The University of Queensland, School of Human Movement Studies, St Lucia, Brisbane, QLD 4072, Australia.
Clin Nutr. 2012 Dec;31(6):995-1001. doi: 10.1016/j.clnu.2012.05.014. Epub 2012 Jun 18.
BACKGROUND & AIM: This paper describes nutrition care practices in acute care hospitals across Australia and New Zealand.
A survey on nutrition care practices in Australian and New Zealand hospitals was completed by Directors of dietetics departments of 56 hospitals that participated in the Australasian Nutrition Care Day Survey 2010.
Overall 370 wards representing various specialities participated in the study. Nutrition risk screening was conducted in 64% (n = 234) of the wards. Seventy nine percent (n = 185) of these wards reported using the Malnutrition Screening Tool, 16% using the Malnutrition Universal Screening Tool (n = 37), and 5% using local tools (n = 12). Nutrition risk rescreening was conducted in 14% (n = 53) of the wards. More than half the wards referred patients at nutrition risk to dietitians and commenced a nutrition intervention protocol. Feeding assistance was provided in 89% of the wards. "Protected" meal times were implemented in 5% of the wards.
A large number of acute care hospital wards in Australia and New Zealand do not comply with evidence-based practice guidelines for nutritional management of malnourished patients. This study also provides recommendations for practice.
本文介绍了澳大利亚和新西兰各急症医院的营养护理实践情况。
对参加 2010 年澳大拉西亚营养护理日调查的 56 家医院的营养科主任进行了澳大利亚和新西兰医院营养护理实践情况的调查。
共有 370 个代表各种专科的病房参与了研究。有 64%（n=234）的病房进行了营养风险筛查。这些病房中有 79%（n=185）使用营养不良筛查工具，16%（n=37）使用通用营养不良筛查工具，5%（n=12）使用本地工具。有 14%（n=53）的病房对营养风险进行了重新筛查。超过一半的病房会将有营养风险的患者转介给营养师，并启动营养干预方案。89%的病房提供喂养协助。5%的病房实施了“保护”用餐时间。
澳大利亚和新西兰的许多急症医院病房不符合营养不良患者营养管理的循证实践指南。本研究还为实践提供了建议。
