提高住院患者营养风险筛查正确率的临床探讨  

Clinic Study on Improving Accuracy of Nutritional Risk Screening Among Inpatients

作　　者：高艳[1,2] 黄婷婷[2] 李露[2] 林建荣[1,2] 

机构地区：[1]湖北理工学院医学院,湖北黄石435003 [2]黄石市中心医院营养科,湖北黄石435000

出　　处：《湖北理工学院学报》2016年第6期52-55,70,共5页Journal of Hubei Polytechnic University

摘　　要：为探索提高住院患者营养风险筛查正确率的方法,准确筛查出存在营养风险的患者并对其进行营养干预,采用营养风险筛查2002(NRS2002)对2014年9月至2015年5月在黄石市中心医院住院的患者进行营养风险筛查。随着2014年10月移动护理(PDA)上线、11月营养管理小组成立,通过对营养风险筛查表各项(A项:营养状态;B项:疾病严重程度;C项:年龄;总分项:A+B+C 3项评分相加)正确率进行核查,评估PDA、营养管理小组等措施对营养风险筛查正确率的作用。结果为:2014年10月PDA上线将营养风险筛查正确率提高到92.2%,与9月相比有统计学意义的提高(P<0.01);11月营养管理小组成立后将营养风险筛查正确率提高到96.0%,较10月相比差异具有统计学意义(P<0.01),自2014年12月后营养风险筛查正确率持续维持在98%左右的高水平。其中2014年10月A项、B项及总分项正确率均较9月高,2014年11月均较10月高,差异均具有统计学意义;C项正确率维持在98%左右,9,10,11月之间的正确率相比(P=0.5)无显著差异。信息系统支持(移动护理PDA)及营养管理小组成立可以有效提高营养风险筛查正确率,此外,培训管理、营养状态及疾病严重程度准确评估、多学科多部门协作等也是提高营养风险筛查正确率的手段。Objective： to improve the accuracy of nutritional risk screening of inpatients and to do nutritional intervention for the inpatients with nutrition risk. Method： Nutrition Risk Screening 2002（ NRS2002） was adopted to screen the inpatients from September 2014 to May 2015 in Huangshi Central Hospital. Along with the online of mobile nursing（ PDA） in October 2014 and the establishment of nutrition management group in November 2014,the accuracy of each item on the screening table（ item A： nutrition state; item B： the serious degree of disease; item C： age; Total： A ＋ B ＋ C three items score added） was checked and effects of measures such as PDA and nutrition management group on nutrition risk screening accuracy were assessed. Results： The online of mobile nursing（ PDA） in October 2014 increased the accuracy of nutrition risk screening to 92. 2%and difference was of statistical significance compared to the accuracy in September（ P〈0. 01）. Then the establishment of nutrition management group in November 2014 enabled the rate of accuracy rise to 96%,which was significantly higher than that of October（ P〈0. 01）,and since December 2014,the nutrition risk screening rate maintained around 98%. Accuracy of Item A,B and total score were all higher that those in September and November was higher than October,and the difference was of statistical significance. Accuracy of Item C maintained around 98%,there was no significant difference in September,October and December. Conclusion： Information system support（ mobile nursing PDA） and establishment of nutrient management group can effectively improve the accuracy of nutrition risk screening,in addition,management of training,nutritional status and accurate assess of disease severity,multi- subject and multi- department collaboration can improve the accuracy of nutrition risk screening effectively.

关 键 词：营养风险筛查2002 住院患者 正确率 

分 类 号：R47[医药卫生—护理学]