Status quo of nutritional risks, malnutrition and nutritional support of inpatients with neoplasms
10.3760/cma.j.issn.1674-2907.2017.11.004
- VernacularTitle:肿瘤住院患者营养风险、营养不足及营养支持现况调查
- Author:
Lin ZHANG
1
;
Zixia XU
;
Suyun LI
Author Information
1. 华中科技大学同济医学院附属协和医院胸外科
- Keywords:
Questionnaire;
Neoplasms;
Malnutrition;
Nutritional support;
Nutritional risk screening
- From:
Chinese Journal of Modern Nursing
2017;23(11):1470-1473
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status quo of nutritional risks, malnutrition and nutritional support of inpatients with neoplasms and to provide a theoretical basis for making targeted clinic nutritional support standards and training programs.Methods Totally 421 patients with neoplasms who were admitted in Wuhan Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology between October 2015 and April 2016 were selected as respondents by cross-sectional survey and convenience sampling, and investigated with self-made nutritional support questionnaires based on Nutritional Risk Screening 2002 (NRS 2002) and China's real nursing practice.Results The incidence of malnutrition of the 421 patients was 44.2%, and the incidence of nutritional risks was 68.6%. The incidence of nutritional risks of patients with gastrointestinal neoplasms was higher than that of those patients with other neoplasms (χ2=24.541, 4.405;P<0.05); 92.6% of patients received nutritional support, 76.2% of which received parenteral nutrition and 14.5% received enteral nutrition; the incidence of gastrointestinal complications among those patients who received enteral nutrition was up to 30.2%, and the incidence of mechanical complications among those patients who received parenteral nutrition was up to 13.4%; the nursing achievement rates of the patients who received enteral nutrition and parenteral nutrition were 41.8% and 61.6%, respectively.Conclusions Inpatients with neoplasms show high incidence of nutritional risks and malnutrition. Therefore, healthcare workers should standardize the nutritional risk management for inpatients with neoplasms and strengthen the nutrition nursing training and quality control for nurses so as to reduce nutritional support-related complications among inpatients with neoplasms and accelerate their recovery.