지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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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 (±15.21). Body weight changes for 48 hours averaged 281.54g (±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.
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REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Chung, L.H / 2002 / The efficiency of fluid balance charting: An evidence-based management project / Journal of Nursing Management 10 : 103 ~ 113
2. [학술지(정기간행물)] - Daffurn, K / 1994 / Fluid balance charts: do they measure up?. British Journal of Nursing / Nursing 3 (16) : 816 ~ 820
3. [학술지(정기간행물)] - Eastwood, G / 2006 / Evaluating the reliability of recorded fluid balance to approximate body weight change in patients undergoing cardiac surgery / Heart & Lung 35 (1) : 27 ~ 33
4. [학술지(정기간행물)] - Gil, C / 2003 / Accumulated fluid balance in patients admitted to the ICU: Is it really reliable / Enfermeria Intensiva 14 (4) : 148 ~ 155
5. [학술지(정기간행물)] - Gross, C. R / 1992 / Clinical indicators of dehydration severity in elderly patients / Journal of Emergency Medicine 10 (3) : 267 ~ 274
2. [학술지(정기간행물)] - Daffurn, K / 1994 / Fluid balance charts: do they measure up?. British Journal of Nursing / Nursing 3 (16) : 816 ~ 820
3. [학술지(정기간행물)] - Eastwood, G / 2006 / Evaluating the reliability of recorded fluid balance to approximate body weight change in patients undergoing cardiac surgery / Heart & Lung 35 (1) : 27 ~ 33
4. [학술지(정기간행물)] - Gil, C / 2003 / Accumulated fluid balance in patients admitted to the ICU: Is it really reliable / Enfermeria Intensiva 14 (4) : 148 ~ 155
5. [학술지(정기간행물)] - Gross, C. R / 1992 / Clinical indicators of dehydration severity in elderly patients / Journal of Emergency Medicine 10 (3) : 267 ~ 274
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UCI(KEPA) : I410-ECN-0101-2013-512-000853934