中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
31期
3767-3769
,共3页
住院患者%神经科%欧洲营养风险筛查%营养不良%营养风险
住院患者%神經科%歐洲營養風險篩查%營養不良%營養風險
주원환자%신경과%구주영양풍험사사%영양불량%영양풍험
Inpatients%Department of neurology%European nutritional risk screening%Malnutrition%Nutritional risk
目的 评估欧洲营养风险筛查方法(NRS2002)在神经科住院患者应用的可行性,并调查神经内、外科住院患者营养风险、营养不良、超重、肥胖的发生率.方法 定点连续抽样调查817例神经科住院患者,对完全符合NRS2002入选标准的患者入院第2天进行评分；对因无法站立、水肿等原因无法得到准确体重指数(BMI)的患者,于入院第2天行人血白蛋白(ALB)测定.分析神经内、外科患者对NRS2002评分适应情况,并比较神经内、外科患者营养风险、营养不良、超重及肥胖率.结果 NRS2002应用于神经科住院患者,神经内科完全适应率为42.02％,不完全适应率为47.89％,完全不适应率为11.93％；神经外科完全适应率为43.38％,不完全适应率为33.82％,完全不适应率为22.79％；两个科室比较,差异有统计学意义(x2 =20.331,P＜0.01).神经内科住院患者营养风险发生率为48.33％,高于神经外科患者的30.48％,差异有统计学意义(x2=19.017,P＜0.01)；神经内、外科患者营养不良、超重及肥胖发生率比较,差异均无统计学意义(P＞0.05).结论 NRS2002可应用于神经科住院患者,但神经科很多患者因疾病原因无法站立或正常交流,导致资料收集受影响,可能会存在偏差,从而有一定的不完全适用率和不适用率；神经内科住院患者更适用于NRS2002评分且营养风险发生率较高.
目的 評估歐洲營養風險篩查方法(NRS2002)在神經科住院患者應用的可行性,併調查神經內、外科住院患者營養風險、營養不良、超重、肥胖的髮生率.方法 定點連續抽樣調查817例神經科住院患者,對完全符閤NRS2002入選標準的患者入院第2天進行評分；對因無法站立、水腫等原因無法得到準確體重指數(BMI)的患者,于入院第2天行人血白蛋白(ALB)測定.分析神經內、外科患者對NRS2002評分適應情況,併比較神經內、外科患者營養風險、營養不良、超重及肥胖率.結果 NRS2002應用于神經科住院患者,神經內科完全適應率為42.02％,不完全適應率為47.89％,完全不適應率為11.93％；神經外科完全適應率為43.38％,不完全適應率為33.82％,完全不適應率為22.79％；兩箇科室比較,差異有統計學意義(x2 =20.331,P＜0.01).神經內科住院患者營養風險髮生率為48.33％,高于神經外科患者的30.48％,差異有統計學意義(x2=19.017,P＜0.01)；神經內、外科患者營養不良、超重及肥胖髮生率比較,差異均無統計學意義(P＞0.05).結論 NRS2002可應用于神經科住院患者,但神經科很多患者因疾病原因無法站立或正常交流,導緻資料收集受影響,可能會存在偏差,從而有一定的不完全適用率和不適用率；神經內科住院患者更適用于NRS2002評分且營養風險髮生率較高.
목적 평고구주영양풍험사사방법(NRS2002)재신경과주원환자응용적가행성,병조사신경내、외과주원환자영양풍험、영양불량、초중、비반적발생솔.방법 정점련속추양조사817례신경과주원환자,대완전부합NRS2002입선표준적환자입원제2천진행평분；대인무법참립、수종등원인무법득도준학체중지수(BMI)적환자,우입원제2천행인혈백단백(ALB)측정.분석신경내、외과환자대NRS2002평분괄응정황,병비교신경내、외과환자영양풍험、영양불량、초중급비반솔.결과 NRS2002응용우신경과주원환자,신경내과완전괄응솔위42.02％,불완전괄응솔위47.89％,완전불괄응솔위11.93％；신경외과완전괄응솔위43.38％,불완전괄응솔위33.82％,완전불괄응솔위22.79％；량개과실비교,차이유통계학의의(x2 =20.331,P＜0.01).신경내과주원환자영양풍험발생솔위48.33％,고우신경외과환자적30.48％,차이유통계학의의(x2=19.017,P＜0.01)；신경내、외과환자영양불량、초중급비반발생솔비교,차이균무통계학의의(P＞0.05).결론 NRS2002가응용우신경과주원환자,단신경과흔다환자인질병원인무법참립혹정상교류,도치자료수집수영향,가능회존재편차,종이유일정적불완전괄용솔화불괄용솔；신경내과주원환자경괄용우NRS2002평분차영양풍험발생솔교고.
Objective To evaluate the feasibility of European nutritional risk screening (NRS2002) on inpatients from our department of neurology,and investigate the incidence rate of nutritional risk,malnutrition,overweight and obesity of inpatients from department of neurology and neurosurgery.Methods 817 cases of patients were investigated,those who reached NRS2002 standard were graded on the next day of admission,and those who could not had exact BMI because they were not able to stand or had hydroncus had ALB test on the next day of admission.Patients' adjustment to NRS2002 was analyzed and nutritional risk,malnutrition,overweight and obesity were compared between department of neurology and neurosurgery.Results In department of neurology,the rate of complete adaption was 42.02％,incomplete adaption was 47.89％,and none adaption was 11.93％.while in the department of neurosurgary,the rate of complete adaption was 43.38％,incomplete adaption was 33.82％,and none adaption was 22.79％.The difference was statistically significant (x2 =20.331,P ＜ 0.01).The incidence rate of nutritional risk was 48.33％ in department of neurology and 30.48％ in the department of neurosurgery,and the difference was statistically significant (x2 =19.017,P ＜ 0.01).And the differences of incidence rate of malnutrition,overweight and obesity had no statistical significance between the department of neurology and neurosurgery (P ＞ 0.05).Conclusions NRS-2002 can be applied on patients from department of neurology,but data collection is affected because many patients cannot stand or have normal communication due to diseases,thus deviation may cause incomplete adaption or none adaption.Patients from department of neurology are more suitable to NRS2002 than those from department of neurosurgery and their incidence rate of nutritional risk is higher.
