Background and Objectives:This study aimed to investigate readiness for hospital discharge of patients requir ing home nutrition support and explore the factors that influence this readiness.Methods and Study Design:T...Background and Objectives:This study aimed to investigate readiness for hospital discharge of patients requir ing home nutrition support and explore the factors that influence this readiness.Methods and Study Design:This cross-sectional survey included 220 patients discharged from the general surgery department of a tertiary-care teaching hospital in China with home nutrition support.Readiness for Hospital Discharge Scale and Quality of Discharge Teaching Scale scores were calculated and general,disease-and therapy-related information were collected.Univariate,correlation,and multiple linear regression analyses were performed.Results:The mean standardized total Readiness for Hospital Discharge Scale score was 7.33±1.65,with the subscales expected sup port,personal status,perceived coping ability,and knowledge scoring 7.40±1.78,7.35±1.66,7.30±1.73,and 7.26±1.74,respectively.The mean standardized Quality of Discharge Teaching Scale score was 7.48±1.59.The Quality of Discharge Teaching Scale score,length of hospital stay,expected length of home nutrition support,first-time use of home nutrition support,Nutrition Risk Screening 2002 score,and diagnosis were all identified as influencing factors of readiness for discharge(adjusted R2=0.564,F=14.5,p<0.001).Conclusions:Patients re quiring home nutrition support were only moderately ready for discharge.Enhancing the quality of education on patient discharge could significantly improve readiness for discharge,in which patients who have been admitted for longer periods require more attention.They are expected to utilize home nutrition support in the long-term,are at risk of malnutrition,are using home nutrition support for the first time,or have a digestive system malig nancy.展开更多
Background and Objectives:This study aimed to investigate nutritional status of hospitalized Chinese patients according to the Global Leadership Initiative on Malnutrition(GLIM)and the European Society of Clinical Nu ...Background and Objectives:This study aimed to investigate nutritional status of hospitalized Chinese patients according to the Global Leadership Initiative on Malnutrition(GLIM)and the European Society of Clinical Nu trition and Metabolism(ESPEN)criteria and to identify the effects of nutritional characteristics and nutritional support on clinical good outcome.Methods and Study Design:Inpatients participated in Chinese nutritionDay 2010-2020 surveys were included.Malnutrition was defined according to the ESPEN and GLIM criteria after be ing risk evaluated by Malnutrition Universal Screening Tool(MUST).Cumulative incidence curves were plotted for 30-day good outcomes in patients according to the ESPEN and GLIM criteria.Cox regression models were used to determine the factors associated with good outcomes in the univariate and multivariable analyses.Results:The prevalence of malnutrition defined by the GLIM criteria(22.8%)was higher than that defined by the ESPEN criteria(16.2%).Patients with malnutrition defined by the ESPEN and GLIM criteria had a significantly pro longed median length of hospital stay(LOS)after nutritionDay compared with non-malnutrition patients(8 days vs.6 days,p<0.001).Inpatients defined as nutritionally at-risk by the MUST or malnutrition defined by the ES PEN criteria and the GLIM criteria,and patients with pre-operative conditions,decreased mobility,prolonged LOS over three weeks before nutritionDay,as well as those receiving nutritional support had a reduced chance of good outcome.Conclusions:The patients with nutritional risk or malnutrition and those who received nutritional support were significantly associated with decreased good 30-day outcomes,highlighting the necessity for stand ardized nutrition training in the healthcare setting.展开更多
基金supported by the Postdoctoral Initiation Pro gram of Jinling Hospital(49007).
文摘Background and Objectives:This study aimed to investigate readiness for hospital discharge of patients requir ing home nutrition support and explore the factors that influence this readiness.Methods and Study Design:This cross-sectional survey included 220 patients discharged from the general surgery department of a tertiary-care teaching hospital in China with home nutrition support.Readiness for Hospital Discharge Scale and Quality of Discharge Teaching Scale scores were calculated and general,disease-and therapy-related information were collected.Univariate,correlation,and multiple linear regression analyses were performed.Results:The mean standardized total Readiness for Hospital Discharge Scale score was 7.33±1.65,with the subscales expected sup port,personal status,perceived coping ability,and knowledge scoring 7.40±1.78,7.35±1.66,7.30±1.73,and 7.26±1.74,respectively.The mean standardized Quality of Discharge Teaching Scale score was 7.48±1.59.The Quality of Discharge Teaching Scale score,length of hospital stay,expected length of home nutrition support,first-time use of home nutrition support,Nutrition Risk Screening 2002 score,and diagnosis were all identified as influencing factors of readiness for discharge(adjusted R2=0.564,F=14.5,p<0.001).Conclusions:Patients re quiring home nutrition support were only moderately ready for discharge.Enhancing the quality of education on patient discharge could significantly improve readiness for discharge,in which patients who have been admitted for longer periods require more attention.They are expected to utilize home nutrition support in the long-term,are at risk of malnutrition,are using home nutrition support for the first time,or have a digestive system malig nancy.
基金supported by the National Science and Tech nology Research Funding for Public Welfare Medical Projects(201502022)the National Natural Science Foundation of China(81770531,82170575)+3 种基金the Science Foundation of Outstanding Youth in Jiangsu Province(BK20170009)and“The 13th Five-Year Plan”Foundation of Jiangsu Province for Medical Key Talents(ZDRCA2016091)Jiangsu Province science and tech nology program social development-Clinical frontier technology project(BE2022822)Medical Innovation Center of Jiangsu Province(CXZX202217)Hospital Management Project of Jinling Hospital(2023LCZLXB047).
文摘Background and Objectives:This study aimed to investigate nutritional status of hospitalized Chinese patients according to the Global Leadership Initiative on Malnutrition(GLIM)and the European Society of Clinical Nu trition and Metabolism(ESPEN)criteria and to identify the effects of nutritional characteristics and nutritional support on clinical good outcome.Methods and Study Design:Inpatients participated in Chinese nutritionDay 2010-2020 surveys were included.Malnutrition was defined according to the ESPEN and GLIM criteria after be ing risk evaluated by Malnutrition Universal Screening Tool(MUST).Cumulative incidence curves were plotted for 30-day good outcomes in patients according to the ESPEN and GLIM criteria.Cox regression models were used to determine the factors associated with good outcomes in the univariate and multivariable analyses.Results:The prevalence of malnutrition defined by the GLIM criteria(22.8%)was higher than that defined by the ESPEN criteria(16.2%).Patients with malnutrition defined by the ESPEN and GLIM criteria had a significantly pro longed median length of hospital stay(LOS)after nutritionDay compared with non-malnutrition patients(8 days vs.6 days,p<0.001).Inpatients defined as nutritionally at-risk by the MUST or malnutrition defined by the ES PEN criteria and the GLIM criteria,and patients with pre-operative conditions,decreased mobility,prolonged LOS over three weeks before nutritionDay,as well as those receiving nutritional support had a reduced chance of good outcome.Conclusions:The patients with nutritional risk or malnutrition and those who received nutritional support were significantly associated with decreased good 30-day outcomes,highlighting the necessity for stand ardized nutrition training in the healthcare setting.
