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KMID : 0608220110170010079
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Journal of Korean Society of Quality Assurance in Health Care
2011 Volume.17 No. 1 p.79 ~ p.88
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Effects of Nutritional Interventions based on Enteral Nutrition Guidelines for Neurosurgical Intensive Care Unit Patients
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Han Jung-Hee
Kim Young-Ran
Lee Young-Min
Kim Ae-Lee
Kim Ho-Jin
Jeong Young-Gyun
Ryu Jeong-Ha
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Abstract
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Background : Evidence-based guidelines are now used for enteral nutrition(EN) in neurosurgical intensive care unit patients who mostly depend on EN. This study compared and analyzed the nutritive conditions of patients before and after they underwent guideline based nutritional interventions in order to determine whether using these guidelines improved their calorie supply. Methods : Data on the patients’ nutritional requirements, maximum calorie supply through EN, serum albumin level, and total lymphocyte count were collected and analyzed using SAS version 9.1.3. All the statistical analyses were performed at a significance level of P<0.05. Result : The maximum calorie supply through EN was kcal before the intervention and kcal after the intervention; this difference was statistically significant(P<0.05). The ratio of nutritional requirements to maximum calorie supply through EN was and before and after the intervention, respectively; this difference was statistically significant(P<0.05). This indicates a 19% increase in the ratio after the nutritional intervention. The serum albumin level also significantly increased from before the intervention to after the intervention(P<0.05). The total lymphocyte count slightly increased from before the intervention to after the intervention; this difference was not statistically significant. Conclusion : The results showed that using the evidence-based feeding guidelines for interventions increased the calorie supply and improved the patients’ nutritive conditions from moderate malnutrition to mild malnutrition.
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KEYWORD
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Enteral nutrition, Critically ill patients, Malnutrition
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