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Quality Improvement in Health Care 2013;19(1): 44.
Published online August 30, 2013.
영양 위험군 입원환자에 대한 영양치료 수행 중재 효과
배은주, 박소희, 김정은, 심진주, 이윤정, 김지윤, 장영은
CHA의과학대학교 분당차병원 영양팀
The effect of interventions in implementation of nutrition therapy for malnourished inpatients
Eun-Joo Bae, So-Hee Park, Jung-Eun Kim, Jin-Joo Shim, Yun-Jung Lee, Ji-Yoon Kim, Young-Eun Jang
Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University
Abstract
Objectives
Several studies on hospital malnutrition have reported that malnutrition among patients is highly prevalent and that more than 40% of hospitalized patients have nutritional risk factors. The purpose of this study was to assess the implementation of physicians' prescribed nutrition therapy before and after a protocol on nutrition therapy for malnourished inpatients was instituted.
Methods
Data regarding the rates of physician implementation of nutritional therapy and the duration of therapy were collected and analyzed using SPSS version 20.
Results
The percentages of physicians who prescribed nutrition therapy before and after the protocol was initiated were 47.5% and 74.6%, respectively, which statistically significant with 95% confidence. The rates of therapy lasting less than 24 hours before and after the protocol was in place were 100% and 86.4%, respectively, which was not statistically significant. This result suggests that the improvement activity was not effective.
Conclusion
The percentage of physicians who prescribed nutritional therapy based on improved nutritional program was significantly increased. Nutrition therapy for malnourished inpatients can be advanced through this new model.
Key words Malnourished inpatients;Nutrition therapy;Nutritional risk factor;


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