兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐課件

兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐臨床營(yíng)養(yǎng)科兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)評(píng)估方法SeckerandJeejeebhoy1andSermet-Gaudelus2兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)評(píng)分主觀全面營(yíng)養(yǎng)評(píng)價(jià)(SGNA)McCarthyH,etal.3兒科營(yíng)養(yǎng)不良評(píng)估篩查工具(STAMP)GerasimidisK,etal.4兒科Yorkhill營(yíng)養(yǎng)不良評(píng)分(PYMS)HulstJM,etal.5營(yíng)養(yǎng)風(fēng)險(xiǎn)及發(fā)育不良篩查工具(STRONGkids)1.SeckerDJ,JeejeebhoyKN.AmJClinNutr2007;85:1083-92.Sermet-GaudelusI,etal.AmJClinNutr2000;72:64-703.McCarthyH,etal.JHumNutrDiet2008;21:395-64.GerasimidisK,etal.BrJNutr2010;19:1-65.HulstJM,etal.ClinNutr2010;29:106-11兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查JCI認(rèn)證病人評(píng)估(AssessmentofPatient，AOP)營(yíng)養(yǎng)評(píng)估2010年ESPEN會(huì)議STAMP(ScreeningToolfortheAssessmentofMalnutritioninPaediatrics)兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐SCMC-AOP-1.2-07STAMPbynurses<4分≧4分AssessedbydoctorsDieticiansNutritionists兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐營(yíng)養(yǎng)風(fēng)險(xiǎn)評(píng)估表兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐營(yíng)養(yǎng)風(fēng)險(xiǎn)評(píng)估表兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐營(yíng)養(yǎng)風(fēng)險(xiǎn)評(píng)估表兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用病人住院門診護(hù)理部執(zhí)行2010.10起兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用人群4個(gè)病區(qū)納入標(biāo)準(zhǔn)年齡>1個(gè)月住院天數(shù)>1天排除標(biāo)準(zhǔn)ICU兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用結(jié)果N=240(男:152,女:88)平均年齡:5歲(2m-15y)兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用重復(fù)性測(cè)試護(hù)士營(yíng)養(yǎng)師入院48小時(shí)內(nèi)評(píng)估兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用兩者評(píng)估一致性

護(hù)士營(yíng)養(yǎng)師>=4<4合計(jì)>=4161228<422022合計(jì)18325072%一致率兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用護(hù)士(%)醫(yī)生(%)缺乏教育415缺少時(shí)間3226不重要4540兒科營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查的臨床實(shí)踐STAMP臨床應(yīng)用需要營(yíng)養(yǎng)風(fēng)險(xiǎn)標(biāo)準(zhǔn)化定義對(duì)醫(yī)護(hù)人員宣教住院期間飲