DOI QR코드

DOI QR Code

Patient Perceptions of Clinical Nutrition Service

임상영양서비스에 대한 환자의 인식 조사

  • Choi, Ki-Bo (Dept. of Food Science & Nutrition, Pukyong National University) ;
  • Lee, Song-Mi (Dept. of Nutrition, Gangnam Severance Hospital, Yonsei University) ;
  • Lyu, Eun-Soon (Dept. of Food Science & Nutrition, Pukyong National University)
  • 최기보 (부경대학교 식품영양학과) ;
  • 이송미 (연세대학교 강남세브란스병원 영양팀) ;
  • 류은순 (부경대학교 식품영양학과)
  • Received : 2011.11.21
  • Accepted : 2011.12.23
  • Published : 2012.02.02

Abstract

The purpose of this study was to evaluate the patient perception of clinical nutrition service. The research was performed by using questionnaires and conducted from February 14 to March 15 at 42 hospitals (over 400 beds). 41.7% of patients experienced nutritional education and counseling. The mean score of the patients' perception on clinical nutritional service was 4.62/5.00 for "nutrition care is important for treatment of the disease", 4.49/5.00 for "diet therapy is necessary for treatment of the disease", 4.16/5.00 for "nutritional counseling call-centers are necessary", 4.13/5.00 for "nutritional consultation fee is required to apply insurance benefits", 4.12/5.00 for "one-to-one nutrition system is necessary", and 3.56/5.00 for "nutrition services I am willing to pay". The patients who had no past experience in nutritional education and counseling showed significantly higher scores for "nutrition care is important for treatment of the disease", "one-to-one nutritional care system is necessary", and "nutritional counseling call-centers are necessary" (P<0.05). The mean scores for the importance (4.26/5.00) and performance (3.88/5.00) of nutrition counseling service were significantly different (P<0.01). "Nutritional counseling is available whenever I want" had the highest gap score between performance and importance among nutrition counseling service items. The importance and performance grid showed that highly important items had high performance (doing great area) and less important items have low performance (low priority).

Keywords

References

  1. Bazzano LA, Li TY, Joshipura KJ, Hu FB (2008): Intake of fruit, vegetables, and fruit juices and risk of diabetes in women. Diabetes Care 31(7):1311-1317 https://doi.org/10.2337/dc08-0080
  2. Chang JH (2007): A study on the situation and demand with nutrition service in health promotion center. Korean J Nutr 40(5):475-482
  3. Chang MK, Ahn CS, Park SM (2001): A behavior-modification approaches to improved exercise performance for athletes through the multiple nutritional counseling. Korean J Nutr 34(1):79-88
  4. Cho YY, Lee MK, Jang HC, Rha MY, Kim JY, Park YM, Sohn CM (2008): The clinical and cost effectiveness of medical nutrition therapy for patients with type 2 diabetes mellitus. Korean J Nutr 41(2):147-155
  5. Chung HK, Lee SM, Lee JH, Shin CS (2005): Energy deficiency aggravates clinical outcomes of critically ill patients. Korean J Crit Care Med 20(1):49-53
  6. DeLuco D, Cremer M (1990): Consumers' perceptions of hospital food and dietary services. J Am Diet Assoc 90(12): 1711-1715
  7. Demling RH (1983): Improved survival after massive burns. J Trauma 23(3):179-184 https://doi.org/10.1097/00005373-198303000-00002
  8. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC (2006): Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 84(6):1489-1497
  9. Eum YR, Kim YO (1996): Relation of the medical staffs' perception about nutrition with a performance of dietitians' nutrition care. J Korean Diet Assoc 2(2):112-122
  10. Kang HS (2000): Nutritional consultation and clinical nutrition business of dietitian in hospitals. Masters degree thesis. Daejeon University. pp.14-22
  11. Kim DY, Lee YT, Kim JW, Jang YA, Seo HJ, Kim YC, Yun SW (2001): Hospital nutrition services 1: organization, personnel and productivity of nutrition department. Korean J Nutr 34(4):458-471
  12. Kim HJ, Jang EJ, Hong WS (2000): Task analysis on foodservice, clinical nutrition service in hospital dietetic department. J Korean Diet Assoc 6(2):148-160
  13. Kim HS (1999): The effect of nutrition counseling service on the patient's satisfaction. Masters degree thesis. Busan University. pp.60-63
  14. Kim YH, Shin ES, Kang EH, Kim JY, Kim MK, Kim KJ, Hong HS (1996): Productivity and effectiveness of the clinical nutrition team. J Korean Diet Assoc 2(2):199-215
  15. Korean Statistical Information Service (2010): Korea national health and nutrition examination survey (Chronic disease). Available from: http://kosis.kr/abroad/abroad_01List.jsp?parentId =D. Accessed September 24, 2011
  16. Lee SC (2009): A study on the services utilization type & satisfaction perceived by the long term care service users: focused on home care services. Docters degree thesis. Kukje Theological University. pp.113-121
  17. Ly SY, Kim KE (2002): The perception and need for nutrition counseling of the adults living in Daejeon. Korean J Living Sci Assoc 11(1):95-106
  18. Lyu ES, Lee SM, Hyh KY (1996): A study of satisfaction with nutrition counseling service for consumers. J Korean Diet Assoc 2(1):62-68
  19. Maclellan DL, Berenbaum S (2003): Client-centred nutrition counselling: do we know what this means? Can J Diet Pract Res 64(1):12-15 https://doi.org/10.3148/64.1.2003.12
  20. Maclellan DL, Berenbaum S (2006): Dietitians' opinions and experiences of client-centered nutrition counselling. Can J Diet Pract Res 67(3):119-124 https://doi.org/10.3148/67.3.2006.119
  21. MacLellan D, Berenbaum S (2007): Canadian dietitians' understanding of the client-centered approach to nutrition counseling. J Am Diet Assoc 107(8):1414-1417 https://doi.org/10.1016/j.jada.2007.05.018
  22. Moon SJ, Shon CY, Kim JH, Kim HS, Lim HS, Lee HC, Huh KB (1994): Measurement of nutrition counseling effects for diabetes mellitus patients. Korean J Nutr 27(10):1070-1077
  23. Park GS, Ly SY (2003): Compliance and need assessment for diet therapy among diabetics and their caregivers. Korean J Community Nutr 8(1):91-101
  24. Park MY (2005): The study of golfer satisfaction. Masters degree thesis. Kyonggi University. pp.83-86
  25. Rha MY (2006): Effects of chronical outcome of hospitalized patients by means of nutritional status. Masters degree thesis. Seoul National University. pp.59-82
  26. Robinson G, Goldstein M, Levine GM (1987): Impact of nutritional status on DRG length of stay. JPEN J Parenter Enteral Nutr 11(1):49-51 https://doi.org/10.1177/014860718701100149
  27. Seong SS, Choi CB, Sung YK, Park YW, Lee HS, Uhm WS, Kim TW, Jun JB, Yoo DH, Lee OY, Bae SC (2004): Health-related quality of life using EQ-5D in Koreans. J Korean Rheum Assoc 11(3):254-262
  28. Travis T (1997): Patient perceptions of factors that affect adherence to dietary regimens for diabetes mellitus. Diabetes Educ 23(2):152-156 https://doi.org/10.1177/014572179702300205
  29. Trudeau E, Dube L (1995): Moderators and determinants of satisfaction with diet counseling for patients consuming a therapeutic diet. J Am Diet Assoc 95(1):34-39 https://doi.org/10.1016/S0002-8223(95)00010-0
  30. Wi KA (2005): Prevalence and risk factors of malnutrition according to tumor location and stage in cancer patients. Masters degree thesis. Seoul National University. pp.31-32
  31. World Economic Forum (2011): The global economic burden of non-communicable diseases. Harvard school of public health pp.32-35
  32. Yi JR, Son EJ, Lyu ES (2010): Perception and satisfaction on nutrition counseling service for patients consuming a therapeutic diet at hospitals in Busan. J Korean Soc Food Sci Nutr 39(9):1305-1312 https://doi.org/10.3746/jkfn.2010.39.9.1305

Cited by

  1. Different Perceptions of Clinical Nutrition Services between Doctors and Dietitians in the Busan-Gyeongnam Area vol.19, pp.1, 2013, https://doi.org/10.14373/JKDA.2013.19.1.069
  2. Development of Job Description of Clinical Dietitians in Hospitals by the DACUM Method vol.19, pp.3, 2013, https://doi.org/10.14373/JKDA.2013.19.3.265
  3. The Time Series Analysis of Standards and Results of Nutritional Domain in Hospital Evaluation Program vol.19, pp.4, 2013, https://doi.org/10.14373/JKDA.2013.19.4.317
  4. Clinical Nutrition Management Status in Convalescent Hospitals Before and After Healthcare Accreditation Process vol.20, pp.3, 2014, https://doi.org/10.14373/JKDA.2014.20.3.199
  5. Nurses' Perception on Clinical Nutrition Services by Types of Medical Institution and Area vol.20, pp.4, 2014, https://doi.org/10.14373/JKDA.2014.20.4.235
  6. Clinical Nutrition Services of a Long-term Care Hospital in Korea vol.20, pp.3, 2015, https://doi.org/10.5720/kjcn.2015.20.3.220
  7. Development of Job Standards of Clinical Dietitian for the Clinical Nutrition Therapy to Cancer Patients in Hospitals vol.21, pp.2, 2015, https://doi.org/10.14373/JKDA.2015.21.2.91
  8. Study on the Improvement of Dietary Life of Cancer Patients during Treatment by Nutrition Counseling vol.21, pp.1, 2016, https://doi.org/10.5720/kjcn.2016.21.1.93
  9. Comparison Study on Perception of Job Importance, Job Performance, and Job Difficulty in Clinical Dietitians at Small and Medium Hospitals in Busan vol.22, pp.1, 2016, https://doi.org/10.14373/JKDA.2016.22.1.26
  10. Needs for clinical dietitian in hospital settings: Importance of doctor's awareness regarding clinical nutrition service as mediating variable vol.50, pp.5, 2017, https://doi.org/10.4163/jnh.2017.50.5.519
  11. Applicability Evaluation of Job Standards for Diabetes Nutritional Management by Clinical Dietitian vol.6, pp.2, 2017, https://doi.org/10.7762/cnr.2017.6.2.99