입원환자의 비위관 영양에 관한 조사 - 광주 • 전남지역 병원중심으로 -

A Study on the Naso-Gastric Tube Feeding in Hospitalized Patients

The purpose of this study is to examine the practice of naso-gastric tube feeding in the clinical settings of Gwangju city and Chonnam province. The results are based on questionnaires sent by mail with a sample of 120 wards of 25 hospitals over 100 beds, conducted June 2001. The response rate was 83.3%. The results could be summarized as follows: 1. In general, most hospitals of surveyed were general hospitals(65%), and 31.6% of the data were collected in ICUs. The mean number of beds was 361. 2. In terms of naso-gastric tube feeding, the bolus method, which is pressing with a syringe, represented 74%, the drip method using a feeding bag represented 8% and the combination method of the bolus and drip represented 18% respectively. 3. The reasons for choosing the bolus method were as follows; It’s the easiest method of all the methods to inject with a syringe(61 .4%). Given the conditions of hospitals, it’s difficult to use the feeding bags(39.8%). The costs of feeding bags would be a financial burden to patients(38.6%). The reasons for choosing the drip method were as follows: Fewer side effects were reported(81.1 %). Since nurses themselves don’t have to inject. caring time could be shortened(51 .4%). It’s easy and simple to use the feeding bags(45.9%). 4. Those surveyed have been all using Levin tube. Most Levin tubes(51.4%) which have been used among adults are 18Fr in width. Most Levin tubes(34.8%) which have been used among children are 12Fr in width. 5. Many feeding bags(38.5%) were used over two weeks. 6. The injection speed of the bolus method was averaged 35.32ml/min. The injection speed of the drip method was averaged 26.95ml/min. There was a significant difference between the mean speed of two methods(p=0.04). 7. 36.7% of those surveyed said that they were providing patients with a additional fiber diet and 62.3% didn t. And additional fiber diet mixed with naso-gastric feeding diet in the hospita(75.0%) was the highest in the types of additional fiber diet. The results suggested that more empirical research should be conducted to develop nursing practice to reduce risk factors for upper digestive intolerance and their complications during enteral nutrition.