J Korean Acad Nurs.  2009 Aug;39(4):508-517. 10.4040/jkan.2009.39.4.508.

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

• Moon JR
• Cho YA
• Min SI
• Yang JH
• Huh J
• Jung YY

• KMID: 820228
• DOI: http://doi.org/10.4040/jkan.2009.39.4.508

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.

Keyword

Nutritional program; Cardiac surgery; Congenital heart disease

MeSH Terms

Diarrhea/complications/etiology
Enteral Nutrition/*methods/standards
Female
Heart Diseases/*surgery
Humans
Infant
Infant, Newborn
Male
Nutritional Requirements
*Postoperative Care/methods
Postoperative Complications
Program Development
Program Evaluation

Figure

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  Figure 1 Flow diagram.

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  Figure 2 Feeding protocol.

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