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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.10
- 수록면
- 108 - 119 (12page)
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Purpose : This study evaluated the nutritional status and effect of nutritional support team (NST) management in critically ill patients. Methods : From January 2015 to August 2017, the study retrospectively investigated 128 patients aged above 19 years admitted to a medical intensive care unit (MICU). The patients were divided into two groups: NST (n=65) and non-NST (n=63) groups. Nutritional status, classification of bedsore risks, incidence rate of bedsore and clinical outcomes were compared. Results : The study found a higher rate of the use of enteral nutrition in the NST group (χ2=45.60, p ＜ .001). The prescription rate of parenteral nutrition (PN) was found to be lower in the NST group (4.6%) compared to the non-NST group (60.3%). There was a higher PN of total delivered/required caloric ratio in the NST, compared to the non-NST, group (χ2=3.33, p =.025). There were significant differences for higher albumin levels (t=2.50, p =.014), higher total protein levels (t=2.94, p =.004), and higher proportion of discharge with survival rates (χ2=18.26, p ＜ .001) in the NST group. Conclusions : Providing NST management to critically ill patients showed an increase in the nutrition support. Further, to achieve effective clinical outcomes, measures such as nutrition education and continuous monitoring and management for the provision of nutritional support by the systemic administration of a nutritional support team should be considered.
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참고문헌 (20)
참고문헌 신청
Alberda, C. / 2009 / The relationship between nutritional intake and clinical outcomes in critically ill patients : Results of an international multicenter observational study / Intensive Care Medicine 35(10):1728~1737
Barr, J. / 2004 / Outcomes in critically ill patients before and after the implementation of an evidencebased nutritional management protocol / Chest 125(4):1446~1457
Braden, B. J. / 2005 / Preventing pressure ulcers with the braden scale: An update on this easyto-use tool that assesses a patient’s risk / The American Journal of Nursing 105(6):70~72
Correia, M. I. / 2003 / The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis / Clinical nutrition 22(3):235~239
Do, Y. / 2010 / Parenteral nutrition support and NST management in ICU patients / Journal of the Korean Society for Parenteral & Enteral Nutrition 3(1):54~60
Barr, J. / 2004 / Outcomes in critically ill patients before and after the implementation of an evidencebased nutritional management protocol / Chest 125(4):1446~1457
Braden, B. J. / 2005 / Preventing pressure ulcers with the braden scale: An update on this easyto-use tool that assesses a patient’s risk / The American Journal of Nursing 105(6):70~72
Correia, M. I. / 2003 / The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis / Clinical nutrition 22(3):235~239
Do, Y. / 2010 / Parenteral nutrition support and NST management in ICU patients / Journal of the Korean Society for Parenteral & Enteral Nutrition 3(1):54~60
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