行經冠狀動脈繞道手術術後一星期的營養探討

謝素琴

doi:10.6342/NTU.2011.02178

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行經冠狀動脈繞道手術術後一星期的營養探討

The One Week Nutrition Survey of Patients undergoing Coronary Artery Bypass Graft Surgery

謝素琴 , Masters　　Advisor：陳佳慧　　

繁體中文 DOI： 10.6342/NTU.2011.02178

冠狀動脈手術；營養差距；營養評估；體重改變； Coronary Artery Bypass Graft Surgery ； Energy Deficit ； Nutrition Survey ； Weight Loss

Abstract │ Reference (80) │ Times Cited (1) │ Altmetrics

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Energy deficit, defined by the discrepancies between recommended and actual oral caloric intake was a common problem in acute and critical care settings. The aim of this study was to evaluate the energy deficit one week after patients undergoing coronary artery bypass graft surgery. The nutritional status of these patients was also evaluated following the hospitalization at three time points: admission, before discharge, and 2-4 weeks after hospital discharge. The sample consists of 43 participants who were scheduled for an elective coronary artery bypass graft surgery from April to September 2010 at a 2200-bed unban medical center. All participants’ resting energy expenditures were measured once by Indirect Calorimetry within 24 hours after surgery. The obtained resting energy expenditure times 1.2 was then defined as recommended energy requirement. Participants were closely monitored on their actual calorie intake through 7-day daily intake food record to calculate the energy deficit. A structured nutrition assessment including anthropometrics and a Mini-Nutritional Assessment Questionnaire was conducted three times following hospitalization. 
Data revealed that energy deficit between recommended and actual intake were -1847.3±465.5 kcal on surgical day. On day 7, this deficit was -712.3±530.4 kcal. The accumulated mean deficit within 7 days was 7713.6±3100.5 kcal. The energy intake failed to exceed 75% of daily requirement on all 7 days for 53.3% of the sample. The average daily energy intake failed to 50% of daily requirement on all 7 days for 21% of the sample. Weight change was significant with 97% participants experienced weight loss and lost on average of 2.73±2.30 Kg by discharge. Most nutrition parameters declined 2-4 weeks following hospitalization. 
The result suggests that energy deficit and weight loss was common among patients undergoing coronary artery bypass graft surgery.

Reference ( 80 ) 〈TOP〉

行政院衛生署（1998）．台灣常見食品營養圖鑑．
連結：
行政院衛生署（2010，10月1日）．食品藥物管理局．台灣地區食品營養成份
連結：
柯玟玟、蔡仲弘（2009）．以簡易營養評估（MNA）台灣修訂版評估內科住院病患的營養狀況．未發表的論文，台中：亞洲大學。
連結：
潘文涵（1998）．國民營養健康狀況變遷老人調查1998-1999訓練手冊I & II，台北：國民健康局。
連結：
蔡玉純、楊福麟、邱艷芬、張芙美、李茹萍（2006）．消化道重症手術病患之營養狀況、疾病嚴重度及術後合併症與預後之關係．台灣醫學，10(1)，1-9。
連結：

Times Cited (1) 〈TOP〉

歐乃欣(2013)。心臟手術後卡路里攝取差異對身體活動功能之影響。臺灣大學護理學研究所學位論文。2013。1-77。

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