Quality Improvement in Health Care (한국의료질향상학회지)
- Volume 19 Issue 1
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- Pages.44-52
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- 2013
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- 1225-7613(pISSN)
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- 2288-078X(eISSN)
The effect of interventions in implementation of nutrition therapy for malnourished inpatients
영양 위험군 입원환자에 대한 영양치료 수행 중재 효과
- Bae, Eun-Joo (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University) ;
- Park, So-Hee (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University) ;
- Kim, Jung-Eun (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University) ;
- Shim, Jin-Joo (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University) ;
- Lee, Yun-Jung (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University) ;
- Kim, Ji-Yoon (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University) ;
- Jang, Young-Eun (Department of Food & Nutrition service, CHA Bundang Medical Center, CHA University)
- 배은주 (CHA의과학대학교 분당차병원 영양팀) ;
- 박소희 (CHA의과학대학교 분당차병원 영양팀) ;
- 김정은 (CHA의과학대학교 분당차병원 영양팀) ;
- 심진주 (CHA의과학대학교 분당차병원 영양팀) ;
- 이윤정 (CHA의과학대학교 분당차병원 영양팀) ;
- 김지윤 (CHA의과학대학교 분당차병원 영양팀) ;
- 장영은 (CHA의과학대학교 분당차병원 영양팀)
- Received : 2013.03.20
- Accepted : 2013.06.10
- Published : 2013.08.31
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.