A survey on pediatric nutrition and nutritional support in 45 hospitals

Q4 Nursing

中华临床营养杂志 Pub Date : 2018-04-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.02.006

Hui-jia Lin

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Abstract

Objective To investigate, through a survey on hospitals, the disciplinary development of pediatric nutrition and the present situation of clinical nutritional support in China, in an effort to inform and promote development of pediatric clinical nutrition. Methods A questionnaire was designed by the group of clinical nutrition, Chinese Pediatric Society, Chinese Medical Association. Respondents were 45 hospitals where members of the group work. The survey included 8 aspects in clinical work. Results Of all the 45 hospitals, 40 were grade-A tertiary hospitals; 4 were grade-B tertiary hospitals; and one was a secondary hospital. 25 (55.6%) of the surveyed hospitals were children's hospitals, and 20 (44.4%) were general hospitals. All the hospitals were divided into 8 groups according to their geographical distribution in China, and East China hosted the most while Northeast China had the least. Nutritional support team (NST) was set up in 32 (71.1%) hospitals, with head of the team majoring in the specialty/subspecialty of pediatric gastroenterology or clinical nutrition. In 39 (86.7%) hospitals, physicians working in the nutrition department were attending or above, and in 38 (84.4%) tertiary hospitals, chief of the nutrition department held an academic title of associate chief or above. 39 (86.7%) hospitals had nutrition clinics, 42 (93.3%) provided nutritional counseling, 40 (88.9%) involved nutritionists in consultations, 25 (55.6%) had independent nutritional rounds. Screening tools for nutritional risk and dysplasia in children(STRONGkids) and screening tool for the assessment of malnutrition in pediatrics (STAMP) were the most widely used tools for malnutrition screening, and the same with self-rating depression scale(SDS) and percentile for nutritional status evaluation. In the most surveyed hospitals, key institutional requirement and procedural protocol were put in place for the nutritional department. Conclusions Pediatric clinical nutrition was developing well in tertiary hospitals in China. NST was established in most institutions. There was strong toolkit for clinical nutritional support and sound administrative institutions. There is room, though, for further improvement. Key words: Pediatrics; Nutritional support; Survey

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45家医院儿童营养及营养支持状况调查

目的通过对医院的调查，了解中国儿科营养学科的发展情况和临床营养支持的现状，为儿科临床营养的发展提供信息和促进。方法由中华医学会儿科学分会临床营养学组设计问卷。受访者是该小组成员所在的45家医院。调查内容包括临床工作中的8个方面。结果45家医院中，40家为三级甲等医院;4家为二级三级医院;一个是二级医院。儿童医院占25家(55.6%)，综合医院占20家(44.4%)。所有医院根据其在中国的地理分布分为8组，华东地区医院最多，东北地区最少。32家(71.1%)医院建立了营养支持团队(NST)，团队负责人为儿科消化内科专科/亚专科或临床营养学专业;39家(86.7%)医院的营养科医师为专科及以上职称，38家(84.4%)三级医院的营养科主任为副主任及以上职称。39家(86.7%)医院设有营养门诊，42家(93.3%)医院提供营养咨询，40家(88.9%)医院有营养师参与咨询，25家(55.6%)医院有独立的营养查房。儿童营养风险和发育不良筛查工具(STRONGkids)和儿科营养不良评估筛查工具(STAMP)是最广泛使用的营养不良筛查工具，抑郁自评量表(SDS)和营养状况评估百分位数也是最广泛使用的工具。在大多数接受调查的医院中，对营养科制定了关键的机构要求和程序协议。结论我国三级医院儿科临床营养发展状况良好。大多数机构都设立了NST。有强大的临床营养支持工具和健全的行政机构。不过，还有进一步改进的空间。关键词:儿科学;营养支持;调查

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.