住院病人營養評估新模式之建立

The New Model for Assessing Nutritional Status in Hospital In-Patients

簡怡雯(Yi-Wen Chien) ； 黃美智(Mei-Chich Huang) ； 廖芳瑄(Fang-Hsuean Liao) ； 陳佳君(Chia-Chun Chen) ； 謝明哲(Ming-Jer Shieh)

《中華民國營養學會雜誌》 28卷4期 (2003/12) Pp. 200-209

https://doi.org/10.6691/JCNS.200312_28(4).0002

摘要

本研究計畫係針對住院病人，評估其營養狀況，利用簡易方法以迷你營養評估量表（mini nutrition assessment, MNA）篩檢住院病人之營養狀況，比較其與一般評估方法有無不同，建立營養評估的新模式。受評對象接受評估時間為2002年1月至2002年10月，共評估877人，其中627人有血清血清白蛋白之生化數據。結果發現各年齡層之間的迷你營養評估量表總分和身體質量指數（BMI）間具有相關性，且身體質量指數會顯著影響迷你營養評估量表的總分，迷你營養評估量表總分對血清白蛋白濃度也具有相關性，且每一個案之評估時間約10分鐘，花費時間較短。相對於傳統之營養評估以血液生化分析值做為重點，利用迷你營養評估量表來輔助篩檢住院病人之營養狀況，可在住院病人之體重降低前，早期監測、追蹤並給予營養支持，更可達到有效的營養照顧目標。

關鍵字

營養評估 ； 迷你營養評估量素 ； 住院病人 ； 血清白蛋白 ； 身體質量指數

並列摘要

We assessed the nutritional status of hospital inpatients using a traditional nutritional assessment and the Mini Nutrition Assessment (MNA), which provides a single, rapid assessment of nutritional status. The two nutritional assessment methods were compared in order to establish a new model for assessing the nutritional status of hospital inpatients. We evaluated the nutritional status using the MNA in 877 patients admitted from January 2002 to October 2002, among which 627 completed assessments including serum albumin levels were obtained for analysis. We took 10 min to complete the assessnent of nutritional status in a patient using the MNA, which is a relatively short time compared to traditional nutritional assessment methods. Results of the study indicate that there was a significant correlation between BMI and MNA scores. The same result was observed between MNA scores and serum albumin levels. These results suggest that MNA is a convenient method for assessing the nutrition status of inpatients. It can serve as a useful tool for screeing and provides proper nutrition support for patients before obvious weight loss is observed.

並列關鍵字

nutritional status ； mini nutritional assessment ； MNA ； inpatients ； albumin ； body mass index ； BMI