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Comparison between Fluid Intake and Output Measurement Methods of the Patients Hospitalized in Medical Units

내과 환자의 섭취량/배설량 측정법 비교 연구

  • Received : 2016.01.30
  • Accepted : 2016.02.29
  • Published : 2016.04.29

Abstract

Purpose: The purpose of this study was to compare the fluid intake and output (I&O) measurement methods in order to figure out more effective and easier method for medical patients Methods: 71 hospitalized patients participated in the study. In "liquid only (LO)" method, all amount of water was summed up including any liquid types of food and IV fluids. In "whole food(WF) intake," all liquid and solid food intake and IV fluids were added up. Results: The average amount of fluid intake was 2105.29 ml for LO method and 2523.54 ml for WF method. The average amount of fluid output was 2148.98 ml. The intra-class correlations (ICC) between the intake and output measures by the two different methods was 0.803 and 0.826, respectively. The correlation between the differences of intake/output and body weight change in two different methods was r=.347 (p=.003), and r=.376 (p=.001), respectively. Conclusion: The results of this study indicate that both LO and WF method may be useful in monitoring patients' fluid balance. Given the comparability of using LO over WF, it is suggested that measuring just liquid only intake as the indicator of patient's intake is applicable in clinical setting.

Keywords

References

  1. Kang NY. Nurses' perception and accomplishment of intake and output measurement, department of nursing [master's thesis]. Daejeon: Chungnam National University; 2014. p. 1-67.
  2. Timby BK. Fundamental nursing skills and concepts. 9th ed. Kim KS, Park YL, Yu SJ, Jang OJ, Choi JA, Choi HJ, et al. translator. Philadelphia, PA: Lippincott Williams &Wilkins; 2008.
  3. Alexander L, Allen D. Establishing an evidence-based inpatient medical oncology fluid balance measurement policy. Clinical Journal of Oncology Nursing. 2011;15(1):23-25. http://dx.doi.org/10.1188/11.cjon.23-25
  4. Wise LC, Mersch J, Racioppi J, Crosier J, Thompson C. Evaluating the reliability and utility of cumulative intake and output. Journal of Nursing Care Quality. 2000;14(3):37-42. http://dx.doi.org/10.1097/00001786-200004000-00005
  5. Meiner SE. Fluid balance documentation: A case study of daily weight and intake/output omissions. Geriatric Nursing. 2002;23(1):46-47.
  6. Yang YH, Choi-Kwon S, Kim EK, Sung IS. A study of the fluid balance of the patients on soft diets. Journal of Korean Academy of Nursing. 1996;26(3):688-696.
  7. Lee SJ, Song WS, Yoon SO. Correlation between the method of measurement of intake, output and the weight change-Lung resection patients. Paper presented at: The Samsung Medical Center Nursing Conference; 2004 September 23; Samsung Medical Center. Seoul.
  8. Choi-Kwon S, Yang YH, Jung Y. A study on fluid intake and output measurements. Journal of Korean Academy of Nursing. 1995;25(1):88-98.
  9. Eastwood GM, Nsg GD. Evaluating the reliability of recorded fluid balance to approximate body weight change in patients undergoing cardiac surgery. Heart & Lung. 2006;35(1):27-33. http://dx.doi.org/10.1016/j.hrtlng.2005.06.001
  10. Tang VC, Lee EW. Fluid balance chart: do we understand it?. Clinical Risk. 2010;16(1):10-13. http://dx.doi.org/10.1258/cr.2009.090005
  11. Lee KY, Kim DW, Kim SH, Lee SH, Lee SA, Jung MS, et al. Human physiology. Seoul: Hyunmunsa; 2009. p. 1-485.
  12. Lee CK, Kim YK, Seo MH, Lee KM, Lee JE. A study on fluid intake measurements. Korean Journal of Adult Nursing. 2013;25(5):567-573. http://dx.doi.org/10.7475/kjan.2013.25.5.567
  13. Lee JH, Park HJ, Kim JH, Suh EY. Measuring fluid balance in patients with cancers: Comparison between cumulative intake and output records and body weight change. Journal of Korean Oncology Nursing. 2011;11(3):247-253. http://dx.doi.org/10.5388/jkon.2011.11.3.247
  14. Potter PA, Perry AG. Fundamentral of nursing. 7th ed. Byun YS, Kang JH, Kwon YS, Kang JH, Park HS, Kim SH, et al. translator. St. Louis: Mosby; 2008.
  15. Kim H, Lee YW, Lee JS, Lee JY, Choo SS, Lee BG. Relationship between intake and output balance and body weight changes in intensive care unit patients. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(2):168-176.
  16. Mank A, Semin-Goossens A, Lelie JV, Bakker P, Vos R. Monitoring hyperhydration during high-dose chemotherapy: body weight or fluid balance?. Acta Haemaologica. 2003;109(4):163-168. http://dx.doi.org/10.1159/000070964
  17. Schneider AG, Baldwin I, Freitaq E, Glassford N, Bellomo R. Estimation of fluid status changes in critically ill patients: Fluid balance chart or electronic bed weight?. Journal of Critical Care. 2012;27(6):745. e7-745. e12. http://dx.doi.org/10.1016/j.jcrc.2011.12.017
  18. Daffurn K, Hillman KM, Bauman A, Lum M, Crispin C, Ince L. Fluid balance charts: do they mearsure up?. British Journal of Nursing. 1994;3(16):816-820. https://doi.org/10.12968/bjon.1994.3.16.816
  19. Chae BS, Kim ES. Nutrition Dictionary. Seoul: Academy Book; 1998.
  20. Bonett DG. Sample size requirements for estimating intraclass correlations with desired precision. Statistics in Medicine. 2002;21(9):1331-1335. http://dx.doi.org/10.1002/sim.1108
  21. National Institute of Agricultural Sciences. Food Composition Table [Internet]. WanJu; National Institute of Agricultural Sciences; 2011. Available from: http://koreanfood.rda.go.kr/kfi/fct/fctFoodSrch/list.
  22. Perren A, Markmann M, Merlani G, Marone C, Merlani P. Fluid balance in critically ill patients: Should we really rely on it?. Minerva Anestesiologica. 2011;77(8):802-811.
  23. Schneider AG, Thorpe C, Dellbridge K, Matalanis G, Bellomo R. Electronic bed weighing vs daily fluid balance changes after cardiac surgery. Journal of Critical Care. 2013;28(6):1113. e1-1113. e5. http://dx.doi.org/10.1016/j.jcrc.2013.07.056