应用微型营养评定法指导饮食干预的效果观察  

Effectiveness of the Mini-Nutritional Assessment on dietary interventions

作　　者：周敏[1,2] 李爱东[1,2] 赵洁[1,2] 董慧娟[1,2] 陈月馨[1,2] 

机构地区：[1]广东医学院风湿病研究所 [2]广东医学院附属福田医院香蜜湖风湿病分院康复科,广东深圳518040

出　　处：《护理学杂志》2013年第14期89-91,共3页

摘　　要：目的应用微型营养评定简表(MNA-SF)和微型营养评定法(MNA)筛查营养风险与营养不良的患者,评估饮食干预的效果,分析其对康复治疗的指导作用。方法对162例住院脑卒中及脑外伤患者,入院首日采用MNA-SF和MNA进行营养风险筛查。对存在营养风险和营养不良的患者进行饮食干预,分别在第2、4周后再评估。结果共69例患者完成3次评估并接受为期4周的饮食干预措施,入院评估发现营养风险患者40例(24.69%)、营养不良29例(17.90%)。饮食干预4周后存在营养风险26例(16.05%),营养不良10例(6.17%)。患者MNA评分显著高于入院时(均P<0.05)。结论采用MNA-SF和MNA评估住院患者的营养状况并采取相应的饮食干预,可显著改善患者的营养状况。Objective To screen patients with nutritional risk or malnutrition by using the short-form Mini-Nutritional Assessment （MNA-SF） and the Mini-Nutritional Assessment （MNA）, and to evaluate effects of dietary interventions on rehabilitation of patients. Methods A total of 162 hospitalized patients with stroke or brain injuries were screened at admission by using the MNA-SF and the MNA and those with nutritional risk or malnutrition were given dietary interventions. Re-evaluation was performed at 2 and 4 weeks after the intervention. Results Sixty-nine patients completed 3 assessments and adhered to the intervention. Forty pa- tients （24.69 ~ ） had nutritional risk and 29 patients （17.90 %） presented malnutrition at admission. After four-week intervention, nutritional risk was found in 26 patients （16.05 % ） and malnutrition in 10 patients （6.17 ~）. The MNA scores evaluated after the intervention in these 69 patients were significantly increased than admission test （P~.O. 05）. Conclusion Nutritional status of hospitalized patients can be improved by the use of the MNA-SF and MNA for admission assessment and by taking target dietary interventions.

关 键 词：脑卒中 脑外伤 营养风险 营养不良 微型营养评定法 饮食干预 

分 类 号：R473.3[医药卫生—护理学]