Nutritional Risk Screening And Analysis In Hospitalized Children In Suzhou

AimsTo evaluate nutritional risk in hospitalized children in Suzhou and analyze its distribution for clinical outcomes to provide evidence for improved nutritional management.MethodsNutritional Risk Screening and Analysis in Hospitalized Children in Suzhou The investigation enrolled hospitalized children from Children’s Hospital of Soochow University, pediatrics of Suzhou Municipal Hospital and the First People’s Hospital of Taicang. This research cooperated with Information Department of Children’s Hospital of Soochow University and put the screening of nutritional risk into risk assessment system for admission to hospital care. The nutritional risks in the hospitalized children of Suzhou Municipal Hospital and the First People’s Hospital of Taicang were evaluated using the nutritional risk assessment form. Combining nutrition physicians and having all hospital divided guide learning for nurses through the information system using screening tool for the assessment of malnutrition in pediatrics(STAMP) or with paper screening table to screen nutritional risk of each hospitalization children(with the exception of neonatal ward and intensive care unit) within 24 hours of admission. Researchers registered score by disease division using excel through information system and verified scores valued by all nurses according to the basic data of screening table and counted the population of high nutritional risk and low nutrition risk. Then putting the enrolled children into four groups by hospital, department, disease, age through SPSS19.0 and using excel to choose statistics of the number of children with high nutritional risk in different departments, different systems and different age levels in Children’s Hospital of Soochow University and the number of children with high nutritional risk in other two hospitals? counting the incidenceof high risk in different groups, comparing and analyzing the relationship among department, disease, age and high nutritional risk to get a reason for high nutritional risk in Suzhou. Counting the scores and calculating the mean value of high nutritional risk hospitalized children assessment in each group of each item to compare and analyze the causes of the high risk of hospitalized children in Suzhou.ResultsThis investigation enrolled 6,448 hospitalized children, there are 5,438 hospitalized children corresponding to the inclusion criteria and all of them accomplish the screening of nutritional risk. The incidence of nutritional risk of hospitalized children in specialist hospital for children and pediatrics of two general hospitals were18.21% and 23.66%,respectively, all the rest were moderate nutritional risk. The incidence in Department of Internal Medicine was 22.74% and the most three incidences of the departments were digestive department(40.10%), Kidney rheumatism immunity department(32.13%) and cardiovascular department(26.06%), compared to the surgical department(9.22%) and the most three were Thoracic surgery(16.67%), neurosurgery(12.94%) and general surgery(12.27%). The high nutritional risk of hospitalized children in specialist hospital for different ages has significant statistics difference(P < 0.05). More than 7-year-old hospitalized children have the highest nutritional risk incidence: General hospital and specialist hospital were 37.14% and 24.91%, respectively. It has significant statistics difference compared to different age stages(P<0.05), so does the outcomes of trend test(P < 0.05). The highest score of nutritional risk is ≤1-year-old hospitalized children(5.36±1.05) in general surgery which is followed by the same age in digestive department(5.12±1.60). The high nutritional risk score of hospitalized children in specialist hospital for different age stages has significant statistics difference(P<0.05) which is in contrast to general hospitals(P>0.05). For different departments of specialized hospital there is no significant statistics difference on the high nutritional risk score(P>0.01) either.ConclusionsThe incidence rate of nutritional risk in hospitalized children in Suzhou is slightly lower than that other regions in China, and the STAMP is suitable for clinical nurses to carry out common nutritional risk screening on hospitalized children. It is necessary to suggest hospital to put STAMP into the information system to improve the compliance of the faculty. Reduced food intake is the main manifestation of the increase of nutritional risk in hospitalized children in Suzhou. So the NST group in the hospital should strengthen the nutrition knowledge education of pediatric nurses to improve the nursing effect of the hospitalized children and reduce the incidence of nutritional risk in hospitalized children.The increased growth score of children with chronic diseases increases nutritional risk, so the effective continuity nursing should be carried out to pay more attention to the nutrition intervention of the whole course of chronic disease in hospitalized children. Less than1 year old of the digestive system disease children or surgical children have the highest nutritional risk score and more than 3-year-old children with chronic diseases have the highest nutritional risk which should become the focus of clinical nutrition intervention.