CAJ | 학술논문

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。
목적：조사NRS2002영양풍험사사공구용우부분내과환자적가행성급영양풍험발생솔재주원기간적개변。방법대신경내과、소화내과、호흡내과삼개전과신입원차부합입선표준적180례환자채용NRS2002진행영양풍험사사，조사해공구적가행성급해부분환자재주원기간영양풍험적변화。결과입선환자중완전괄용NRS2002적환자비례위85.0%，평정솔급완전괄용솔최저적균위신경내과；전부환자중，영양풍험발생솔종입원시적32.8%상승위출원시적38.3%，주원기간신경내과급소화내과적영양풍험발생솔승고，호흡내과강저。결론 NRS2002응용우부분내과환자시가행적；의호인원응대환자재주원기간적영양풍험진행감측，급여괄당적간예，이강저주원기간영양풍험발생솔。
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.