营养筛选工具的验证:皇家自由医院慢性肝病患者营养优先排序工具(RFH-NPT)

Malaysian Journal of Medicine and Health Sciences Pub Date : 2023-05-15 DOI:10.47836/mjmhs.19.3.17

Norashimah Rajab, Syahrul Bariah Abdul Hamid, Aishah Hanum Mohd Said, Khairil Anuar Md Isa

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引用次数: 0

摘要

引言：肝病患者特别容易营养不良，而营养不良往往被低估。开发了筛查工具来检测营养不良的风险。然而，肝病患者的筛查工具经常被低估。液体超负荷是肝病患者进行营养筛查的主要问题。因此，本研究旨在在患者中验证皇家免费医院营养优先工具（RFH-NPT），并评估RFH-NPT、营养风险筛查（NRS 2002）和主观全局评估（SGA）之间的相关性。方法：本研究分三个阶段进行；跨文化适应、标准有效性和信度阶段。内容的有效性通过采访八位肝病专业人士得到证实。通过调查在肝病病房工作的40名护士来评估面部有效性。此外，使用SGA工具评估了2002年NRS和RFH-NPT评估之间的协议。结果：80例肝病患者参加了本研究。SGA评估发现75%的患者营养不良（95%CI，60%-95%），而使用RFH-NPT发现80%的患者（95%CI，65%-80）有营养不良的风险。RFH-NPT的中特异性和高敏感性分别为97%和74%，阳性预测值为95%。结论：RFH-NPT营养筛查工具是该人群评估营养不良风险的初始和最可靠的工具。因此，将RFH-NPT纳入NRS 2002表明，SGA和RFH-NPT工具之间达成了积极和公平的协议，可作为常规营养筛查方案，用于识别营养不良风险患者。

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Validation Of Nutrition Screening Tool: Royal Free Hospital Nutritional Prioritizing Tool (RFH-NPT) For Chronic Liver Disease Patients

Introduction: Hepatic diseases patients are especially prone to malnutrition, which is often underestimated. Screening tools were developed to detect the risk of malnutrition. However, screening tools for patients with liver disease were frequently underestimated. Fluid overload is the main issue to perform nutritional screening in liver disease patients. Therefore, this study aimed to validate the Royal Free Hospital Nutritional Prioritizing Tool (RFH-NPT) among patients and to evaluate association between RFH-NPT, Nutritional Risk Screening (NRS 2002) and Subjective Global Assessment (SGA). Methods: This cross sectional study was conducted in 3 phases; transcultural adaptation, criterion validity and reliability phases. Content validity was confirmed by interviewing eight liver disease professionals. Face validity was assessed by surveying forty nurses working in the liver disease ward. In addition, agreement between NRS 2002 and RFH-NPT assessment was assessed using the SGA tool. Results: Eighty patients with liver disease took part in this study. The SGA assessment found malnutrition in 75% of patients (95% CI, 60%–95%) while 80% (95% CI, 65%-80) were found as at risk of malnutrition using RFH- NPT. Moderate specificity and high sensitivity of RFH-NPT were 97% and 74%, respectively, and 95% positive predictive value was measured. Conclusion: The RFH-NPT nutritional screening tool is the initial and most reliable in this population to assess the malnutrition risk. Thus, inclusion of the RFH-NPT with NRS 2002 demonstrated positive and a fair agreement between the SGA and RFH-NPT tool to be used as a routine nutrition screening protocol for identifying patients at risk of malnutrition.

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来源期刊

Malaysian Journal of Medicine and Health Sciences Medicine-Medicine (all)

CiteScore

0.50

自引率

0.00%

发文量

期刊介绍： The Malaysian Journal of Medicine and Health Sciences (MJMHS) is published by the Faculty of Medicine and Health Sciences, Universiti Putra Malaysia. The main aim of the MJMHS is to be a premier journal on all aspects of medicine and health sciences in Malaysia and internationally. The focus of the MJMHS will be on results of original scientific research and development, emerging issues and policy analyses pertaining to medical, biomedical and clinical sciences.