Objective:To investigate the effect of fresh food homogenate instead of traditional liquid and semiliquid diet on the condition of nutrition and aspiration in the early stage of pulling out the na-sogastric tube in patients with moderate dysphagia.Methods:Forty patients with tube feeding were randomly divided into observation group and control group.Each group had 20 cases.After extubation,the observation group ate fresh food homogenate,and the control group were feeding liquid and semi liquid diet.The actual calories intake,protein,carbohydrate,lipid and dietary fiber were recorded on the first day and the fifteenth day of intervention.The values of serum albumin,prealbumin,hemoglobin and total lymphocyte count were measured.The rate of aspiration and constipation was observed continuously during the study.Results:After 2 weeks of intervention,the daily energy and nutrient intake,nutritional biochemical indexes of observation group were higher than those of control group (P ＜ 0.05),and the incidence of aspiration and constipation was decreased in observation group (P ＜ 0.05).Conclusion:Compared with the conventional liquid and semi liquid diet,fresh food homogenate can increase the intake of daily calorie and nutrition in patients with moderate dysphagia in the early stage after the feeding tube was pulled out,improve nutritional status,reduce the aspiration and constipation,and be well tolerated.

Objective To investigate the present status and correlation of the knowledge-attitude-practice ( KAP) on nutrition among the clinical medical personnel, and also to analyze the features and influential factors of the knowledge-attitude-practice ( KAP) on nutrition, so as to provide theoretical evidence for the continuing education on nutrition.Methods An investigation on the current status of KAP on nutrition was made among the 199 clinical medical personnel of the hospital by using questionnaire, and statistical treatment was made by using frequency description, correlation analysis and descriptive analysis.Results There was a positive correla-tion between nutritional knowledge, attitude and practice (r=0.334, 0.410, 0.480) (P<0.05).The KAP pass rates were respec-tively 62.4%, 92%and 79.4%.The knowledge of nutrition was greatly influenced by profession, academic credentials, professional titles, years of service, professional posts and educational background (P<0.01).Nutritional practice was correlated with professional posts, academic credentials, professional titles and different professional departments (P<0.05).Nutrition attitude was not affected by the 6 factors in the questionnaire survey (P<0.05).Conclusion The nutrition attitude of the medical personnel was on the whole pos-itive, but their nutrition practice should be standardized.They were still lacking in nutritional knowledge, clinical nutrition in particu-lar.For this reason, efforts should be made to implement a continuing nutrition education program among the medical personnel of the hospital, so as to improve quality control of clinical nutrition management.