Bozkırlı Bahadır Osman, Gündoğdu Rıza Haldun, Akbaba Soner, Sayın Turgay, Ersoy Pamir Eren
Department of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey.
Department of General Surgery, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.
Turk J Surg. 2017 Sep 1;33(3):147-152. doi: 10.5152/turkjsurg.2017.3586. eCollection 2017.
Although many surgical patients face postoperative problems due to a poor nutritional status, there is evidence that many cases of malnutrition still go unnoticed and untreated in surgical wards. This study aims to define the current attitudes of surgeons toward nutritional screening and support.
A questionnaire with 13 questions was e-mailed to 1500 surgeons. Cross-queries were made over the responses.
The response rate was 20.9%. Most of the respondents (89.5%) implemented nutritional screening. However, only 24.6% of these surgeons screened every patient for malnutrition. The time to initiate nutritional support varied among respondents, and only 25.5% started nutritional support early enough prior to surgery. Only 9.9% of respondents implemented evidence based practices for preoperative fasting, and 21.2% preferred immunonutrition products for patients undergoing major abdominal surgery for cancer. The responses of surgeons, who participated in at least one scientific meeting on nutrition per year, were more coherent with the nutrition guidelines.
The results of this study reveal that the awareness and knowledge of clinical nutrition need improving amongst surgeons. To increase this awareness and knowledge, continuous learning throughout their career seems essential.
尽管许多外科手术患者因营养状况不佳而面临术后问题，但有证据表明，许多营养不良病例在外科病房仍未被发现和治疗。本研究旨在确定外科医生目前对营养筛查和支持的态度。
向1500名外科医生发送了一份包含13个问题的问卷。对回复进行了交叉询问。
回复率为20.9%。大多数受访者（89.5%）实施了营养筛查。然而，这些外科医生中只有24.6%对每位患者进行营养不良筛查。开始营养支持的时间在受访者中各不相同，只有25.5%的人在手术前足够早地开始营养支持。只有9.9%的受访者对术前禁食采用循证做法，21.2%的人更倾向于为接受癌症大腹部手术的患者使用免疫营养产品。每年至少参加一次营养科学会议的外科医生的回复与营养指南更为一致。
本研究结果表明，外科医生对临床营养的认识和知识需要提高。为了提高这种认识和知识，在他们的整个职业生涯中持续学习似乎至关重要。
