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폐절제술을 받은 폐암환자의 영양섭취 상태와 수술 후 폐합병증

Nutritional Intake and Postoperative Pulmonary Complications among Lung Cancer Patients who Underwent Pulmonary Resection

Journal of Korean Biological Nursing Science 2021년 23권 1호 p.11 ~ 21
이선혜, 이해정, 현수경, 이미순, 김도형, 김영대,
소속 상세정보
이선혜 ( Lee Seon-Hye ) - Pusan National University College of Nursing
이해정 ( Lee Hae-Jung ) - Pusan National University College of Nursing
현수경 ( Hyun Soo-Kyung ) - Pusan National University College of Nursing
이미순 ( Lee Mi-Soon ) - Changshin University Department of Nursing
김도형 ( Kim Do-Hyung ) - Pusan National University Yangsan Hospital Department of Thoracic and Cardiovascular Surgery
김영대 ( Kim Yeong-Dae ) - Pusan National University Hospital Department of Thoracic Surgery

Abstract


Purpose: The aim of this study was to examine the nutritional intake status of the lung cancer patients who underwent pulmonary resection and to analyze the relationship between the status of the nutritional intake and the occurrence of postoperative pulmonary complications.

Methods: This study was a secondary analysis to determine whether the changes in the nutritional intake after surgery were related to pulmonary complications. Data of a total of 89 patients were included in the analysis and the nutritional intake status was confirmed using a 24-hour dietary recall method. The data were analyzed by descriptive statistics, chi-square or Fisher’s exact test, and ANOVA using the SPSS WIN 26.0 program and word clouds were generated using the R software program.

Results: Overall, a decrease in the postoperative nutritional intake was observed in the patients who underwent pulmonary resection, except for the intake of fat. The pulmonary complications were identified to be associated with BMI and the presence of comorbidity. Twenty-three out of 74 patients with vitamin E levels below the Estimated Average Requirements developed pulmonary complications after surgery.

Conclusion: Lung cancer patients who underwent pulmonary resection generally have difficulty in acquiring appropriate nutritional intake and need balanced nutritional management. Future investigations on the impact of increased vitamin E intake on postoperative pulmonary complications may provide better insight into the relationship between vitamin E intake and pulmonary complication among patients who underwent pulmonary resection.

키워드

폐암; 수술 후 합병증; 영양상태; 비타민E
Lung Neoplasms; Postoperative Complications; Nutritional Status; Vitamin E

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