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NTIS 바로가기성인간호학회지 = Korean Journal of Adult Nursing, v.25 no.4, 2013년, pp.444 - 453
Purpose: The purpose of this study was to describe the differences between early and delayed enteral nutrition on nutritional intake. Methods: A pilot cohort study was conducted with 45 critically ill adult patients who had a primary medical diagnosis. Energy prescribed and received were collected d...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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경구로 영양섭취가 불가능한 중환자들은 어떻게 영양섭취를 하는가? | 중환자들의 영양불량을 예방하거나 개선시키기 위해서는 충분한 영양공급을 제공하는 것이 중요하다. 경구로 영양섭취가 불가능한 중환자들에게 있어, 위관이나 위루를 이용한 경관영양은 주된 영양공급방법이다. 그러나 불충분한 영양섭취는 경관영양을 공급받는 중환자들에게 있어 지속적인 문제로 보고되고 있다. | |
중환자실 자들에서 조기 경관영양공급의 합병증은? | 비록 조기 경관영양공급이 중환자에게 이로울 것이라도 여겨지고 있을지라도, 연구마다 일관되지 못한 결과를 보고하고 있으며 아직 이에 대한 정확한 근거는 불확실하다(Huang, Hsu, Kang, Liu, & Chang, 2012). 게다가 중환자실 환자들에서 조기 경관영양공급시의 합병증인 위장관계 불내성, 흡인성 폐렴, 설사 등에 대한 두려움으로 인하여 경관영양을 시작하는 시점에 대한 논란이 계속되고 있다(Woo et al., 2010). | |
중환자들의 영양섭취 부족을 개선하기 위한 조기 경관영양공급의 장점은? | , 2010). 조기 경관영양공급은 장점막을 보호하여 위장관계 출혈을 예방하며, 면역기능을 향상시키고, 중증질환에 대한 과대사반응을 감소시켜 질소균형을 향상시킬 수 있다고 보고되었다(Artinian, Krayem, & DiGiovine, 2006; McClave, Spain, Lukan, Lowen, & Dryden, 2004). 특히 입원 첫 24~48시간 이내에 시행한 조기 경관영양은 감염 등의 합병증을 예방하며 임상적 회복을 증진시켜 중환자실 재원일 및 의료비용의 지출을 감소시킬 수 있는 이점을 가지고 있다(Doig, Heighes, Simpson, Sweetman, & Davies, 2009). |
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