429 KB0 KB200820252023Grašič Lunar, KarmenMajdič, NežaPeklaj, Evaletnik:22str. 50-55številka:supl. 1COBISSID_HOST:153235715ISSN:2232-545XURN:URN:NBN:SI:doc-36OYKYLSslUniverzitetni rehabilitacijski inštitut Republike Slovenije - SočaRehabilitacija (Ljubljana)Malnutritionmedical nutritionmedicinska prehrananevromodulacijanutritional strategynutritional supportNutritionDaypodhranjenostprehranska obravnavaprehranska strategijarehabilitacijarehabilitationNutrition day (Slovenija) - prehranska ogroženost pacienta v rehabilitacijskem okolju| Nutrition day (Slovenia) - nutritional risk of the patient in a rehabilitation unit|Background: Malnutrition is a type of nutritional disorder and represents an independent risk factor for treatment complications, longer hospitalization, longer recovery period and higher mortality. The prevalence of disease-related malnutrition is high in hospitalized patients and is estimated at 30-50 %. To raise awareness of malnutrition in healthcare settings, NutritionDay (nDay) is globally held annually. Methods: The research, which was carried out for the first time at the University Rehabilitation Institute, Republic of Slovenia (URI), took place as part of nDay. The cross-sectional study included 110 (84 %) patients (30 women, 80 men) who were hospitalized at URI on November 10th, 2022. The data were collected using nDay questionnaires available online (www.nutritionDay.org). All patients who were over 18 years of age and signed consent for participation and were cognitively able to participate were included in the study. Results: According to the nDay questionnaire, 34 % of patients at URI are malnourished. The prevalence of malnutrition found by the nutrition team at the URI is 39 %. Twenty-nine percent of patients were receiving oral nutritional supplements and 2 % parenteral nutrition; only one patient had a feeding tube inserted. Among the patients included in nDay, 46 % were treated by the nutrition team. Most of the nutritional treatments were in wards C and III, where the prevalence of malnutrition is also the highest. Conclusion: Based on the results of the research, we can conclude that the prevalence of malnutrition at the URI is high. Involvement of the nutrition team and the regular implementation of nutritional examinations by a clinical dietitian and, consequently, determination of the optimal nutritional strategy is essential for improving the outcome of the patient’s rehabilitationIzhodišča: Podhranjenost je ena od oblik motnje prehranjenosti in predstavlja neodvisen dejavnik tveganja za več zapletov zdravljenja, daljšo hospitalizacijo, daljše obdobje okrevanja in višjo smrtnost. Prevalenca z boleznijo povezane podhranjenosti je visoka pri hospitaliziranih pacientih in je ocenjena na 30-50 %. Za izboljšanje ozaveščenost o podhranjenosti v zdravstvenih ustanovah se na svetovni ravni vsakoletno izvaja projekt NutritionDay (nDay). Metode: V sklopu nDay smo v letošnjem letu na Univerzitetnem rehabilitacijskem Inštitutu Republike Slovenije Soča (URI Soča) izvedli prvo presečno raziskavo na tem področju. Vključili smo 110 (84 %) pacientov (30 žensk, 80 moških), ki so bili 10. 11. 2022 hospitalizirani na URI Soča. Podatke smo zbirali s pomočjo vprašalnikov nDay, ki so bili na voljo na spletni strani www.nutritionDay.org. V raziskavo so bili vključeni vsi pacienti, starejši od 18 let, ki so podpisali soglasje o sodelovanju ter bili kognitivno sposobni sodelovanja. Rezultati: Na URI Soča je glede na vprašalnik nDay podhranjenih 34 % pacientov. Prevalenca podhranjenosti, ki jo je ugotovil prehranski tim, znaša 39 %. V času raziskave je 29 % pacientov prejemalo prehranska dopolnila čez usta in 2 % parenteralno prehrano, le en pacient je imel vstavljeno hranilno sondo. Prehranski tim je obravnaval 46 % v nDay vključenih pacientov. Največ prehranskih obravnav je bilo na bolnišničnih oddelkih C in III, kjer je prevalenca podhranjenosti tudi najvišja. Zaključek: Glede na rezultate raziskave lahko sklepamo, da je prevalenca podhranjenosti na URI Soča visoka. Vključevanje prehranskega tima ter redno izvajanje prehranskih obravnav s strani kliničnega dietetika in posledično določanje optimalne prehranske strategije pomembno prispeva k izboljšanju izida pacientove rehabilitacijeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča