영양집중지원팀에 대한 전공의 의식도 조사를 통한 영양집중지원팀 발전방향 연구
The Investigation on the Development of Nutritional Support Team through the Consciousness Questionnaire to Residents
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background & Objective : The role of nutritional support team (NST) is very important for general hospitals with high percentages of hospitalized patients suffering from malnutrition. Although there are several contents for the systematic development of NST, this study is predominantly performed to assess the degree of residents' consciousness on NST activities. Methods : In order to investigate the consciousness of residents, the four aspects of awareness,knowledge, behavior, and satisfaction were being assessed with written questionnaires. Primary survey questionnaires were being distributed to 125 residents from different majors. After the primary survey promotional activities on NST and nutrition supports were conducted to only 28residents majoring in internal medicine (IM), and the secondary survey was being performed. This research was performed by comparing the results of the primary and secondary surveys by the IM residents. Results : In the primary survey, 48.5% of doctors responded that inpatient's nutrition was very necessary, and 41.9% of doctors responded that they acquired the relative information for nutritional supports from the senior doctors. In addition, 57.6% of residents responded that they were not utilizing the NST because they had no information on NST activities. In the secondary survey,the awareness rate was 95.2% which had risen by 2.4%. And in case of knowledge, 76.1% of IM residents responded that they only knew the basics of nutritional support and felt the need to understand more details in the future. In the case of behavior, the ratio for those who considered parenteral nutrition (PN) first was reduced and the ratio who consider the simultaneous administration of enteral nutrition (EN) and PN increased. Satisfaction rate for the NST reply was 25.0%,and 17.8% respondents wish for improvements. Satisfaction rate for NST promotional activities,demonstrated 90.4% of positive feedback. Conclusions : The result of this research seemed to be an important basis for the improvements of NST in the medical setting.
Abstract
Background & Objective : The role of nutritional support team (NST) is very important for general hospitals with high percentages of hospitalized patients suffering from malnutrition. Although there are several contents for the systematic development of NST, this study is predominantly performed to assess the degree of residents' consciousness on NST activities. Methods : In order to investigate the consciousness of residents, the four aspects of awareness,knowledge, behavior, and satisfaction were being assessed with written questionnaires. Primary survey questionnaires were being distributed to 125 residents from different majors. After the primary survey promotional activities on NST and nutrition supports were conducted to only 28residents majoring in internal medicine (IM), and the secondary survey was being performed. This research was performed by comparing the results of the primary and secondary surveys by the IM residents. Results : In the primary survey, 48.5% of doctors responded that inpatient's nutrition was very necessary, and 41.9% of doctors responded that they acquired the relative information for nutritional supports from the senior doctors. In addition, 57.6% of residents responded that they were not utilizing the NST because they had no information on NST activities. In the secondary survey,the awareness rate was 95.2% which had risen by 2.4%. And in case of knowledge, 76.1% of IM residents responded that they only knew the basics of nutritional support and felt the need to understand more details in the future. In the case of behavior, the ratio for those who considered parenteral nutrition (PN) first was reduced and the ratio who consider the simultaneous administration of enteral nutrition (EN) and PN increased. Satisfaction rate for the NST reply was 25.0%,and 17.8% respondents wish for improvements. Satisfaction rate for NST promotional activities,demonstrated 90.4% of positive feedback. Conclusions : The result of this research seemed to be an important basis for the improvements of NST in the medical setting.
참고문헌 (12)
- Koda-Kimble M.A., "Applied Therapeutics- The Clinical Use of Drugs", pp.37~41 (2009), Lippincott Williams & Wilkins
- Johansen N., "Effect of nutritional support on clinical outcome in patients at nutritional risk", Clin Nutr, 23, pp.539~550 (2004)
- Stanga Z., "Nutrition in clinical practice-the refeeding syndrome; illustrative cases and guidelines for prevention and treatment", Eur J Clin Nutr, 62, pp.687~694 (2008)
- McCowen K.C., "Stress-Induced Hyperglycemia (review)", Crit Care Clin, 17, pp.107~124 (2001)
- Van den Berghe G., "Intensive insulin therapy in the medical ICU", N Engl J Med, 354, pp.449~461 (2006)
- Finney S.J., "Glucose control and mortality in critically ill patients", JAMA, 290, pp.2041~2047 (2003)
- Mechanick J.I., "Nutrition and the chronically critically ill patient", Curr Opin Clin Nutr Metab Core, 8, pp.33~39 (2005)
- Wesley J.R., "Nutrition support teams; past, present, and future", Nutri Clin Pract, 10(6), pp.219~228 (1995)
- 이태희, "영양집중지원팀(NST) 인증제에대하여", 병원약사회지, 27(1), pp.1~4 (2010)
- 최인, "영양집중지원팀의 업무개선 활동의 효과 평가", 병원약사회지, 28(4), pp.390~395 (2011), 한국병원약사회
- 정미진, "위장관 수술 후 발생한 장관 누공 환자에서 영양집중지원팀에 의뢰된 내용 분석", 한국정맥경장영양학회지, 3(1), pp.45~49 (2010)
- 강해진, "우리나라 병원에서의 영양지원팀 운영과 관련된 문제점에 관한 연구: 한 대학병원의 경우", 한국임상약학회지, 18(1), pp.45~49 (2008), 한국임상약학회