Mujlli Gadah, Aldisi Dara, Aljuraiban Ghadeer S, Abulmeaty Mahmoud M A
Clinical Nutrition Program, Community Health Department, King Saud University, Riyadh 11362, Saudi Arabia.
Education, Simulation and Skills Development Center, Princess Nourah Bint Abdulrahman University, Riyadh 11564, Saudi Arabia.
Healthcare (Basel). 2021 Feb 9;9(2):188. doi: 10.3390/healthcare9020188.
This study evaluated the Nutrition Care Process documentation used by dietitians for obese pediatric patients diagnosed with metabolic syndrome (MetS) and/or non-alcoholic fatty liver disease (NAFLD) and its impact on the achievement of nutritional goals. This retrospective cohort study utilized data retrieved from three tertiary care hospitals in Riyadh. A total of 142 obese pediatric patients aged 8-18 years diagnosed with NAFLD and/or MetS were evaluated. Data on weight, height, blood pressure (BP), lipid profile, and liver enzymes were collected. A validated audit was used to assess the documentation quality. Twenty-seven (46.6%) dietitian notes received a high score, 21 (36.2%) received a medium score, and 10 (17.2%) received a low score. There was no significant effect of dietitian audit scores on nutritional outcomes, however, the change in body mass index from 6 to 12 months follow-up period was inversely correlated with the audit score ( = -0.761, = 0.007), and alkaline phosphatase was inversely correlated with the audit score (r = -0.819, = 0.013). In conclusion, there was a clear variation in the quality of dietitians' documentation and the impact of documentation scores on nutritional outcomes.
本研究评估了营养师用于诊断患有代谢综合征（MetS）和/或非酒精性脂肪性肝病（NAFLD）的肥胖儿科患者的营养护理过程记录及其对营养目标达成情况的影响。这项回顾性队列研究利用了从利雅得的三家三级护理医院检索到的数据。共评估了142名年龄在8至18岁之间、诊断患有NAFLD和/或MetS的肥胖儿科患者。收集了体重、身高、血压（BP）、血脂谱和肝酶的数据。采用经过验证的审核来评估记录质量。27份（46.6%）营养师记录获得高分，21份（36.2%）获得中等分数，10份（17.2%）获得低分。营养师审核分数对营养结局没有显著影响，然而，在6至12个月随访期内体重指数的变化与审核分数呈负相关（r = -0.761，P = 0.007），碱性磷酸酶与审核分数呈负相关（r = -0.819，P = 0.013）。总之，营养师记录的质量存在明显差异，且记录分数对营养结局有影响。
