营养师的建议是否得到遵循?儿科住院病人和非住院病人的描述性研究。

IF 2.9 3区 医学 Q3 NUTRITION & DIETETICS
Bryanna Umentum, Hannah Jang Kim, Ashley Adkins, Mary Beth Feuling, Julia Hilbrands, Nicole Martin, Praveen S. Goday, Amber Smith
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引用次数: 0

摘要

研究背景这项横断面回顾性研究的主要目的是描述医院和非住院环境中营养不良儿科患者对营养师处方营养建议的执行情况。我们还旨在调查可能与实施差异有关的其他特征:我们收集了 2020 年 2 月至 2021 年 1 月期间 186 名住院患者和 565 名非住院患者的数据。数据包括年龄、医院或门诊专科部门、主要诊断、营养不良状况、住院时间(LOS)和医学营养治疗建议。医疗团队在医院环境中的执行情况和家属在门诊环境中的遵守情况分为 "完全"、"部分 "或 "无"。"部分 "和 "无 "合并进行分析:结果:79.6%的住院患者执行了营养师的处方建议。在门诊患者中,46.4%的患者遵从了营养建议。在医院内,根据年龄(p = 0.047)、医院科室(p = 0.002)和住院时间(p = 0.04),营养建议的执行率存在显著差异,而在非住院人群中,所研究的任何特征在营养建议的执行率方面均无显著差异:结论:营养师的建议在医院中经常得到执行,而在门诊患者中,对这些建议的遵守情况却很差。需要采取干预措施来提高门诊环境中营养建议的依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Are dietitian recommendations followed? A descriptive study of paediatric hospitalised and ambulatory patients

Are dietitian recommendations followed? A descriptive study of paediatric hospitalised and ambulatory patients

Background

The primary objective of this cross-sectional retrospective study was to describe the implementation of dietitian prescribed nutrition recommendations in malnourished paediatric patients in the hospital and ambulatory settings. We also aimed to investigate other characteristics that could be associated with differences in implementation.

Methods

Data were collected from 186 hospitalised and 565 ambulatory patients between February 2020 and January 2021. Data included age, hospital or ambulatory specialty departments, primary diagnosis, malnutrition status, hospital length of stay (LOS), and medical nutrition therapy recommendations. Implementation by the medical team in the hospital setting and adherence by the family in the outpatient setting were categorised as “Full”, “Partial” or “None”. “Partial” and “None” were combined for analysis.

Results

Dietitian prescribed recommendations were implemented in 79.6% of hospitalised patients. In the ambulatory population, 46.4% of patients were adherent with nutrition recommendations. Within the hospital, there was a significant difference in implementation of nutrition recommendations based on age (p = 0.047), hospital department (p = 0.002) and LOS (p = 0.04), whereas, in the ambulatory population, there were no significant differences in the rate of adherence among any of the studied characteristics.

Conclusions

Dietitian recommendations are frequently implemented in the hospital, whereas adherence to such recommendations is poor in the outpatient population. Interventions to improve adherence to nutrition recommendations in the ambulatory setting are needed.

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来源期刊
CiteScore
5.30
自引率
15.20%
发文量
133
审稿时长
6-12 weeks
期刊介绍: Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.
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