Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
권호 표지

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
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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.

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