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폐흡인군과 비폐흡인군의 측정 시간대 별 기관분비액 당농도와 경장영양액 제공 방법 비교

 Comparison of Glucose Concentration of Tracheal Secretions by Measuring Times and Feeding Methods in Enterally Fed Patients

성인간호학회지 2006년 18권 5호 p.718 ~ 726
KMID : 0367020060180050718
김화순 ( Kim Hwa-Soon ) - 인하대학교 간호학과

윤미자 ( Yoon Mi-Ja ) - 인하대학교 간호학과

Abstract

Purpose: The purpose of this study was to investigate differences between a pulmonary aspiration group and a non-pulmonary aspiration group in glucose concentration of tracheal secretions by measuring time and feeding methods.

Method: The subjects were 36 ICU patients who were receiving formula via nasogastric tubes and had endotracheal tubes or tracheostomy tubes. Tracheal secretions were collected by connecting suction traps to a suction catheter in three different times(within 1 hour after feeding, between 1 to 2 hours after feeding, and between 2 to 3 hours after feeding) for 2 days, overall six times. Glucose concen- tration of tracheal secretions was measured with the glucometer(Accucheck Ⅱ).

Results: Glucose concentration of tracheal secretions increased in progression after feeding. The mean of specimens collected last(between two to three hours after feeding) was shown to be the highest value(M= 61.61㎎/㎗) in the pulmonary aspiration group. Significantly(p=.000) more subjects(94.44%) in the pulmonary aspiration group received formula via a 50cc syringe than those in the non- pulmonary aspiration group(22.22%).

Conclusion: Critically ill patients may need more time for head-elevation after tube feeding to prevent pulmonary aspiration. In practice, enteral formula should not be given the patients via a 50㏄ syringe anymore, instead a feeding bag or infusion pump should be used to prevent pulmonary aspiration.
KeyWords
경장영양, 폐흡인, 당농도, 기관분비액
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학술진흥재단(KCI) KoreaMed