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本文引用的文献

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ESPEN guideline on hospital nutrition.ESPEN 临床营养实践指南:医院营养。
Clin Nutr. 2021 Dec;40(12):5684-5709. doi: 10.1016/j.clnu.2021.09.039. Epub 2021 Oct 20.
2
[Disease-related malnutrition, functional parameters, and associated costs in a genaral hospital].[综合医院中与疾病相关的营养不良、功能参数及相关成本]
Nutr Hosp. 2021 Jul 29;38(4):765-772. doi: 10.20960/nh.03464.
3
A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection.微量营养素与免疫系统综述——协同工作以降低感染风险。
Nutrients. 2020 Jan 16;12(1):236. doi: 10.3390/nu12010236.
4
Patient Evaluation of Food Waste in Three Hospitals in Southern Italy.意大利南部三家医院的食物浪费情况患者评估。
Int J Environ Res Public Health. 2019 Nov 6;16(22):4330. doi: 10.3390/ijerph16224330.
5
Comparing nutritional requirements, provision and intakes among patients prescribed therapeutic diets in hospital: An observational study.比较医院中接受治疗性饮食处方的患者的营养需求、供应和摄入量:一项观察性研究。
Nutrition. 2017 Jul-Aug;39-40:50-56. doi: 10.1016/j.nut.2017.03.006. Epub 2017 Mar 23.
6
Recommended vitamin D levels in the general population.普通人群中维生素D的推荐水平。
Endocrinol Diabetes Nutr. 2017 Mar;64 Suppl 1:7-14. doi: 10.1016/j.endinu.2016.11.002. Epub 2017 Feb 15.
7
A Multi-Center Assessment of Nutrient Levels and Foods Provided by Hospital Patient Menus.一项关于医院患者菜单所提供营养水平和食物的多中心评估。
Nutrients. 2015 Nov 11;7(11):9256-64. doi: 10.3390/nu7115466.
8
Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition.营养在改善护理质量方面的关键作用:跨学科行动呼吁,以解决成人医院营养不良问题。
JPEN J Parenter Enteral Nutr. 2013 Jul;37(4):482-97. doi: 10.1177/0148607113484066. Epub 2013 Jun 4.
9
Prevalence and costs of malnutrition in hospitalized patients; the PREDyCES Study.住院患者营养不良的患病率及成本;PREDyCES研究
Nutr Hosp. 2012 Jul-Aug;27(4):1049-59. doi: 10.3305/nh.2012.27.4.5986.
10
Assessment of food intake in hospitalised patients: a 10-year comparative study of a prospective hospital survey.住院患者的饮食摄入评估:一项前瞻性医院调查的 10 年比较研究。
Clin Nutr. 2011 Jun;30(3):289-96. doi: 10.1016/j.clnu.2010.10.002. Epub 2010 Nov 9.

综合医院患者菜单提供的营养水平评估:在西班牙穆尔西亚地区开展的一项横断面研究

Assessment of Nutrient Levels Provided by General Hospital Patient Menus: A Cross-Sectional Study Carried Out in the Region of Murcia (Spain).

作者信息

Barcina-Pérez Pablo, Lucas-Abellán Carmen, Abellán-Aynés Oriol, Mercader-Ros María Teresa, Victoria-Montesinos Desirée, Hernández-Sánchez Pilar, Serrano-Martínez Ana

机构信息

Faculty of Pharmacy and Nutrition, UCAM Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain.

Faculty of Sport, UCAM Universidad Católica San Antonio de Murcia, 30107 Murcia, Spain.

出版信息

Healthcare (Basel). 2023 Aug 15;11(16):2304. doi: 10.3390/healthcare11162304.

DOI:10.3390/healthcare11162304
PMID:37628503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10454314/
Abstract

Disease-related malnutrition remains a health problem with a high prevalence that increases the risk of poor patient outcomes, in addition to an elevation of healthcare costs. The aim of this study was to evaluate the nutritional quality of the menus at Ribera Molina Hospital, including their adequacy regarding recommended daily nutrient intakes and the agreement with the theoretical nutrition information provided by catering. The mean levels of energy, macronutrients, vitamins, and minerals provided by the basal, diabetic, and soft diets were calculated through the weighing of plated food served throughout the first 14 days of February 2020. A nutritional overestimation was seen in the nutrition information provided by the catering compared to the values derived from weighing foods ( < 0.01). Despite this, the nutritional content calculated by weighing satisfied the energy and protein requirements of 203 hospitalized patients previously studied in the internal medicine area of the hospital. The mean age of these patients was 62 years, and the main causes of admission were lung, cardiovascular, renal, and digestive diseases. There seems to be an insufficient amount of vitamins E and D, as well as magnesium, on all the menus. A possible insufficient amount of calcium, potassium, zinc, and copper was observed in some of the menus studied. It is necessary to update the hospital prescription manual so the nutritional contents of the diets are accurate and based on the weighted and calculated values to improve the adequacy of diets prescribed to patients.

摘要

疾病相关营养不良仍然是一个高患病率的健康问题,它不仅会增加患者预后不良的风险,还会提高医疗成本。本研究的目的是评估里韦拉·莫利纳医院菜单的营养质量,包括其在每日推荐营养素摄入量方面的充足性以及与餐饮服务提供的理论营养信息的一致性。通过称量2020年2月前14天提供的餐盘食物,计算出基础饮食、糖尿病饮食和软食所提供的能量、宏量营养素、维生素和矿物质的平均水平。与称重食物得出的值相比,餐饮服务提供的营养信息存在营养高估(<0.01)。尽管如此,通过称重计算出的营养成分满足了此前在该医院内科病房研究的203名住院患者的能量和蛋白质需求。这些患者的平均年龄为62岁,主要入院原因是肺部、心血管、肾脏和消化系统疾病。所有菜单上似乎都存在维生素E、维生素D以及镁含量不足的情况。在所研究的一些菜单中,还观察到钙、钾、锌和铜可能存在不足的情况。有必要更新医院处方手册,以便饮食的营养成分准确无误,并基于称重和计算值,从而提高为患者开的饮食的充足性。