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심장수술 받은 영아의 영양중재프로그램 개발 및 적용

 Development and Application of a Feeding Program for Infants Postoperatively following Cardiac Surgery

Journal of Korean Academy of Nursing 2009년 39권 4호 p.508 ~ 517
KMID : 0806120090390040508
문주령 ( Moon Ju-Ryoung ) - 성균관대학교 의과대학 삼성서울병원 심장혈관센터

양지혁 ( Yang Ji-Hyuk ) - 성균관대학교 의과대학 흉부외과학교실
허준 ( Huh June ) - 성균관대학교 의과대학 삼성서울병원 소아청소년과
조용애 ( Cho Yong-Ae ) - 삼성서울병원 간호교육파트
민선인 ( Min Sun-In ) - 삼성서울병원 흉부외과중환자실
정연이 ( Jung Yeon-Yi ) - 삼성서울병원 진료개선팀

Abstract

Purpose: Despite recent advances in the surgical and postoperative management of infants with congenital heart disease, nutritional support for this population is often suboptimal. The purpose of this study was to develop a nutritional program for the postoperative period for infants who have had cardiac surgery and to evaluate effects of the program.

Methods: A quasi-experimental design with pretest and posttest measures was used. A newly developed nutritional program including a feeding protocol and feeding flow was provided to the study group (n=19) and usual feeding care to the control group (n=19). The effects of the feeding program were analyzed in terms of total feed intake, total calorie intake, gastric residual volume, and frequency of diarrhea.

Results: Calorie intake and feeding amount in the study group were significantly increased compared to the control group. However, the two groups showed no significant differences in gastric residual volume and frequency of diarrhea.

Conclusion: The results indicate that the nutritional program used in the study is an effective nursing intervention program in increasing feeding amount and calorie intake in infants postoperative to cardiac surgery and does not cause feeding-related complications.
KeyWords
영양중재프로그램, 심장수술, 선천성 심질환
Nutritional program, Cardiac surgery, Congenital heart disease
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed