摘要
目的 通过调查国内医院儿科营养学工作现状,了解我国儿童营养学科建设和临床营养支持的现状,为促进儿科临床营养的发展提供建议.方法 中华医学会儿科学分会临床营养学组设计和制定调查问卷,以学组成员所在的45家医院的营养科室为对象展开调查,调查内容包括临床营养支持团队概况、营养科从业人员配备、营养科从业人员资质及管理、临床营养支持的实施、营养支持相关工具/技术应用、质量控制管理机构、营养科/临床营养科科室重点制度、工作流程等8个维度.数据录入采用双人Excel,并采用SPSS 16.0统计包进行统计分析.结果 45家医院包括40家三甲医院、4家三级医院、1家二甲医院;儿童专科医院共25家（55.6％）,综合医院共20家（44.4％）.所有医院按中国地理区域分布划分,华东地区所占医院最多,共13家（28.9％）;东北区分布医院最少,共3家（6.7％）.32家（71.1％）医院设立专门的医院临床营养支持小组,团队带头人的专业/亚专业以小儿消化和临床营养为主.39家（86.7％）医院从事营养工作的医师为主治以上（含主治）,38家（84.4％）三级医院科主任具有副高及以上专业技术职务任职资格.39家（86.7％）医院具有营养门诊,42家（93.3％）有健康营养咨询服务/宣教;40家（88.9％）有营养会诊,25家单位（55.6％）营养医师独立查房,27家单位（60％）营养师随专业组查房.营养不良筛查工具以儿童营养风险及发育不良筛查工具和儿科营养不良筛查工具为主,营养状态评估以应用标准差比值法和百分位法为主.所有45家医院中,大部分都已完善营养科/临床营养科重点制度及相关工作流程.结论 三级医院儿科临床营养工作开展较好,大部分已建立营养支持小组,临床营养支持的方法多样,各项制度相对规范,但仍有进一步完善的空间.
Objective To investigate,through a survey on hospitals,the disciplinary development of pediatric nutrition and the present situation of clinical nutritional support in China,in an effort to inform and promote development of pediatric clinical nutrition.Methods A questionnaire was designed by the group of clinical nutrition,Chinese Pediatric Society,Chinese Medical Association.Respondents were 45 hospitals where members of the group work.The survey included 8 aspects in clinical work.Results Of all the 45 hospitals,40 were grade-A tertiary hospitals;4 were grade-B tertiary hospitals;and one was a secondary hospital.25 （55.6％） of the surveyed hospitals were children＇s hospitals,and 20 （44.4％） were general hospitals.All the hospitals were divided into 8 groups according to their geographical distribution in China,and East China hosted the most while Northeast China had the least.Nutritional support team （NST） was set up in 32 （71.1％） hospitals,with head of the team majoring in the specialty/subspecialty of pediatric gastroenterology or clinical nutrition.In 39 （86.7％） hospitals,physicians working in the nutrition department were attending or above,and in 38 （84.4％） tertiary hospitals,chief of the nutrition department held an academic title of associate chief or above.39 （86.7％） hospitals had nutrition clinics,42 （93.3％） provided nutritional counseling,40 （88.9％） involved nutritionists in consultations,25 （55.6％） had independent nutritional rounds.Screening tools for nutritional risk and dysplasia in children （STRONGkids） and screening tool for the assessment of malnutrition in pediatrics （STAMP） were the most widely used tools for malnutrition screening,and the same with self-rating depression scale （SDS） and percentile for nutritional status evaluation.In the most surveyed hospitals,key institutional requirement and procedural protocol were put in place for the nutritional department.Conclusions Pediatric clinical nutrition was developing well
作者
林慧佳
陈洁
Lin Huijia, Chen Jie(Department of NICU, the Children＇s Hospital, Zhejiang University School of Medicine, Hangzhou 310053, Chin)
出处
《中华临床营养杂志》
CAS
CSCD
2018年第2期94-99,共6页
Chinese Journal of Clinical Nutrition
关键词
儿科
营养支持
调查
Pediatrics
Nutritional support
Survey
