Nakamura Kensuke, Takahashi Yuji, Yanai Yusuke, Miyagi Tomoka, Nakano Hidehiko, Koyama Yasuaki, Hashimoto Hideki
Department of Critical Care Medicine, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan.
Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1, Jonan-cho, Hitachi, Ibaraki 317-0077, Japan.
J Clin Biochem Nutr. 2025 Jan;76(1):85-89. doi: 10.3164/jcbn.24-162. Epub 2024 Oct 11.
There is a lack of evidence for compliance with and the acceptability of oral nutritional supplements (ONS) by post-acute care patients. Therefore, the present study examined compliance with fat-free ONS, which are easy to drink. Patients who started oral intake in the general ward after being transferred from the Emergency Department were offered three ONS including fat-free ONS: Isocal Clear, Maybalance Mini, and Medimil, three times a day for three days. On days 1 and 3, patients evaluated each ONS using a questionnaire. Thirty-five eligible patients participated in the present study, which began a median of 10 days after their admission. Median taste ratings for Isocal Clear, Maybalance, and Medimil on day 1 were 8, 7, and 3, respectively, while median ease-to-drink ratings were 8, 7, and 5, respectively. In contrast, median taste ratings on day 3 were 5, 0, and 0, respectively, while median ease-to-drink ratings were 7, 1, and 0, respectively. Intakes of the prescribed diet during the three days had a median value as low as 30-50%. In conclusion, good compliance with fat-free ONS by post-acute care patients may be achieved.
目前缺乏关于急性后期护理患者对口服营养补充剂（ONS）的依从性和可接受性的证据。因此，本研究调查了对易于饮用的无脂ONS的依从性。从急诊科转出后在普通病房开始经口摄入的患者，被提供三种ONS，包括无脂ONS：Isocal Clear、Maybalance Mini和Medimil，每天三次，共三天。在第1天和第3天，患者使用问卷对每种ONS进行评估。35名符合条件的患者参与了本研究，研究在他们入院后中位数为10天开始。第1天，Isocal Clear、Maybalance和Medimil的味道评分中位数分别为8、7和3，而易于饮用评分中位数分别为8、7和5。相比之下，第3天的味道评分中位数分别为5、0和0，而易于饮用评分中位数分别为7、1和0。三天内规定饮食的摄入量中位数低至30 - 50%。总之，急性后期护理患者可能会对无脂ONS有良好的依从性。
