| 영양집중지원에 따른 결과 비교 - 내과계 중환자실 대상으로 - |
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임완순, 이윤미 |
1인제대학교 해운대백병원
2인제대학교 간호학과, 건강과학연구소 |
| Effect of Nutrition Support Team Management: Focusing on Medical Intensive Care Unit Patients |
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Waon Sun Im, Yun Mi Lee |
1Registered Nurse, Inje University Haeundae Paik Hospital, Busan, Korea.
2Professor, Department of Nursing, Institute of Health Science, Inje University, Busan, Korea. lym312@inje.ac.kr |
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| Abstract |
PURPOSE
This study evaluated the nutritional status and effect of nutritional support team (NST) management in critically ill patients.
METHOD
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.
CONCLUSION
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. |
| Key Words:
Critically ill, Nutrition status, Nutritional support |
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