JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (12): 99-102.doi: 10.6040/j.issn.1671-7554.0.2014.409

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Nutritional risk screening of hospitalized patients and effect evaluation of nutrition therapy

MENG Yan, ZHANG Jie, YUAN Yuan, ZHANG Jitian, CHEN Liyong   

  1. Department of Nutrition, Shandong Provincial Hospital Affilicated to Shandong University, Jinan 250021, Shandong, China
  • Received:2014-06-18 Revised:2014-11-06 Published:2014-12-10

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Abstract: Objective To understand the nutritional status of hospitalized patients and to assess the treatment effect of hospitalized patients with enteral nutrition support. Methods The nutritional status of 151 hospitalized patients were evaluated by Nutrition Risk Screening 2002 (NRS2002). The indexes before and after treatment such as gastrointestinal symptoms, prealbumin, total protein, albumin, globulin and retinol binding protein for patients of nutritional risk were tested. Results The incidence of nutritional risk of elderly patients (96.5%) was significantly higher than that of young and middled-aged patients (80.3%)(P=0.001). The gastrointestinal symptoms of patients improved significantly after treatment(P<0.001). The levels of prealbumin, total protein, albumin, and retinol binding protein were improved after treatment (all P<0.01). The level of globulin was improved after treatment but the difference was statistically nonsignificant (P>0.05). The difference of nutritional risk rate of research objects before and after treatment (89.4% vs 80.8%) was statistically significant (P=0.036). Conclusion NRS2002 can reflect the nutritional risk status of hospitalized patients conveniently and quickly. Nutritional therapy can reduce the incidence of nutritional risk to some extent and improve the nutritional status of patients.

Key words: Nutrition therapy, Effect, Nutritional risk screening

CLC Number: 

  • R151
[1] Saletti A, Johansson L, Yifter-Lindgren E, et al. Nutritional status and a 3-year follow-up in elderly receiving support at home[J]. Gerontology, 2005, 51(3):192-198.
[2] Lucchin L, D'Amicis A, Gentile M G, et al. A nationally representative survey of hospital malnutrition: the Italian PIMAI (Project: Iatrogenic Malnutrition in Italy) study[J]. Mediterr J Nutr Metab, 2009, 2(3):171-179.
[3] Jie B, Jiang Z M, Nolan M T, et al. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals[J]. Nutrition, 2010, 26(11-12):1088-1093.
[4] Jie B, Jiang Z M, Nolan M T, et al. Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk[J]. Nutrition, 2012, 28(10):1022-1027.
[5] Kondrup J, Rasmussen H H, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3):321-336.
[6] 伍晓汀,陈博.临床营养支持策略的变迁[J].中国实用外科杂志, 2011, 31(1):25-28. WU Xiaoting, CHEN Bo. Changes of strategy for clinical nutriional support[J]. Chinese Journal of Practical Surgery, 2011, 31(1):25-28.
[7] Röhm K D, Schollhorn T, Boldt J, et al. Nutrition support and treatment of motility disorders in critically ill patients: results of a survey on German intensive care units[J]. Eur J Anaesthesiol, 2008, 25(1):58-66.
[8] 陈博,伍晓汀.住院患者营养状况评估[J].中国普外基础与临床杂志, 2011, 18(4):449-454. CHEN Bo, WU Xiaoting. Evaluation of nutritional status in hospitalized patients[J]. Chinese Journal of Bases and Clinics in General Surgery, 2011, 18(4):449-454.
[9] 蒋朱明,于康,朱赛楠,等.我国东、中、西部中小医院住院患者营养不良(不足)、营养风险、超重和肥胖发生率及营养支持应用状况调查(中期小结)[J].中国临床营养杂志, 2008, 16(6):338-340.
[10] 卓紫虹,梁波,陈娇莲,等.消化内科住院患者营养风险筛查及营养支持应用状况[J].齐齐哈尔医学院学报, 2011, 32(2):213-214. ZHUO Zihong, LIANG Bo, CHEN Jiaolian, et al. Nutritional risk screening and application of nutritional support on hospitalized patients in digestive disease department[J]. Journal of Qiqihar University of Medicine, 2011, 32(2):213-214.
[11] 朱明炜.重视老年患者的营养支持[J].中华临床营养杂志, 2012, 18(3):131-133. ZHU Mingwei. Optimize nutrition support among elderly patients[J]. Chinese Journal of Clinical Nutrition, 2012, 18(3):131-133.
[12] 陈慧敏,王艳.NRS2002在消化科老年患者营养风险筛查中的应用与分析[J].护理实践与研究, 2012, 9(4):120-121.
[13] 程一升,赵元琛,王永盛. 早期肠内营养对急性脑卒中伴吞咽困难病人营养状态的影响[J]. 肠外与肠内营养, 2013, 20(4):216-218. CHENG Yisheng, ZHAO Yuanchen, WANG Yongsheng. The effect of the early enteral nutrition on nutritional status in dysphagy patients with from acute stroke[J]. Parenteral & Enteral Nutrition, 2013, 20(4):216-218.
[14] 贺更生,陈国栋,文武,等.肠内营养在腹部外科大手术病人围手术期中的临床应用[J].肠外与肠内营养, 2014, 21(1):8-11. HE Gengsheng, CHEN Guodong, WEN Wu, et al. The clinical effect of perioperative enteral nutritional support in the abdominal surgery patients[J]. Parenteral & Enteral Nutrition, 2014, 21(1):8-11.
[15] 陈小枫,叶纪录,叶军,等.早期肠内营养对重型颅脑损伤患者免疫功能及结局的影响[J].中华临床营养杂志, 2012, 20(2):108-111. CHEN Xiaofeng, YE Jilu, YE Jun, et al. Influence of early enternal nutrition on the immune function and outcome in patients with severe traumatic brain injury[J]. Chinese Journal of Clinical Nutrition, 2012, 20(2):108-111.
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