Karim Sarah A, Ibrahim Baharudin, Tangiisuran Balamurugan, Davies J Graham
Pharmacy Department, Penang General Hospital, Pulau Pinang, Malaysia.
Pharmacy Practice Research Group, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Pulau Pinang, Malaysia.
JPEN J Parenter Enteral Nutr. 2015 May;39(4):482-8. doi: 10.1177/0148607114525209. Epub 2014 Mar 3.
Malnutrition is one of the health problems that can be prevented by appropriate nutrition care provided by healthcare providers. However, this practice is still lacking possibly because of the providers' inadequate knowledge. The aim of this study was to evaluate the self-reported knowledge, attitudes, and practices of pharmacists and doctors toward nutrition support in a tertiary care hospital setting.
A validated questionnaire was distributed to all the doctors and pharmacists working in a tertiary hospital in Penang, Malaysia. Seven individuals including academics, general surgeons, and pharmacists performed the face and content validity. The questionnaire was piloted using 24 healthcare providers at a different hospital.
Of 400 surveyed, 158 doctors and 72 pharmacists from various grades completed the questionnaire. More doctors (31.6%) than pharmacists (15.3%) reported adequate knowledge to perform patients' nutrition screening. However, in the knowledge assessment, pharmacists had a higher mean score (6.07 ± 1.77) than the doctors did (4.59 ± 1.87; P < .001), and most (70.4%) of them were grouped in the "average" score range. In addition, both pharmacists and doctors have ambivalent attitudes toward nutrition support. Only 31.3% stated that they perform nutrition screening on admission, and half of them performed nutrition assessment during hospitalization.
Inappropriate nutrition care might be due to the lack of guidelines and insufficient knowledge among doctors and pharmacists. Special nutrition training and education for both pharmacists and doctors should be established.
营养不良是一种可通过医疗服务提供者提供适当营养护理来预防的健康问题。然而，这种做法可能仍然缺乏，原因可能是提供者知识不足。本研究的目的是评估在三级医院环境中，药剂师和医生对营养支持的自我报告的知识、态度和实践。
向马来西亚槟城一家三级医院工作的所有医生和药剂师发放一份经过验证的问卷。包括学者、普通外科医生和药剂师在内的7人进行了表面效度和内容效度评估。该问卷在另一家医院的24名医疗服务提供者中进行了预试验。
在400名受访者中，158名不同职级的医生和72名药剂师完成了问卷。报告有足够知识进行患者营养筛查的医生（31.6%）多于药剂师（15.3%）。然而，在知识评估中，药剂师的平均得分（6.07±1.77）高于医生（4.59±1.87；P<.001），且大多数（70.4%）药剂师的得分处于“中等”范围。此外，药剂师和医生对营养支持的态度都很矛盾。只有31.3%的人表示他们在入院时进行营养筛查，其中一半人在住院期间进行营养评估。
不适当的营养护理可能是由于缺乏指导方针以及医生和药剂师知识不足。应为药剂师和医生开展专门的营养培训和教育。
