Application Of Nutritional Risk Screening In Hospitalized Patients From Department Of Gastroenterology

[Objective]To investigate and analyze NRS2002 application rate, and the incidence of malnutrition, incidence of nutritional risk, nutrition support, complications, lengths of stay in hospitalized patients with digestive department.In order to understand whether is applicable to screening the nutritional status of hospitalized patients, and provide the basis for clinical doctors to nutritional support, facilitate early intervention in patients with nutritional support to improve clinical outcomes.[Methods]We choose 245 patients from November 2014 to December 2014 as the research object,all the patients use by continuous sampling method,meeting the NRS2002 requirements,to complete the NRS2002 within 48 hours of admission,recording patients’ body weight, height, and history, BMI<18.5kg/m2 determine malnutrition.For the patients who cannot stand, severe chest water,edema and unable to get the accurate weight and height(i.e., do not have access to BMI), using s ALB < 30 g/L to assess the presence of malnutrition.At the same time, combines the condition of patients’ severity of disease, diet nutrition status, and recent changes in weight evaluation, combined with the clinical actual situation to make a score.Related data set into the registration form, record and determine whether the object of study need nutrition support, complications, lengths of stay and clinical outcome. The data input as a database was used by Microsoft Excel 2007 for Windows, using SPSS 21 for windows for statistical analysis.[Results]In 245 patients, 237 patients completed the nutritional risk screening; NRS2002 application rate was 96.73%, including male 138 cases, accounting for 58.23%, female 99 cases, accounting for 41.77%, average age of the patients was 56.16±15.88 years old. The incidence of malnutrition was 17.30%, the incidence of nutritional risk was 40.51%. The part of disease, malignant tumor incidence rate was the highest, accounted for 25%, the Abstract Application of Nutritional risk screening in hospitalized patients from department of gastroenterology lowest risk nutrition gastrointestinal polyps, accounted for 1.04%.The nutrition support section, PN: EN were 48:1,suggesting that PN application of excessive, insufficient application of EN.The incidence of complications, there is total incidence of complications is higher in patients with nutritional risk(χ2=30.652,p<0.05). In part of the length of stay, the patients’ length of stay who have nutritional risk longer than patients with no nutrition risk(t=5.870,p<0.05).[Conclusion]Hospitalized patients with malnutrition and nutrition risk is widespread.In this study found that age, hospitalization days, incidence of complications associated with a significant nutritional risk.The nutrition support in clinical is insufficient and excessive. NRS2002 nutritional risk screening with sufficient feasibility and the suitable rate, its simple, noninvasive, and high operability, patients with matching degree is high, can recommend widespread use in clinical.