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Journal of Korean Academy of Fundamentals of Nursing 2011;18(2): 168
중환자의 체중변화와 섭취량과 배설량 균형과의 관계
김화순1, 이영휘2, 이지수3, 이진영4, 추상순5, 이보경6
1인하대학교 간호학과
2인하대학교 간호학과
3인하대학교 간호학과
4인하대학교 간호학과
5인하대학교 간호학과
6인하대학교 간호학과
Relationship between Intake and Output Balance and Body Weight Changes in Intensive Care Unit Patients
Hwa-Soon Kim1, Young-Whee Lee2, Ji-Soo Lee3, Jin-Young Lee4, Sang-Soon Choo5, Bo-Gyeong Lee6
1Department of Nursing, Inha University
2Department of Nursing, Inha University
3Department of Nursing, Inha University
4Department of Nursing, Inha University
5Department of Nursing, Inha University
6Department of Nursing, Inha University
Abstract
Purpose: The purpose of this study was to identify differences between intake and output balance and body weight changes and to identify factors related to differences in critically ill patients.
Methods: The participants for this descriptive correlational study were 65 medical surgical ICU patients. The data were collected from patient medical records.
Results: Mean age of the patients was 63.80 years (${pm}15.21$). Body weight changes for 48 hours averaged 281.54g (${pm}2210.48$). I&O balance for 48 hours corrected for insensible loss averaged 398.1ml. Differences ranged from 45mL to 7,535mL. In the distribution of absolute difference between body weight change and intake and output balance, only 40% of the patients were within less than 1,000 mL. Factors relating to accurate measure of intake and output were ventilation methods, respiration patterns, and edema status.
Conclusion: Although mean values of weight change and I&O balance for all patients were very close, the range of differences was very wide indicating that, for many patients, intake and output is not an appropriate indicator of body fluid balance. Therefore, because of the frequency fever and/or hyperventilation, nurses need to use caution when using intake and output balance only to estimate current body fluid status for critically ill patients.
Key words: Critically ill | Fluid balance | Body fluid | Body weight
주요어: 중환자 | 체액균형 | 체액 | 체중
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