欧洲营养风险筛查工具在内科住院患者中应用的可行性调查  

Feasibility of European nutritional risk screening method in nutritional monitoring of medical patients

作　　者：谷斌斌[1] 张蕊[1] 黄伟[1] 姚建高[2] 

机构地区：[1]温州医科大学附属第一医院营养科,325000 [2]温州医科大学附属第一医院胃肠外科,325000

出　　处：《浙江医学》2015年第12期1035-1036,1050,共3页Zhejiang Medical Journal

基　　金：温州市科技计划项目(Y20120030)

摘　　要：目的调查NRS2002营养风险筛查工具用于部分内科患者的可行性及营养风险发生率在住院期间的改变。方法对神经内科、消化内科、呼吸内科三个专科新入院且符合入选标准的180例患者采用NRS2002进行营养风险筛查,调查该工具的可行性及该部分患者在住院期间营养风险的变化。结果入选患者中完全适用NRS2002的患者比例为85.0%,评定率及完全适用率最低的均为神经内科;全部患者中,营养风险发生率从入院时的32.8%上升为出院时的38.3%,住院期间神经内科及消化内科的营养风险发生率升高,呼吸内科降低。结论NRS2002应用于部分内科患者是可行的;医护人员应对患者在住院期间的营养风险进行监测,给予适当的干预,以降低住院期间营养风险发生率。Objective To evaluate the feasibility of Nutritional Risk Screening 2002 （NRS2002） in monitoring nutritional status of medical inpatients. Methods NRS2002 was applied to monitoring nutritional status of patients in Departments of Gas-troenterology, Respiratory Medicine and Neurology from May 2013 to June 2013, Results The utilization rate of NRS2002 was 83.3%, among these patients, 85.0%were able to complete the NRS2002. Neurology medicine had the highest rate of utilization and completion. The overal prevalence of nutritional risk changed from 32.8% at admission to 38.3% at discharge. The preva-lence of nutritional risk was increased in patients of Gastroenterology and Neurology Departments, and was decreased in De-partment of Respiratory Medicine. Conclusion Assessment of nutritional status in medical inpatients by using NRS2002 is feasi-ble, which can be used in screening of nutritional status, making nutritional support plan to decrease the incidence of complica-tion.

关 键 词：住院患者 营养风险筛查 营养风险发生率 NRS2002 

分 类 号：R459.3[医药卫生—治疗学]