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

Jin Hong Lee; Hee Jung Park; Jeong Hwa Kim; Eun-Young Suh

doi:10.5388/jkon.2011.11.3.247

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Lee, Park, Kim, and Suh: Measuring Fluid Balance in Patients with Cancers: Comparison between Cumulative Intake and Output Records and Body Weight Change

Original Article

Journal of Korean Oncology Nursing

Journal of Korean Oncology Nursing 2011; 11(3): 247-253.

Published online: 30 November 2011

DOI: https://doi.org/10.5388/jkon.2011.11.3.247

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

Jin Hong Lee¹, Hee Jung Park², Jeong Hwa Kim², Eun-Young Suh³

¹Registered Nurse, National Cancer Center, Goyang, Korea.

²Head Nurse, National Cancer Center, Goyang, Korea.

³Associate Professor, Seoul National University, College of Nursing, Seoul, Korea.

Address reprint requests to: Suh, Eun-Young. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: 82-2-740-8487, Fax: 82-2-765-4103, esuh@snu.ac.kr

Received 1 October 2011 Accepted 2 November 2011

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.

Keywords: Nutritional Assessment, Body Fluids, Body Weight, Neoplasms, Nursing

Figures and Tables

Table 1

General characteristics of the subjects (N=60)

Table 2

The results of intake and output measure (N=60)

I&O, intake and output.

Table 3

Comparison of fluid balance between the types of intake measurement and body weight change (N=60)

Bwt, Body weight.

Table 4

The correlation between the types of I&O measurement and body weight change (N=60)

Bwt, Body weight.

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