Women's Institute for Family Health, Philadelphia, Pennsylvania, USA.
J Ren Nutr. 2012 Sep;22(5):515-20. doi: 10.1053/j.jrn.2012.04.006. Epub 2012 Jun 1.
The day-to-day pragmatic work realities of dietitians who cover dialysis clinics are rarely the focus of discussion. This article highlights the points of convergence between these realities and the research literature. Focusing on the National Kidney Foundation Kidney Disease Outcomes Quality Initiative clinical practice guidelines for nutrition and the difficulties encountered with their full implementation, a seemingly pervasive problem of limited time is revealed. Given the evidence that renal dietitians can positively impact morbidity and mortality risks, when protein-energy malnutrition is primarily the byproduct of insufficient nutrient intake, it suggests that progress with enhancing the nutritional status of patients may be fundamentally contingent on increasing the time they have available, through improved staffing.
日常实用主义工作现实的营养师谁涵盖透析诊所很少是讨论的焦点。本文强调这些现实和研究文献之间的共同点。专注于国家肾脏基金会肾脏病结果质量倡议临床实践指南的营养和他们全面实施中遇到的困难，揭示了一个似乎普遍存在的问题，即时间有限。鉴于证据表明，肾脏营养师可以积极影响发病率和死亡率的风险，当蛋白质能量营养不良主要是由于摄入不足的营养物质的副产品，这表明进展与提高患者的营养状况可能从根本上取决于通过改善人员配备来增加他们可用的时间。
