Food Services, Malnutrition
Conditions
Keywords
Nutritional Assessment, Food Services, Malnutrition, Patient Satisfaction
Brief summary
Malnutrition is the body's inability to absorb necessary nutrients, often due to disease, hunger, aging, or other factors. The European Society for Clinical Nutrition and Metabolism (ESPEN) focuses on the malnutrition aspect \[1,2\]. Unidentified or unmonitored malnutrition before hospitalization, complications affecting eating, patient inability to eat regularly due to exams/treatments, delayed meal times, psychological factors, hospital stay duration, lack of nutrition awareness, prejudices against hospital meals, etc., can lead to hospital malnutrition. Patient-related issues and lack of dietitian referrals may contribute, with food service problems being a key factor in nutritional decline \[3,4\]. The critical factors affecting the patient's food appreciation include the appearance, presentation, taste, consistency, texture, and temperature. In cases where patient expectations and satisfaction are not met, a decrease in food consumption and an increase in the amount of leftovers are observed. It has been observed that if the organoleptic properties and presentation style of the food offered to the patient are good, the patients evaluate the food as high quality, and their satisfaction with the food increases \[5\]. As a result, not being able to consume food due to lack of meal satisfaction means that the energy and elements that the patient needs are not taken into the body, which increases the patient's risk of malnutrition \[4\]. Effective hospital meal provision is crucial in preventing malnutrition, as emphasized by ESPEN. One of the most essential duties of the dietitian is to supervise every stage of food services to ensure the consumption of foods suitable for medical nutrition treatment of the hospitalized patient \[6,7\]. This study aimed to determine the role and effect of hospital food services on inpatient malnutrition. For this purpose, NRS-2002 screening was performed on 310 inpatients within three days after admission. NRS-2002 is a comprehensive screening test that the ESPEN recommends for hospitalized patients. Along with the second NRS-2002 screening, a food service satisfaction survey was administered to patients. The results of both NRS-2002 screening and satisfaction surveys were evaluated.
Interventions
OTHERObservational Malnutrition Screening and Foodservice Satisfaction
Patients asked Acute Care Hospital Foodservice Patient Satisfaction Questionnaire and malnutrition risk assessed with NRS-2002 screening tool.
Sponsors
Istanbul Bilgi University
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Inclusion criteria
* aged 18-65 years * volunteers patients * Patients who were hospitalized for at least seven days
Exclusion criteria
* Patients with a hospital stay of less than seven days, * receiving oral intake restrictive treatment, * patients in the terminal phase, * patients under 18 years of ages, * patients over 65 years of ages.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NRS-2002 Screening Tool | NRS-2002 was administered for the first time 2 days after the patients were hospitalized. It was repeated for the second time 1 week later. | NRS-2002 is a malnutrition assessment tool developed by Kondrup et al. As a result of the screening test, patients are classified as having no risk of malnutrition (\<3 points) and having a risk of malnutrition (≥3 points) |
| Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ) | The scale was administered once, 9 days after hospitalization, together with the NRS-2002 second screening. | Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ), developed by Capra et al. It is evaluated out of a total of 100 points. The increase in the patient's scale score in each sub-dimension means that satisfaction with hospital food services also increases. |
Countries
Turkey (Türkiye)
Outcome results
None listed