CAJ | 학술논문

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.
목적 응용영양사사평고공구제고림상호사영양호리행위적능력.방법 대관찰과실적병인사용유단맥장외장내영양협회개발,피ESPEN추천적영양풍험사사2002 (NRS2002)개량공구;대호사영양호리행위조사공구채용영국림상호사영양호리행위표준량표,유전직조사자대113명림상호사진행일대일적관찰병기록(기중대73명호사진행료사용사사평고공구전후호리행위대비),평판기1천호리공작중적영양호리행위.결과 6항사용전후호사영양호리행위100％체표;10항사용후현저성차이(P ＜0.0001);1항후체표솔현저(P＜0.05);1항무법관찰;2항사용전후체표솔무변화(P＞0.05)(기중1항체표솔재95％이상,1항사용전무인체표,사용후체표솔4.1％).결론 사용영양사사여평고공구능인도호사관주병인영양방면적문제,제고호사영양호리행위능력.
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 recommended 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-participant observations and documentation were conducted to audit 113 clinical nurses'nutrition nursing behavior in one day's nursing workResults Six of 20 audit criteria were 100％ achieved before and after the screening.After the screening,10 criteria were significantly improved (P ＜ 0.0001 ),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.