Adult malnutrition: prevalence and use of nutrition-related quality indicators in South African public-sector hospitals

IF 0.6 Q4 NUTRITION & DIETETICS

South African Journal of Clinical Nutrition Pub Date : 2019-01-02 DOI:10.1080/16070658.2017.1410003

E. van Tonder, L. Gardner, Saskia Cressey, R. Tydeman-Edwards, K. Gerber

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引用次数: 22

Abstract

Objectives: The aim of this study was to describe the prevalence of malnutrition among adult hospitalised patients in three South African public hospitals and to determine the availability of nutrition-related quality indicators at ward and institutional level. Method: A descriptive, cross-sectional, multi-centre study was used to determine the prevalence of malnutrition, whilst a descriptive exploratory design was used to determine the use of nutrition-related quality indicators for the identification and treatment of malnutrition. A total of 141 adult hospitalised patients in three public hospitals in an urban setting participated. Mid-upper arm circumference (MUAC), body mass index (BMI), and malnutrition universal screening tool (MUST) were used to determine the prevalence of malnutrition or malnutrition risk. A Hospital Nutrition Review Tool (HNRT) determined the use of nutrition-related quality indicators. Results: The overall malnutrition risk according to MUST was 72.3% (48.2% high risk and 24.1% medium risk), whilst 45.4% were malnourished based on MUAC. No routine nutritional screening was conducted in any of the wards to identify patients at nutritional risk. The majority of nurses reported inadequate training or knowledge to calculate patients’ BMI or percentage weight loss, or to perform nutritional screening. Conclusion: Both malnutrition prevalence and malnutrition risk among adult hospitalised patients are high in the public sector. Inadequate resources may lead to delays in malnutrition identification and appropriate nutritional intervention, which may adversely affect both the patient and the institution. This study contributes to baseline data on adult malnutrition in the South African public hospital setting.

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成人营养不良:南非公共部门医院中与营养有关的质量指标的流行情况和使用情况

目的：本研究的目的是描述南非三家公立医院成年住院患者营养不良的患病率，并确定病房和机构层面营养相关质量指标的可用性。方法：采用描述性、横断面、多中心研究来确定营养不良的患病率，同时采用描述性探索性设计来确定营养相关质量指标用于营养不良的识别和治疗。城市三家公立医院共有141名成年住院患者参加了此次活动。使用中上臂围（MUAC）、体重指数（BMI）和营养不良通用筛查工具（MUST）来确定营养不良的患病率或营养不良风险。医院营养审查工具（HNRT）确定了营养相关质量指标的使用。结果：根据MUST，总体营养不良风险为72.3%（48.2%为高风险，24.1%为中风险），而根据MUAC，45.4%为营养不良。没有在任何病房进行常规营养筛查，以确定有营养风险的患者。大多数护士报告说，在计算患者的BMI或体重减轻百分比或进行营养筛查方面，培训或知识不足。结论：在公共部门，成年住院患者的营养不良患病率和营养不良风险都很高。资源不足可能导致营养不良识别和适当营养干预的延误，这可能会对患者和机构产生不利影响。这项研究有助于南非公立医院成人营养不良的基线数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

South African Journal of Clinical Nutrition NUTRITION & DIETETICS-

CiteScore

2.50

自引率

9.10%

发文量

期刊介绍： 1.The Journal accepts articles from all basic and applied areas of dietetics and human nutrition, including clinical nutrition, community nutrition, food science, food policy, food service management, nutrition policy and public health nutrition. 2.The Journal has a broad interpretation of the field of nutrition and recognizes that there are many factors that determine nutritional status and that need to be the subject of scientific investigation and reported in the Journal. 3.The Journal seeks to serve a broad readership and to provide information that will be useful to the scientific community, the academic community, government and non-government stakeholders in the nutrition field, policy makers and industry.