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

심장수술 받은 영아의 영양중재프로그램 개발 및 적용

  • Moon, Ju-Ryoung (Cardiac & Vascular Center, Samsung Medical Center) ;
  • Cho, Yong Ae (Nursing Staff Development, Samsung Medical Center) ;
  • Min, Sun-In (Cardiac Intensive Care Unit, Samsung Medical Center) ;
  • Yang, Ji-Hyuk (Thoracic and Cardiovascular Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Huh, June (Department of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Jung, Yeon-Yi (Clinical Quality Improvement Team, Samsung Medical Center)
  • 문주령 (삼성서울병원 심장혈관센터) ;
  • 조용애 (삼성서울병원 간호교육팀) ;
  • 민선인 (삼성서울병원 흉부외과중환자실) ;
  • 양지혁 (성균관의대 흉부외과) ;
  • 허준 (성균관의대 소아청소년과) ;
  • 정연이 (삼성서울병원 진료개선팀)
  • Published : 2009.08.28

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

References

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