Hedberg A M, Garcia N, Trejus I J, Weinmann-Winkler S, Gabriel M L, Lutz A L
Clinical Nutrition Section, St. Luke's Episcopal Hospital, Houston.
J Am Diet Assoc. 1988 Dec;88(12):1553-6.
The development of a standardized screening mechanism for identifying patients in compromised nutritional status is beneficial for prompt initiation of nutrition care. A pilot screening study was conducted at St. Luke's Episcopal Hospital over a 3-month period to determine the prevalence of patients meeting defined nutritional risk criteria. Dietetic technicians screened each nursing unit once, in random order, until the entire hospital had been screened. Results indicated that one-third of the 225 patients screened were at nutritional risk. From those results, a standardized screening protocol and charting form were developed. The current screening procedure includes the original pilot study parameters of height, weight, albumin, diagnosis, and type of nutritional support, as well as additional parameters. Dietetic technicians also collect data on weight changes, appetite status, number of surgical procedures, and length of hospital stay. Criteria are listed under a severe risk or a moderate risk category. Patients meeting one severe or two moderate risk criteria are considered at nutritional risk. Recent data verify that more than one-third of patients screened are at nutritional risk. Through the utilization of technical support personnel, the standardized protocol has helped to identify patients who meet nutritional risk criteria.
开发一种用于识别营养状况不佳患者的标准化筛查机制，有助于及时启动营养护理。在圣卢克圣公会医院进行了一项为期3个月的试点筛查研究，以确定符合既定营养风险标准的患者患病率。饮食技术人员对每个护理单元进行一次随机筛查，直到整个医院筛查完毕。结果显示，在筛查的225名患者中，三分之一存在营养风险。基于这些结果，制定了标准化的筛查方案和记录表格。目前的筛查程序包括最初试点研究中的身高、体重、白蛋白、诊断和营养支持类型等参数，以及其他参数。饮食技术人员还收集体重变化、食欲状况、手术次数和住院时间的数据。标准分为高风险或中度风险类别。符合一项高风险或两项中度风险标准的患者被视为存在营养风险。最近的数据证实，超过三分之一的筛查患者存在营养风险。通过利用技术支持人员，标准化方案有助于识别符合营养风险标准的患者。
