探索沙特阿拉伯的医生、营养师和药剂师在住院期间提供营养支持的实践情况。
Exploring the practice of nutritional support during hospitalization across physicians, dietitians, and pharmacists based in Saudi Arabia.
作者信息
Ajabnoor Sarah M, Zaher Sara, Malatani Rania, Jawa Hani
机构信息
Clinical Nutrition Department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Clinical Nutrition Department, Faculty of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia.
出版信息
Front Nutr. 2023 May 24;10:1149727. doi: 10.3389/fnut.2023.1149727. eCollection 2023.
BACKGROUND
Nutritional support has a pivotal role in preventing and treating malnutrition. Recognizing the gaps in nutritional support practice can aid the development of tailored nutritional protocols. Therefore, this study aimed to assess the current practices, attitudes, and perceptions related to nutritional support for hospitalized patients in one of the largest Middle Eastern countries.
METHODS
A cross-sectional study was conducted among different healthcare professionals currently working in hospitals in Saudi Arabia and involved in nutritional support practice. Data were collected using convenient sample via a self-administered web-based questionnaire.
RESULTS
A total of 114 participants were included in this study. The majority were dietitians (54%), followed by physicians (33%) and pharmacists (12%), and were from the western region (71.9%). Various attitudes in many practices were observed among the participants. Only 44.7% of the participants had a formal nutritional support team. The mean confidence level of all respondents was significantly higher for enteral nutrition practice (7.7 ± 2.3) than for parenteral nutrition practice (6.1 ± 2.5) ( < 0.01). The confidence level for enteral nutrition practice was significantly influenced by nutritional qualification (β = 0.202, < 0.05), type of healthcare facility (β = 0.210, p < 0.05), profession (β = -0.308, < 0.01), and years of experience (β = 0.220, < 0.05).
CONCLUSION
This study comprehensively assessed various aspects of nutritional support practice in Saudi Arabia. Healthcare practice of nutritional support should be guided by evidence-based guidelines. Professional qualification and training in nutritional support are essential for promoting practice in hospitals.
背景
营养支持在预防和治疗营养不良方面起着关键作用。认识到营养支持实践中的差距有助于制定量身定制的营养方案。因此，本研究旨在评估中东最大国家之一中与住院患者营养支持相关的当前实践、态度和认知。
方法
对目前在沙特阿拉伯医院工作并参与营养支持实践的不同医疗保健专业人员进行了一项横断面研究。通过基于网络的自填式问卷使用便利抽样收集数据。
结果
本研究共纳入114名参与者。大多数是营养师（54%），其次是医生（33%）和药剂师（12%），且来自西部地区（71.9%）。在参与者中观察到许多实践中的各种态度。只有44.7%的参与者有正式的营养支持团队。所有受访者对肠内营养实践的平均信心水平（7.7±2.3）显著高于肠外营养实践（6.1±2.5）（<0.01）。肠内营养实践的信心水平受到营养资质（β = 0.202，<0.05）、医疗机构类型（β = 0.210，p < 0.05）、职业（β = -0.308，<0.01）和工作年限（β = 0.220，<0.05）的显著影响。
结论
本研究全面评估了沙特阿拉伯营养支持实践的各个方面。营养支持的医疗实践应以循证指南为指导。营养支持方面的专业资质和培训对于促进医院实践至关重要。
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