应用营养筛查表对护士营养护理行为能力的影响  

The effect of Nutrition Screening Initiative Checklist on the ability of nurses＇ nutrition nursing behavior

作　　者：操静[1] 潘莉[1] 魏莹莹[1] 李九群[1] 王玲[1] 陆文玲[1] 张华[1] 吴桂琴[1] 

机构地区：[1]北京大学深圳医院外科,深圳518000

出　　处：《国际护理学杂志》2012年第10期1764-1767,共4页international journal of nursing

基　　金：本课题为深圳市科技局资助项目,编号：200802013

摘　　要：目的应用营养筛查评估工具提高临床护士营养护理行为的能力。方法对观察科室的病人使用由丹麦肠外肠内营养协会开发，被ESPEN推荐的营养风险筛查2002（NRS2002）改良工具；对护士营养护理行为调查工具采用英国临床护士营养护理行为标准量表，由专职调查者对113名临床护士进行一对一的观察并记录（其中对73名护士进行了使用筛查评估工具前后护理行为对比），评判其1天护理工作中的营养护理行为。结果6项使用前后护士营养护理行为100％达标；10项使用后显著性差异（P〈0．0001）；1项后达标率显著（P〈0．05）；1项无法观察；2项使用前后达标率无变化（P〉0．05）（其中1项达标率在95％以上，1项使用前无人达标，使用后达标率4．1％）。结论使用营养筛查与评估工具能引导护士关注病人营养方面的问题，提高护士营养护理行为能力。Objective To apply Nutrition Screening Initiative Checklist to improve the ability of clinical nurses＇nutrition nursing behavior. Methods A nutrition screening tool developed by Denmark Society Parenteral and Enteral Nutrition Association and recommen- ded by ESPEN （ European Society Parenteral and Enteral Nutrition） was performed to observe patients. An audit tool which was designed by the National Health Service ~ NHS] in England to audit nurses＇nutrition nursing behavior was adopted. One - to - one researcher - to - par- ticipant observations and documentation were conducted to audit 113 clinical nurses^nutrition nursing behavior in one day~ nursing workRe- suits Six of 20 audit criteria were 100% achieved before and after the screening. After the screening, 10 criteria were significantly im- proved （ P 〈 0. 000 1 ） , 1 criteria was improved （ P 〈 0.05 ）, whereas 1 criteria was failed to observe ; while 2 criteria had no significant difference （P 〉0. 05） （one of which was more than 95% achieved, and the other one was 0% and 4. 1% achieved before and after the screening respectively） . Conclusions The application of nutrition screening and assessment tool can lead nurses to care patients＂ nutrition problems and improve the ability of nurses＇ nutrition care behavior .

关 键 词：营养筛查工具 营养不良 医院营养 护士 护理行为 

分 类 号：R47[医药卫生—护理学]