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The Development of a Computerized Nutrition Support Program for Inpatients
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Ann Clin Nutr Metab : Annals of Clinical Nutrition and Metabolism

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Case Report The Development of a Computerized Nutrition Support Program for Inpatients
Mi Jin Jeong, M.D., Soo Taik Lee, M.D., Dong Chan Kim, M.D., Hee Chul Yu, M.D.1, Won Kim, M.D., Haeng Sun Kim, M.D., Ju Sin Kim, M.D., Seon Hyeong Kim, M.D., Min Woo Kang, M.D.2, Guang Yu Jin, M.D.1, Baik Hwan Cho, M.D.1

입원환자를 위한 영양지원 프로그램 개발
정미진ㆍ이수택ㆍ김동찬ㆍ유희철1ㆍ김원ㆍ김행순ㆍ김주신ㆍ김선형ㆍ강민우2ㆍ김광옥1ㆍ조백환1
Journal of Clinical Nutrition 2007;1(1):28-37.
DOI: https://doi.org/10.15747/jcn.2007.1.1.28
Published online: December 31, 2007
Nutrition Support Team, Chonbuk National University Hospital, 1Department of Surgery Medicine, Chonbuk National University Medical School, 2Department of Medical Information, Chonbuk National University Hospital, Jeonju, Korea

전북대학교병원 영양지원팀, 1전북대학교 의과대학 외과학교실, 2전북대학교병원 의료정보과
Received: 14 December 1901   • Revised: 14 December 1901   • Accepted: 14 December 1901
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Purpose
The importance of detecting malnourished patients or those at risk of becoming malnourished early has been emphasized recently. However, it is difficult with limited resources to rapidly identify patients requiring nutrition management. Therefore, the Nutrition Support Team (NST) at our hospital wanted to use the adult nursing admission questionnaire, which is documented by a nurse at admission, for nutrition screening with various parameters of the SGA. The aim of this study was to develop a computerized program that includes nutrition screening using the adult nursing admission questionnaire, a nutrition assessment, a care plan, monitoring and reevaluation for more effective and earlier nutrition management with limited staff. Methods: The task force team within the NST is composed of a physician, nurse, pharmacist and dietitian, whose aim is to develop a practical and fast screening program. The reports express a score that is dependent on the impact of the symptoms and the nutritional status of the patient derived from the adult nursing admission questionnaire. The scores are added to give a total. A score of 0∼5 is deemed adequate nutrition, 6∼10 denotes moderate or suspected malnutrition; 11 or more indicates severe malnutrition. The score uses the ordered diet, percent IBW, albumin and TLC according to the objective index. Malnutrition was defined as two items out of four being abnormal. Results: This program consists of whole procedures in the following order: nutrition screening, malnutrition, assessment and monitoring. The computerized system is as follows: nutrition screening, consultation, assessment and care plan, reply, monitoring, reevaluation and the end. Conclusion: It is expected that this program will facilitate nutrition screening using the adult nursing admission questionnaire, and provide early nutrition management through cooperation with various occupations. However, further study will be needed to assess the validity of identifying malnourished patients using the adult nursing admission questionnaire. (JKSPEN 2007;1(1):28-37)


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