CAJ | 학술논문

目的：在信息平台下评估营养风险筛查2002（NRS2002）在住院患者营养筛查中的可行性和应用价值。方法选取2013年8～12月某三级医院新住院患者进行营养风险筛查，方法是在入院当天测定身高、体重，详细记录病史及患者情况，采用NRS 2002对患者进行营养风险评估并进行分析。结果经营养风险筛查的患者共7595人，同期住院人数为9322人，筛查比率为81.5%，其中3分（及以上）为易发生营养不良风险的患者，共965人，阳性筛查比率为12.7%，存在营养风险的患者主要集中于神经内科、神经外科、消化科、中医科、普外科、呼吸科。营养风险发生率较高的科室依次是神经内科（20%）、消化科（19%）、中医科（19%）、普外科（17%）、呼吸科（17%）、心内科（15%），均高于平均阳性筛查率12.7%。结论住院患者NRS 2002适用率高，通过筛查，营养风险高危患者聚集在个别科室，提示营养筛查时需重点这些科室，对于高危患者有意识、有计划的给予营养干预。
목적：재신식평태하평고영양풍험사사2002（NRS2002）재주원환자영양사사중적가행성화응용개치。방법선취2013년8～12월모삼급의원신주원환자진행영양풍험사사，방법시재입원당천측정신고、체중，상세기록병사급환자정황，채용NRS 2002대환자진행영양풍험평고병진행분석。결과경영양풍험사사적환자공7595인，동기주원인수위9322인，사사비솔위81.5%，기중3분（급이상）위역발생영양불량풍험적환자，공965인，양성사사비솔위12.7%，존재영양풍험적환자주요집중우신경내과、신경외과、소화과、중의과、보외과、호흡과。영양풍험발생솔교고적과실의차시신경내과（20%）、소화과（19%）、중의과（19%）、보외과（17%）、호흡과（17%）、심내과（15%），균고우평균양성사사솔12.7%。결론주원환자NRS 2002괄용솔고，통과사사，영양풍험고위환자취집재개별과실，제시영양사사시수중점저사과실，대우고위환자유의식、유계화적급여영양간예。
Objective In the information platform to evaluate nutritional risk screening 2002(NRS2002)in hospitalized patients nutritional screening the feasibility and application value.Methods Selection in August 2013 to December 2013 new hospitalized patients in a tertiary hospital,nutritional risk screening method was in the hospital on the day of the measured height,weight,detailed history records and the clinical situation,the NRS 2002 nutrition risk assessment was performed and analyzed.Results Management risk screening patients a total of 7 595 people,to 9 322 the number of hospitalized during this period,the screening rate was 81.5%,among them three points(or more)for patients at risk of malnutrition,often occurred in 965,positive screening rate was 12.7%,which mainly focus on patients with nutritional risk in neurology,neurosurgery,digestive department,regions,general surgery,respiratory. Nutritional risk rate higher,in turn,was neurology department(20%),digestive department (19%),regions(19%),general surgery(17%),respiratory(17%),heart(15%),with are higher than the average positive screening rate was 12.7%.Conclusion NRS 2002 hospitalized patients with applicable rate is high,through screening,patients at high risk of nutritional risk gathered in individual departments,prompt nutritional screening need to focus on these departments,consciously for high-risk patients,in a planned way of nutritional intervention.