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首页> 外文期刊>Journal of human nutrition and dietetics >Audits of nutrition risk screening and weight monitoring, and review of the effect of an inpatient stay on patients' weight, in older people's psychiatry.
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Audits of nutrition risk screening and weight monitoring, and review of the effect of an inpatient stay on patients' weight, in older people's psychiatry.

机译：在老年人的精神病学中，对营养风险筛查和体重监测进行审核，并审查住院时间对患者体重的影响。

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Background: A nutrition risk screening (NRS) tool (after Ward et al., 1998) was introduced into an older adult mental health service in England, in 1999. It was considered to be the most practical of the tools available at the time. Trust standards for its use are that inpatients should have NRS completed within three days of admission; and should be weighed on admission and then weekly during their stay. The aims of these audits were to assess compliance with trust standards, and the effect of inpatient care on patients' weight. Methods: Audits included patients discharged to a residential address, in 6 months sampled across the year, to account for any seasonal effects. Notes were audited for the recording of NRS and weights, length of stay and patient demographics. Paired two-tailed t-test measured the significance of the difference between admission and discharge weights. Results: Most results were consistent over three audits (Table 1) and standards for NRS and weight monitoring were met. The higher proportions of women were expected in this age group. Over 30% of patients were at increased nutritional risk on admission. There were twice as many thin people as obese people. Inpatient care resulted in statistically significant weight increase. Length of stay was ten times the NHS average (Black & Pearson, 2002). Discussion: NRS has been repeatedly recommended for at least a decade, most recently by NICE (2006). Much effort is put into validating NRS tools but little into ensuring their use. This audit is among the first reports of long term, routine use of NRS. More work is needed to show that the statistically significant weight gain found here has clinical, functional or economic significance or importance. Changing nutritional status is a relatively long-term exercise so the influence of the length of stay needs further exploration. Conclusions: NRS and weight monitoring can be incorporated into routine clinical care. This is the first report of their long-term use in older people's psychiatry and, perhaps, in any UK health setting. The implications of the findings merit more detailed analysis. References Black, D. & Pearson, M. (2002) Average length of stay, delayed discharge and hospital congestion. Br. Med. J. 325, 610-611. NICE. (2006) Nutritional support in adults: oral nutritional support, enteral tube feeding and parenteral nutrition. Available at http://www.nice.org.uk/cg032 (Accessed on 25 March 2006). Ward, J. et al. (1998). Development of a screening tool for assessing risk of undernutrition in the community. J. Hum. Nutr. Diet.11, 323-330.
机译：背景：营养风险筛查（NRS）工具（在Ward等人之后，1998年）于1999年被引入英格兰的老年人心理健康服务机构，被认为是当时可用的最实用的工具。使用的信任标准是：住院患者应在入院后三天内完成NRS;并且应权衡入场时间，然后在住宿期间每周进行一次。这些审核的目的是评估对信任标准的遵守情况，以及住院护理对患者体重的影响。方法：审核包括在全年抽样的6个月内出院到住所的患者，以说明任何季节性影响。对笔记进行了审核，以记录NRS和体重，住院时间和患者人口统计数据。配对的双尾t检验测量了入场和出场重量之间差异的显着性。结果：经过三项审核（表1），大多数结果是一致的，并且符合NRS和体重监测标准。预计该年龄段的妇女比例更高。超过30％的患者入院时营养风险增加。瘦弱的人是肥胖的两倍。住院治疗导致体重显着增加。住院时间是NHS平均值的十倍（Black＆Pearson，2002年）。讨论：NRS至少十年来一直被反复推荐，最近一次是NICE（2006）推荐的。验证NRS工具付出了很大的努力，而确保其使用却很少。该审计是长期，常规使用NRS的首批报告之一。需要做更多的工作来证明此处发现的具有统计学意义的体重增加具有临床，功能或经济意义或重要性。营养状况的变化是一项相对长期的运动，因此，需要进一步探索住院时间的影响。结论：NRS和体重监测可纳入常规临床护理。这是他们长期用于老年人的精神病学以及可能在英国任何医疗机构中长期使用的第一份报告。研究结果的含义值得更详细的分析。参考文献Black，D.＆Pearson，M.（2002）平均住院时间，延迟出院和医院拥堵。 Br。中J.325，610-611。不错。 （2006年）成人的营养支持：口服营养支持，肠管喂养和肠胃外营养。可在http://www.nice.org.uk/cg032上获取（2006年3月25日访问）。 Ward，J。等。 （1998）。开发评估社区营养不良风险的筛查工具。 J.哼营养食品Diet.11，323-330。

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