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老年患者住院期间的营养不良及不良饮食行为——两家医院营养日数据的探索性分析

Malnutrition and Inadequate Eating Behaviour during Hospital Stay in Geriatrics-An Explorative Analyses of NutritionDay Data in Two Hospitals.

作者信息

Graeb Fabian, Wolke Reinhold

机构信息

Institute for Health Care and Nursing Sciences, Faculty of Social Work, Education and Nursing Sciences, Esslingen University, 73732 Esslingen, Germany.

出版信息

Nurs Rep. 2021 Nov 16;11(4):929-941. doi: 10.3390/nursrep11040085.

Abstract

(1) Background: Malnutrition in hospitalized patients is prevalent worldwide, but the severity of the issue is often underestimated by practitioners. The purpose of this study is to investigate the prevalence of malnutrition and inadequate eating behaviour in a geriatric sample. (2) Methods: Two hospitals participated with six wards on nutritionDay in 2017, 2018 and 2019. Nutritional status, food intake, and nutritional interventions were analyzed for all patients ≥ 65 years ( = 156), using the official nutritionDay questionnaires. Malnutrition risk is identified by Malnutrition Universal Screening Tool (MUST), malnutrition by the ESPEN criteria (European Society of Clinical Nutrition and Metabolism). (3) Results: According to MUST ( = 136) 16.9% ( = 23) were at medium risk of malnutrition, 33.8% ( = 46) at high risk of malnutrition, 28.1% ( = 38) were malnourished. Overall, 62.8% ( = 98) showed an inadequate eating behaviour during hospital stay. Moreover, patients with inadequate nutrition had significantly worse self-reported health statuses ( = 0.001; r = -0.276), were less able to walk on nutritionDay ( = 0.002; r = -0.255), had eaten little in the week before admission to hospital ( < 0.001; r = -0.313), and had an increased length of stay ( = 0.036; r = -0.174). (4) Conclusion: To identify malnourished patients is a significant barrier for practitioners seeking to administer specific, tailored interventions. Malnutrition screening protocols must be improved, just as nutrition monitoring in general.

摘要

(1) 背景:住院患者营养不良在全球普遍存在,但从业者往往低估了该问题的严重性。本研究旨在调查老年样本中营养不良和饮食行为不当的患病率。(2) 方法:两家医院在2017年、2018年和2019年的营养日有六个病房参与。使用官方营养日调查问卷,对所有65岁及以上患者(n = 156)的营养状况、食物摄入量和营养干预措施进行了分析。通过营养不良通用筛查工具(MUST)识别营养不良风险,根据欧洲临床营养与代谢学会(ESPEN)标准确定营养不良情况。(3) 结果:根据MUST(n = 136),16.9%(n = 23)处于中度营养不良风险,33.8%(n = 46)处于高度营养不良风险,28.1%(n = 38)为营养不良。总体而言,62.8%(n = 98)在住院期间表现出饮食行为不当。此外,营养不足的患者自我报告的健康状况明显更差(p = 0.001;r = -0.276),在营养日行走能力更弱(p = 0.002;r = -0.255),入院前一周进食较少(p < 0.001;r = -0.313),住院时间更长(p = 0.036;r = -0.174)。(4) 结论:识别营养不良患者是寻求实施特定、量身定制干预措施的从业者面临的重大障碍。必须改进营养不良筛查方案,一般的营养监测也应如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ee7/8715451/bb4411a0ef00/nursrep-11-00085-g001.jpg

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