{"title":"由训练有素的护士对内科和骨科住院患者进行营养风险筛查：来自VAL-NUT横断面研究的结果。","authors":"Luisella Canta, Elena Lenta, Francesca Savigliano, Chiara Grasso, Silvano Andorno, Riccardo Sperlinga, Chiara Rustichelli, Claudia Cravero, Ilaria Isoardi, Mara Oberto, Sabrina Panebianco, Giancarlo Mercurio, Sabrina Contini","doi":"10.1111/jocn.70193","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>To assess the prevalence of malnutrition risk, especially of undernutrition, among patients admitted to the Internal Medicine and Orthopaedics wards at Michele and Pietro Ferrero Hospital, Italy, using the Nutritional Risk Screening 2002 (NRS-2002) tool, administered by trained nursing staff, and to evaluate the adherence to related care interventions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>We included 248 adult patients, screened by trained nurses for nutritional risk within 48 h of admission using the NRS-2002 tool, which takes into account patients' Body Mass Index, recent weight loss, reduced dietary intake, and disease severity. Information on nursing interventions was also collected.</p><p><strong>Results: </strong>We identified 36 subjects at risk of malnutrition with NRS ≥ 3. Prevalence was higher in Internal Medicine, reflecting differences in patient characteristics and clinical complexity. Patients at risk were older, had longer hospital stays, and higher risks of falls and pressure sores. Nursing interventions such as proper meal selection, administration of hypercaloric-hyperproteic supplements, and completion of food diary were implemented in most cases, although adherence was not complete. Post-training questionnaire showed that, overall, nurses integrated nutritional screening into practice, but areas for improvement were identified.</p><p><strong>Conclusion: </strong>Results confirmed the high prevalence of malnutrition risk in hospitalised patients, especially in Internal Medicine. Proper training and empowerment can enable nurses to effectively identify and manage patients at intermediate risk of malnutrition.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurses can play key roles in hospital nutritional care by facilitating early identification and appropriate management of patients at malnutrition risk.</p><p><strong>Impact: </strong>Malnutrition is very common among inpatients. Trained and empowered nurses can perform nutritional screening at admission to identify and early manage patients at risk, thereby helping to prevent increased morbidity, mortality and healthcare costs.</p><p><strong>Reporting method: </strong>STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2672-2682"},"PeriodicalIF":3.5000,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nutritional Risk Screening by Trained Nurses in Patients Admitted to Internal Medicine and Orthopaedics: Results From the VAL-NUT Cross-Sectional Study.\",\"authors\":\"Luisella Canta, Elena Lenta, Francesca Savigliano, Chiara Grasso, Silvano Andorno, Riccardo Sperlinga, Chiara Rustichelli, Claudia Cravero, Ilaria Isoardi, Mara Oberto, Sabrina Panebianco, Giancarlo Mercurio, Sabrina Contini\",\"doi\":\"10.1111/jocn.70193\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>To assess the prevalence of malnutrition risk, especially of undernutrition, among patients admitted to the Internal Medicine and Orthopaedics wards at Michele and Pietro Ferrero Hospital, Italy, using the Nutritional Risk Screening 2002 (NRS-2002) tool, administered by trained nursing staff, and to evaluate the adherence to related care interventions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>We included 248 adult patients, screened by trained nurses for nutritional risk within 48 h of admission using the NRS-2002 tool, which takes into account patients' Body Mass Index, recent weight loss, reduced dietary intake, and disease severity. Information on nursing interventions was also collected.</p><p><strong>Results: </strong>We identified 36 subjects at risk of malnutrition with NRS ≥ 3. Prevalence was higher in Internal Medicine, reflecting differences in patient characteristics and clinical complexity. Patients at risk were older, had longer hospital stays, and higher risks of falls and pressure sores. Nursing interventions such as proper meal selection, administration of hypercaloric-hyperproteic supplements, and completion of food diary were implemented in most cases, although adherence was not complete. Post-training questionnaire showed that, overall, nurses integrated nutritional screening into practice, but areas for improvement were identified.</p><p><strong>Conclusion: </strong>Results confirmed the high prevalence of malnutrition risk in hospitalised patients, especially in Internal Medicine. Proper training and empowerment can enable nurses to effectively identify and manage patients at intermediate risk of malnutrition.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurses can play key roles in hospital nutritional care by facilitating early identification and appropriate management of patients at malnutrition risk.</p><p><strong>Impact: </strong>Malnutrition is very common among inpatients. Trained and empowered nurses can perform nutritional screening at admission to identify and early manage patients at risk, thereby helping to prevent increased morbidity, mortality and healthcare costs.</p><p><strong>Reporting method: </strong>STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>None.</p>\",\"PeriodicalId\":50236,\"journal\":{\"name\":\"Journal of Clinical Nursing\",\"volume\":\" \",\"pages\":\"2672-2682\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2026-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jocn.70193\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2026/1/11 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.70193","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/11 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：利用2002年营养风险筛查（NRS-2002）工具，由训练有素的护理人员管理，评估意大利Michele and Pietro Ferrero医院内科和骨科病房患者营养不良风险的普遍程度，特别是营养不良风险，并评估相关护理干预措施的依从性。设计：横断面研究。方法：我们纳入了248名成年患者，由训练有素的护士使用NRS-2002工具在入院48小时内筛选营养风险，该工具考虑了患者的体重指数、近期体重减轻、饮食摄入量减少和疾病严重程度。还收集了有关护理干预措施的信息。结果：我们确定了36名有营养不良风险的受试者，NRS≥3。内科的患病率较高，反映了患者特征和临床复杂性的差异。有风险的患者年龄较大，住院时间较长，摔倒和压疮的风险较高。护理干预措施，如适当的膳食选择，高热量-高蛋白补充剂的管理，并完成食物日记在大多数情况下实施，尽管遵守不完全。培训后问卷调查显示，总体而言，护士将营养筛查纳入实践，但确定了需要改进的领域。结论：结果证实营养不良风险在住院患者中普遍存在，特别是在内科。适当的培训和授权可以使护士有效地识别和管理处于中等营养不良风险的患者。对专业和/或患者护理的影响：护士可以通过促进营养不良风险患者的早期识别和适当管理，在医院营养护理中发挥关键作用。影响：营养不良在住院病人中很常见。经过培训和授权的护士可以在入院时进行营养筛查，以识别和早期管理有风险的患者，从而帮助防止发病率、死亡率和医疗费用的增加。报告方法：STROBE指南。患者或公众贡献：无。
Nutritional Risk Screening by Trained Nurses in Patients Admitted to Internal Medicine and Orthopaedics: Results From the VAL-NUT Cross-Sectional Study.
Aims: To assess the prevalence of malnutrition risk, especially of undernutrition, among patients admitted to the Internal Medicine and Orthopaedics wards at Michele and Pietro Ferrero Hospital, Italy, using the Nutritional Risk Screening 2002 (NRS-2002) tool, administered by trained nursing staff, and to evaluate the adherence to related care interventions.
Design: Cross-sectional study.
Methods: We included 248 adult patients, screened by trained nurses for nutritional risk within 48 h of admission using the NRS-2002 tool, which takes into account patients' Body Mass Index, recent weight loss, reduced dietary intake, and disease severity. Information on nursing interventions was also collected.
Results: We identified 36 subjects at risk of malnutrition with NRS ≥ 3. Prevalence was higher in Internal Medicine, reflecting differences in patient characteristics and clinical complexity. Patients at risk were older, had longer hospital stays, and higher risks of falls and pressure sores. Nursing interventions such as proper meal selection, administration of hypercaloric-hyperproteic supplements, and completion of food diary were implemented in most cases, although adherence was not complete. Post-training questionnaire showed that, overall, nurses integrated nutritional screening into practice, but areas for improvement were identified.
Conclusion: Results confirmed the high prevalence of malnutrition risk in hospitalised patients, especially in Internal Medicine. Proper training and empowerment can enable nurses to effectively identify and manage patients at intermediate risk of malnutrition.
Implications for the profession and/or patient care: Nurses can play key roles in hospital nutritional care by facilitating early identification and appropriate management of patients at malnutrition risk.
Impact: Malnutrition is very common among inpatients. Trained and empowered nurses can perform nutritional screening at admission to identify and early manage patients at risk, thereby helping to prevent increased morbidity, mortality and healthcare costs.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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