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普通外科住院病人术前营养风险、营养支持和医师相关知识的调查分析
引用本文:庞冬,郑凡凡,周玉洁,路潜.普通外科住院病人术前营养风险、营养支持和医师相关知识的调查分析[J].肠外与肠内营养,2010,17(2).
作者姓名:庞冬  郑凡凡  周玉洁  路潜
作者单位:1. 北京大学,护理学院内外科护理教研室,北京,100191
2. 北京大学,第三医院普通外科,北京,100191
摘    要:目的:调查普通外科住院病人术前营养风险、营养支持与医师营养风险筛查相关知识的关系。方法:采用营养风险筛查方法(NRS2002)和自设问卷对普通外科1个月内217例住院病人和同一科室41名医师进行调查。结果:术前营养风险的检出率为15.7%,以胃肠道疾病和恶性疾病病人最多见(P0.001)。在有营养风险者中营养支持率为14.7%,在无营养风险者中为2.2%。肠内和肠外营养支持比例为1∶2。医师对营养风险筛查和营养支持有效性的认识存在误区,且其所具备的知识与临床实践不够一致,希望提供相关培训。结论:普通外科胃肠道疾病和(或)恶性疾病病人术前营养风险较高,临床营养支持普遍不足,医师缺乏营养风险筛查相关知识。建议加强培训,推广使用NRS2002,提高临床营养支持的合理性。

关 键 词:普通外科  营养风险筛查  营养支持  营养支持调查  

Survey on and analysis of pre-operative nutritional risks and nutritional supports among patients and related knowledge among surgeons in general surgical wards
PANG Dong,ZHENG Fan-fan,ZHOU Yu-jie,LU Qian.Survey on and analysis of pre-operative nutritional risks and nutritional supports among patients and related knowledge among surgeons in general surgical wards[J].Parenteral & Enteral Nutrition,2010,17(2).
Authors:PANG Dong  ZHENG Fan-fan  ZHOU Yu-jie  LU Qian
Institution:1.Department of Medical-Surgical Nursing;School of Nursing;2.Department of General Surgery;Third Hospital;Peking University;Beijing 100191;China
Abstract:Objective:To assess the relationships between nutritional risks, nutritional support, and doctors' knowledge related to nutritional risks. Methods:217 pre-operative patients and 41 doctors in the same general surgical wards were surveyed by using NRS2002 and self-developed questionnaires in a Beijing hospital. Results:The overall prevalence of pre-operative nutritional risks was 15.7%. Patients with gastrointestinal and/or malignant diseases had higher risks than others(P values were both less than 0.001). ...
Keywords:General surgical ward  Nutritional risk  Nutritional support  Nutritional support survey  
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