Hirata Koichi, Kawasaki Kieko, Tatsumi Hiroomi, Mizuguchi Toru, Meguro Makoto, Hasegawa Itaru, Sasaki Ken-ichi, Ishizaka Eri, Fujita Ayumi, Nobuoka Takayuki
Committee of NST, Sapporo Medical University Hospital, Sapporo, Japan.
Nihon Geka Gakkai Zasshi. 2010 Nov;111(6):341-7.
Academic interest in nutritional support teams (NSTs) has increased rapidly in Japan since 1999, when they were first planned by the Japanese Society for Parenteral and Enteral Nutrition (JSPEN). The JSPEN promoted their use extensively after 2006 when extra medical fees were approved for medical management by NSTs under the national health insurance system. The purpose of NSTs is to provide the best nutritional support to patients who are malnourished or at high risk of developing malnutrition, without causing conflict among different medical staff. NSTs offer appropriate medical support and help prevent the deterioration of patients' health. The teams are comprised of specialized medical staff with nutritional expertise who work at the bedside and are committed to establishing good medical practice. The main targets of NSTs are patients who undergo surgery or are being treated in a geriatric or internal medicine unit, including those with lifestyle-related diseases. Therefore, most targets of NSTs are patients with common conditions. A package medical system based on the diagnostic-procedure combination was established, and regional medical centers were integrated to ensure high-quality medical care throughout Japan. Under this system, NSTs are expected to resolve individual patients' dietary issues. In addition, improvement of medical care quality and the training of reliable medical staff are necessary to provide nutritional management in the clinical setting. It will be necessary to the revise the assessment of NSTs as proposed by a committee of the Japanese Nutritional Support Promotion Group or to carry out surveillance to evaluate the outcomes of NST activity.
自1999年日本肠外肠内营养学会（JSPEN）首次规划营养支持团队（NSTs）以来，日本学术界对其的关注迅速增加。2006年后，当国家医疗保险系统批准为NSTs的医疗管理支付额外医疗费用时，JSPEN大力推广其使用。NSTs的目的是为营养不良或有营养不良风险的患者提供最佳营养支持，同时避免不同医务人员之间产生冲突。NSTs提供适当的医疗支持并有助于防止患者健康状况恶化。这些团队由具有营养专业知识的专业医务人员组成，他们在床边工作并致力于建立良好的医疗实践。NSTs的主要目标是接受手术治疗或在老年病科或内科接受治疗的患者，包括患有生活方式相关疾病的患者。因此，NSTs的大多数目标患者都患有常见疾病。基于诊断程序组合的一揽子医疗系统得以建立，区域医疗中心也进行了整合，以确保全日本的医疗服务质量。在这个系统下，NSTs有望解决个体患者的饮食问题。此外，提高医疗质量和培训可靠的医务人员对于在临床环境中提供营养管理是必要的。有必要按照日本营养支持促进小组委员会的提议修订对NSTs的评估，或者进行监测以评估NST活动的结果。
