Output" Ovid Technologies (Wolters Kluwer Health) 14 (14): 37-42, 2000

18 Antoine G. Schneider, "Estimation of fluid status changes in critically ill patients: Fluid balance chart or electronic bed weight?" Elsevier BV 27 (27): 745.e7-745.e12, 2012

19 Lindsey Alexander, "Establishing an Evidence-Based Inpatient Medical Oncology Fluid Balance Measurement Policy" Oncology Nursing Society (ONS) 15 (15): 23-25, 2011

20 Antoine Guillaume Schneider, "Electronic bed weighing vs daily fluid balance changes after cardiac surgery" Elsevier BV 28 (28): 1113.e1-1113.e5, 2013

21 Lee SJ, "Correlation between themethod of measurement of intake, output and the weight change-Lung resection patients" Samsung Medical Center 2004

22 Yang YH, "Astudy of the fluid balance of the patients on soft diets" 26 (26): 688-696, 1996

23 Choi-Kwon S, "A study on fluid intake and output measurements" 25 (25): 88-98, 1995