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摘要
BackgroundMalnutrition is a problem within hospitals, which impacts upon clinical outcomes. The present audit assesses whether a hospital menu meets the energy and protein standards recommended by the British Dietetic Association's (BDA) Nutrition and Hydration Digest and determines the contribution of oral nutrition supplements (ONS) and additional snacks.
MethodsPatients in a UK South West hospital were categorised as nutritionally well' or nutritionally vulnerable' in accordance with their Malnutrition Universal Screening Tool score. Energy and protein content of food selected from the menu (menu choice'), menu food consumed (hospital intake') and total food consumed including snacks (overall intake') were calculated and compared with the standards.
ResultsIn total, 93 patients were included. For nutritionally well' patients (n = 81), energy and protein standards were met by 11.1% and 33.3% (menu choice'); 7.4% and 22.2% (hospital intake'); and 14.8% and 28.4% (overall intake'). For nutritionally vulnerable' patients (n = 12), energy and protein standards were met by 0% and 8.3% (menu choice'); 0% and 8.3% (hospital intake'); and 8.3% and 16.7% (overall intake'). Ten percent of patients consumed ONS. Patients who consumed hospital snacks (34%) were more likely to meet the nutrient standards (P 0.001).
ConclusionsThe present audit demonstrated that most patients are not meeting the nutrient standards recommended by the BDA Nutrition and Hydration Digest. Recommendations include the provision of energy/protein-dense snacks, as well as menu, offering ONS where clinically indicated, in addition to training for staff. A food services dietitian is ideally placed to lead this, forming a vital link between patients, caterers and clinical teams.
- 出版日期2018-4
