臨床護理人員營養篩檢與評估的角色

Nurse's Role of Nutritional Screening and Assessment in Hospital

10.6692/KJN-2010-27-2-9

劉錦茹(Chin-Ju Liu)；王馨羚(Hsin-Ling Wang)

營養不良 ； 營養篩檢 ； 營養評估 ； Malnutrition ； Nutrition Screening ； Nutrition Assessment

高雄護理雜誌

27卷2期（2010 / 09 / 01）

88 - 97

繁體中文

現今醫療科技的飛快進步，但卻忽略病程中營養支持重要性，致住院病患仍有高營養不良率存在。研究顯示營養不良病患，將導致併發症增加、住院天數延長、影響疾病復原及增加醫療成本。營養照護的第一步是營養篩檢，護理人員身處第一線照護者，亦是與病患接觸時間最長的醫療從業人員，故為營養篩檢最佳執行者。本文針對住院病患營養篩檢與評估之定義、流程、執行方法及篩檢工具作簡介。目的是期望護理人員能具備正確營養篩選評估知識與技能，正確判斷出營養不良高危險群，適時扮演病患與醫師及營養師間橋樑，以利於早期營養照護介入，定期評值營養照護計畫成效，促使營養照護品質之提升。

The fast development of medical technologies has not changed the malnutrition rate among the hospitalized patients because the importance of nutrition support has been ignored. Researches showed that the impact of malnutrition has caused patients to develop complications, extended hospital stay, slow recovery, and increasement of medical expense. The first step of nutrition care is to do the screening procedure. The nurses are the frontier of care provider, and they spend more time with patients than others in the hospitals. The article aims to introduce the definition, process, methods, and tools of nutrition screening of nutrition screening for hospitalized patients. It is hoped to increase nurses' knowledge in nutrition screening, and furthermore to identify the high risk malnutrition patients. Also, this article expects nurses can be served as a bridge between doctors and dietitians for the purpose of benefiting early stage of nutrition care, regular nutrition value check, and improving the quality of nutrition care.