J Korean Oncol Nurs.  2011 Nov;11(3):247-253.

Measuring Fluid Balance in Patients with Cancers: Comparison between Cumulative Intake and Output Records and Body Weight Change

Affiliations
  • 1National Cancer Center, Goyang, Korea.
  • 2Seoul National University, College of Nursing, Seoul, Korea. esuh@snu.ac.kr

Abstract

PURPOSE
The purpose of the study was to evaluate the accuracy of two different fluid intake measurement methods (fluid only vs. all dietary intake) in measuring fluid balance compared to body weight change among patients with cancers.
METHODS
A total of 60 cancer patients in an urban cancer center in South Korea participated in the study. Adult patients who were over 18 years old; having 24-hr I&O order; and taking either normal regular diet or soft blend diet were included. Demographic information and disease related information were also gathered. The data were analyzed using SPSS 18.0 program.
RESULTS
Measuring 'fluid only' for oral intake was a more accurate measure than measuring 'all dietary intake' (p=.026 vs. p=.094). Both methods had positive correlations with the amount of weight change (r=.329, p=.010; r=.303, p=.019). Measuring body weight was a more accurate and efficient way of evaluating the fluid balance than 24 hr cumulative I&O.
CONCLUSION
Developing clinical manual for selecting proper patients who needs fluid balance monitoring is imperative. Administering weight check and/or 24 hr cumulative I&O should be considered thoroughly based on solid nursing evidence in future.

Keyword

Nutritional Assessment; Body Fluids; Body Weight; Neoplasms; Nursing

MeSH Terms

Adult
Body Fluids
Body Weight
Body Weight Changes
Diet
Humans
Nutrition Assessment
Republic of Korea
Water-Electrolyte Balance
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