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題名 | Energy Intake for Hospitalized Patients With Tube Feeding=住院管餵病人熱量攝取情形之探討 |
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作者 | 劉秀英; 陳維昭; | 書刊名 | 中華民國營養學會雜誌 |
卷期 | 16:3/4 民80.10 |
頁次 | 頁177-189 |
分類號 | 419.24 |
關鍵詞 | 住院; 病人; 情形; 管餵; 熱量; 攝取; |
語文 | 英文(English) |
中文摘要 | 本研究在探討每位管餵病人熱量攝取情形和其熱量需求間的差異,並找出減少灌食的原因。病人之熱量需求係使用間接性熱量測定(Indirect calorimeby)及Harris-Benedict Equation來加以推算,並比較兩種不同測定方法之間的差異。研究對象為31位住院的管餵病人,就其每天灌食情形加以記錄,並分析減少灌食的原因。每位病人於灌食開始即接受間接性熱量測定以得REE(Resting Energy Expenditure並計算其BEE(Basal Energy Expenditure)。結果:這31位病人之平均REE為1274 ± 49Kcal,BEE平均為1306 ± 37KcaI,二者間並無顯著差異。這些病人之平均每天攝取量為1688 ± 32Kcal,為平均理想熱量1820 ±14Kcal的93,理想熱量(energy goal,的計算是由BEE平均乘上1.4倍。熱量的攝取於餵食的第9天後達到理想熱量,此外,有17的總理想熱量被中斷餵食,其原因包括:腸胃耐受性不良(46.9)、病人個別因素(25.3)、因治療或檢查所需的禁食(10.6)、處方熱量不足(9.6)、拔管(2.6)及不明原因(5.0)。 |
英文摘要 | This study was carried out to evaluate caloric intake of tube feeding patients relative to their energy needs, as well as to identic factors contributing to diminished feeding intake. The differences between measured resting energy expenditure (REE) andpredicted basal energy expenditure (BEE) were also observed. Thirty-one patients werestudied. Patient's REE was measured by indirect calorimetry and BEE was predictedby using the Harris-Benedict Equation. The patient's energy goal was averaged 1.4times of BEE. The results of this study demonstrated that there was no significant difference between measured REE and predicted BEE. Intake averaged 1688 ±32 kcalper day which was 93 of the mean energy goal (1820 ±14 kcal). The daily caloric intake did not reach their energy goal until the ninth day of the feeding. Seventeen percent of the total energy goal calories were lost due to the following reasons: gastrointestinal intolerance (46.9), patient's factor (25.3) medical procedures (10.6), orderdeficiency (9.6), extubation (2.6) and unknown (5.0). |
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