Ju Ryoung Moon; Yong Ae Cho; Sun In Min; Ji-Hyuk Yang; June Huh; Yeon Yi Jung

doi:10.4040/jkan.2009.39.4.508

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Original Article
Development and Application of a Feeding Program for Infants Postoperatively following Cardiac Surgery: Ju Ryoung Moon, Yong Ae Cho, Sun In Min, Ji-Hyuk Yang, June Huh, Yeon Yi Jung; Journal of Korean Academy of Nursing 2009;39(4):508-517.
DOI: https://doi.org/10.4040/jkan.2009.39.4.508
Published online: August 31, 2009

¹Critical Care Advanced Practice Nurse, Cardiac & Vascular Center, Samsung Medical Center, Seoul, Korea.

²Director of Nursing Staff Development, Samsung Medical Center, Seoul, Korea.

³Nursing Manager of Cardiac Intensive Care Unit, Samsung Medical Center, Seoul, Korea.

⁴Assistant Professor, Thoracic and Cardiovascular Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.

⁵Associate Professor, Department of Pediatrics, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.

⁶Director of Clinical Quality Improvement Team, Samsung Medical Center, Seoul, Korea.

Address reprint requests to: Jung, Yeon Yi. Department of Quality Assurance, Samsung Medical Center, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea. Tel: 82-2-3410-3055, Fax: 82-2-3410-2850, yoenyi.jung@samsung.com

• Received: October 25, 2008 • Accepted: July 18, 2009

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Abstract
NOTES
REFERENCES

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: Nutritional program; Cardiac surgery; Congenital heart disease

This study was financially supported by the research fund of nursing department of Samsung Medical Center in 2006.

REFERENCES

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Figure 1

Flow diagram.

Figure 2

Feeding protocol.

Table 1

Homogeneity Test of General and Clinical Characteristics between Experimental and Control Group

^*Fisher's exact test.

VSD=ventricular septal defect; CoA=coarctation of the aorta; PA=pulmonary atresia; TGA=transposition of the great arteries; TAPVR=total anomalous pulmonary venous return; ICU=intensive care unit.

Table 2

Comparison of Intake between Experimental and Control Group

^*Outcomes of 3rd, 4th, 5th, 6th day were significantly different from those of 2nd day by Bonferroni multiple comparison (p<.05) for experimental group; ^†Outcomes of 2nd, 3rd, 4th, 5th, 6th day were significantly different from those of 1st day by Bonferroni multiple comparison (p<.05) for experimental group.

POD=postoperative day; Exp.=experimental group; Con.=control group; G=group; T=time.

Table 3

Incidence of Gastrointestinal Complication

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2009;39(4):508-517. Published online August 31, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.4.508

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

Figure 1 Flow diagram.

Figure 2 Feeding protocol.

Figure 1

Figure 2

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

Table 1

Homogeneity Test of General and Clinical Characteristics between Experimental and Control Group

^*Fisher's exact test.

VSD=ventricular septal defect; CoA=coarctation of the aorta; PA=pulmonary atresia; TGA=transposition of the great arteries; TAPVR=total anomalous pulmonary venous return; ICU=intensive care unit.

Table 2

Comparison of Intake between Experimental and Control Group

POD=postoperative day; Exp.=experimental group; Con.=control group; G=group; T=time.

Table 3

Incidence of Gastrointestinal Complication

Table 1 Homogeneity Test of General and Clinical Characteristics between Experimental and Control Group

^*Fisher's exact test.

VSD=ventricular septal defect; CoA=coarctation of the aorta; PA=pulmonary atresia; TGA=transposition of the great arteries; TAPVR=total anomalous pulmonary venous return; ICU=intensive care unit.

Table 2 Comparison of Intake between Experimental and Control Group

POD=postoperative day; Exp.=experimental group; Con.=control group; G=group; T=time.

Table 3 Incidence of Gastrointestinal Complication