BACKGROUND AND AIMS:Hospital malnutrition is prevalent, but nutritional practice in hospitals has a low priority. To improve the quality in nutritional routine, ESPEN has developed standards to improve the inadequate and insufficient nutritional treatments seen today. However, there is a discrepancy between the standards and clinical practice. This study was conducted to investigate nutritional practice in different hospital settings in relation to these standards (e.g.: screening of all patients, assessment of at-risk patients) among Scandinavian doctors and nurses. METHODS:A questionnaire about nutritional attitudes and routine was mailed to doctors and nurses in Denmark, Sweden and Norway. RESULTS:Altogether, 4512 (1753 doctors, 2759 nurses) answered the questionnaire. Both screening and assessment of at-risk patients differ between the countries. Nutritional screening was more common in Denmark (40%), compared to Sweden (21%) and Norway (16%). Measuring dietary intake in nutritional at-risk patients was more common in Denmark (46%), compared to Sweden (37%) and Norway (22%). However, all countries agreed that nutritional screening (92%, 88%, 88%) and measuring dietary intake (97%, 95%, 97%) were important, Denmark, Sweden and Norway, respectively. CONCLUSION:There is a large discrepancy between nutritional attitudes and practice. The standards suggested from the ESPEN are not fulfilled.

译文

背景与目的:医院营养不良很普遍,但医院的营养实践却没有得到重视。为了提高营养常规的质量,ESPEN已制定标准以改善当今所见的营养治疗不足和不足。但是,标准与临床实践之间存在差异。进行这项研究的目的是在斯堪的纳维亚的医生和护士中根据这些标准调查不同医院环境中的营养实践(例如:对所有患者进行筛查,对有风险的患者进行评估)。
方法:向丹麦,瑞典和挪威的医生和护士邮寄有关营养态度和常规的问卷。
结果:总共有4512名医生(1753名医生,2759名护士)回答了问卷。各国之间对高危患者的筛查和评估都不同。与瑞典(21%)和挪威(16%)相比,营养筛查在丹麦(40%)更为普遍。与丹麦(37%)和挪威(22%)相比,丹麦(46%)的营养高危患者饮食摄入量测量更为普遍。但是,丹麦,瑞典和挪威分别认为营养筛查(92%,88%,88%)和饮食摄入量(97%,95%,97%)很重要。
结论:营养态度与实践之间存在很大差异。 ESPEN提出的标准未得到满足。

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