| Objective: 1 To investigate the detection rate of nutritional risk,malnutrition and nutritional support of hospitalized patients in minority nationality areas and Guiyang.2 To analyze the relationship between nutritional support and hospitalized time,hospitalized costs.3 To compare the application of nutritional risk screening 2002(NRS2002),subjective global assessment(SGA),short-mini nutritional assessment(MNA-SF)in the nutritional risk or nutritional assessment of hospitalized patients. Methods: 1 Nutritional risk screening 2002 was performed on hospitalized patients,which came from three grade and two grade hospitals in the capital city of three ethnic minority autonomous prefecture.And we investigated their nutritional support treatment of 1~14 days after admission.As a comparision of hospitalized patients in Guiyang,we investigated their nutritional risk and nutrirional support treatment using the same method.2 To investigate the hospitalization time and hospitalization costs of hospitalized patients in Guiyang.3 Assessment of BMI and albumin as standard method, the NRS2002,SGA, MNA-SF were used to judge the nutritional risk or nutritional assessment of hospitalized patients. Their sensitivity,specificity were investigated in different ages and diseases. Results: 1 The detection rate of nutritional risk and malnutrition were 44.2% and 13.4% in minority nationality areas,respectively.The detection rate of nutritional risk and malnutrition in elderly and tertiary hospital hospitalized patients were both higher than those in yong and middle-aged and secondary hospital hospitalized patients.The detection rate of nutritional risk in male hospitalized patients was higher than that in female hospitalized patients.The rate of nutritional support treatment was 30.3%.The rate of nutritional support treatment in tertiary hospital and surgical deparment hospitalized patients were both higher than that in secondary hospital and non-surgical deparment hospitalized patients. 46.4% patients with nutritional risk received nutritional support treatment;17.6% patients without nutritional risk received nutritional support treatment.Only one case of hospitalized patients received enteral nutrition, the average PN:EN ratio was 567:1. The detection rate of nutritional risk,malnutrition and nutritional support treatment were different in the various deparment.2 The detection rate of nutritional risk and malnutrition were 38.6% and 9.8% in Guiyang,respectively.The detection rate of nutritional risk and malnutrition in male and elderly hospitalized patients were higher than those in female and yong and middle-aged hospitalized patients.The detection rate of nutritional risk in non-surgical deparment hospitalized patients was higher than that in surgical hospitalized patients.The rate of nutritional support treatment was 24.5%.The rate of nutritional support treatment in tertiary hospital and surgical deparment hospitalized patients were both higher than that in secondary hospital and non-surgical deparment hospitalized patients. 35.6% patients with nutritional risk received nutritional support treatment;17.5% patients without nutritional risk received nutritional support treatment.The average PN:EN:PN+EN ratio was 212:5:8. The detection rate of nutritional risk,malnutrition and nutritional support treatment were different in the various deparment.3 The detection rate of nutritional risk and malnutrition in minority nationality areas were both higher than those in Guiyang( χ2=11.895 、p=0.001; χ2=11.762, p=0.001).Nutritional support treatment was also such(χ2=15.907,p=0.000).4 In hospitalization time of non-surgical deparment, the main effect of nutritional risk was remarkable( F=8.674, P=0.003),the main effect of nutritional support was not remarkable( F=2.630, P=0.105),the interaction of nutritional risk and nutritional support were remarkbale(F=9.377,P=0.002).In hospitalization time of surgical deparment, the main effect of nutritional risk was remarkable(F=47.845,P=0.000),the main effect of nutritional support was not remarkable(F=0.041,P=0.839),the interaction of nutritional risk and nutritional support were remarkbale(F=25.277,P=0.000).In hospitalization costs of non-surgical deparment, the main effect of nutritional risk was remarkable(F=17.944,P=0.000),the main effect of nutritional support was not remarkable( F=1.139, P=0.286),theinteraction of nutritional risk and nutritional support were not remarkbale(F=2.522,P=0.113).In hospitalization costs of surgical deparment, the main effect of nutritional risk was remarkable(F=79.998,P=0.000),the main effect of nutritional support was not remarkable(F=0.027,P=0.871),the interaction of nutritional risk and nutritional support were remarkbale(F=26.164,P=0.000).The nutritional status and nutritional support were the influence factors of hospitalization time. The nutritional status,nutritional support and deparment were the influence factors of hospitalization costs.5 In the hospitalized patients of non-surgical department,the diagnosis value of MNA-SF was better than NRS2002 and SGA at the elderly group.In the hospitalized patients at the yong and middle-agd group and surgical department at the elderly group,the diagnosis value of NRS2002 was better than MNA-SF and SGA.Three kinds of screening tools and single index had correlation(p<0.05).The average of single index in normal nutrution group was higher than that in nutritional risk or malnutrition group(p<0.05). Conclusion: 1 The detection rate of nutritional risk and malnutrition among hospitalized patients in minority nationality areas are both higher than those in Guiyang.The detection rate of nutritional risk and malnutrition in elderly and tertiary hospital hospitalized patients are higher than those in yong and middle-aged and secondary hospital hospitalized patients.2 The rate of nutritional support treatment is low.The application of nutritional support is somehow inappropriate in these patients.Be badly in need of promotion parenteral nutrition and enteral nutrition guidelines and application specification which are based on evidence-based medicine. 3 Nutritional support treatment is beneficial to patients with nutritional risk by reducing hospitalized time and hospitalized costs.4 In the hospitalized patients at the young and middle-aged group and surgical department at the elderly group,the diagnosis value of NRS2002 is better than MNA-SF and SGA.In the hospitalized patients of non-surgical department,the diagnosis value of MNA-SF is better than NRS2002 and SGA at the elderly group. |
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