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Impact of Nutritional Interprofessional Education Experience With NYU Pediatric Dental Alumni 营养跨专业教育经验对纽约大学儿科牙科校友的影响
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1097/TIN.0000000000000304
Sheena S Nandi, K. Leung, J. Fernandez
Interprofessional education (IPE) is a learning experience focused on collaboration, preparing health professionals to improve patient care. This article explores how IPE with dietetic interns in training has influenced views and practices of pediatric dentists after graduation. Surveys were e-mailed to 189 alumni who graduated from New York University College of Dentistry's Post Graduate Pediatric Program from 2009 to 2018. Of the 67 surveys received, 44 (23%) were completed. Most alumni found the information learned through IPE relevant to residency (90%) and current practice (84%). Ninety percent of respondents agreed pediatric dental visits should include nutritional counseling. This study supports the positive value of IPE in oral health care and education.
跨专业教育(IPE)是一种专注于合作的学习体验,为卫生专业人员改善患者护理做好准备。本文探讨了饮食实习生在培训中的IPE如何影响儿科牙医毕业后的观点和实践。调查通过电子邮件发送给了189名2009年至2018年毕业于纽约大学牙科学院研究生儿科项目的校友。在收到的67项调查中,44项(23%)已完成。大多数校友发现通过IPE学习到的信息与居住(90%)和当前实践(84%)有关。90%的受访者同意儿科牙科就诊应包括营养咨询。本研究支持IPE在口腔保健和教育中的积极价值。
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引用次数: 0
Enteral Nutrition Practice and Associated Factors Among Intensive Care Unit Nurses in South Korea 韩国重症监护室护士肠内营养实践及相关因素
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1097/TIN.0000000000000295
H. Lee, M. Han, Jong Park, S. Ryu, Youn-Kyoung Jang, Seong-Woo Choi
The purpose of this study was to measure enteral nutrition (EN) practice and associated factors among staff nurses in intensive care units in Korea. A total of 224 staff nurses working in 3 university hospital intensive care units were surveyed. Enteral nutrition practice was measured on the basis of Korean guidelines on EN nursing. The mean scores for EN practice was 4.02 ± 0.46 (range: 1-5). The presence of hospital guidelines and department protocols was associated with improved practice. In multiple regression analysis, the greater the level of awareness, the better the practice of EN. The results suggest that nursing practice may be improved by developing and providing guidelines and protocols, offering education, and increasing the level of awareness of EN.
本研究的目的是测量韩国重症监护室护士的肠内营养(EN)实践及其相关因素。对3所大学医院重症监护室的224名护士进行了调查。肠内营养实践是根据韩国EN护理指南进行测量的。EN练习的平均得分为4.02±0.46(范围:1-5)。医院指南和科室协议的存在与实践的改进有关。在多元回归分析中,认知水平越高,英语实践越好。研究结果表明,可以通过制定和提供指南和协议、提供教育以及提高EN意识水平来改善护理实践。
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引用次数: 0
Food Fussiness in Children 儿童对食物的挑剔
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1097/TIN.0000000000000301
Begüm Harmancıoğlu, S. Kabaran
This cross-sectional study aimed to investigate the relationship between children's food fussiness (FF) and dietary diversity, eating behaviors, and parental feeding practices among 314 Cypriot preschoolers aged 3 to 5 years and their parents. Fussy eaters showed negative eating behaviors in general (P < .05). The mean scores of prompting and encouragement to eat were significantly higher among non–fussy eaters (P < .05). Food fussiness scores were negatively correlated with dietary diversity scores (rs = −0.178, P < .05) and positively correlated with parental emotional feeding (rs = 0.114, P < .05). In addition, strictly controlled feeding was positively associated with FF scores (β: .115; 95% confidence interval: 0.041-0.251) and each unit increment in instrumental feeding decreased the risk of FF by 90% (odds ratio: 0.104; 95% confidence interval: 0.037-0.295). Longitudinal studies with larger samples are needed to confirm these correlations through parent-child intervention study designs.
这项横断面研究旨在调查314名3至5岁的塞浦路斯学龄前儿童及其父母的儿童食物挑剔(FF)与饮食多样性、饮食行为和父母喂养习惯之间的关系。挑食者总体上表现出消极的饮食行为(P<.05)。在不挑食者中,鼓励和鼓励进食的平均得分显著更高(P<0.05)。食物挑食得分与饮食多样性得分呈负相关(rs=-0.178,P<.05,严格控制喂养与FF评分呈正相关(β:.115;95%置信区间:0.041-0.251),仪器喂养的每增加一个单位,FF的风险降低90%(比值比:0.104;95%可信区间:0.037-0.295)。需要对更大样本进行纵向研究,通过亲子干预研究设计来证实这些相关性。
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引用次数: 1
Follow-up of Patients Receiving Home Parenteral Nutrition With a Competent Home Infusion Nurse Decreases the Prevalence of Catheter Infections 由合格的家庭输液护士对接受家庭肠外营养的患者进行随访可降低导管感染的患病率
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1097/TIN.0000000000000306
Mert Eşme, C. Balcı, G. Öz, F. Tamer, Nilgün Doğancı, K. Akçay, Ş. Ataç, B. Kelleci, S. Akıncı, A. Topeli, O. Abbasoğlu, M. Halil
High rates of infection are reported in patients receiving home parenteral nutrition (HPN). The aims of this study were to investigate the effect of the support of a competent home infusion nurse on catheter-related infection rates among patients receiving HPN as well as to investigate the effect of HPN on quality of life (QOL). Seventeen HPN patients older than 18 years were visited twice weekly by a competent home infusion nurse, and QOL tests were performed over a 2-year period. The patients were evaluated regularly for signs of catheter-related infections and other complications. The catheter infection rate was found to be 1.23 per 1000 catheter-days, and QOL scores remained stable. Involvement of an experienced nurse may help implement HPN with low catheter-related infection rates.
据报道,接受家庭胃肠外营养(HPN)的患者感染率很高。本研究的目的是调查合格的家庭输液护士的支持对接受HPN的患者导管相关感染率的影响,以及HPN对生活质量(QOL)的影响。17名18岁以上的HPN患者由一名称职的家庭输液护士每周两次就诊,并在2年内进行生活质量测试。定期对患者进行导管相关感染和其他并发症的体征评估。导管感染率为1.23/1000导管日,生活质量评分保持稳定。经验丰富的护士参与可能有助于在导管相关感染率较低的情况下实施HPN。
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引用次数: 0
Documentation of Patient Weights by Clinical Care Staff in a Rural, Regional Medical Center 农村地区医疗中心临床护理人员对患者体重的记录
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2023-01-01 DOI: 10.1097/TIN.0000000000000303
Helen Ballew, Robin Jean Maroulakis, P. B. Moore
Weight loss over a specific time period is an important indicator for recognizing malnutrition in hospitalized patients. Documenting accurate weights in the electronic medical record is crucial to identify and treat malnutrition. The purpose of this project was to evaluate clinical care staff compliance with documenting patient weight. A medical record review was performed on 7 randomly selected days (n = 122) over a 5-week period. Documented weight and method of obtaining weight were recorded. Weight information was documented 91.2% of the time. Objective methods of obtaining patient weight were used 77.9% of the time, while subjective methods were used 13.9% of the time. Results support the need to educate the clinical care staff on the importance of documenting patient weights as an indicator of nutritional status in order to improve outcomes in malnourished and at-risk patients.
在特定时期内体重减轻是识别住院患者营养不良的重要指标。在电子病历中记录准确的体重对于识别和治疗营养不良至关重要。该项目的目的是评估临床护理人员对记录患者体重的依从性。在5周的时间内,随机选择7天(n = 122)进行医疗记录审查。记录体重文件和获得体重的方法。91.2%的时间记录了体重信息。客观方法获得患者体重的比例为77.9%,主观方法获得患者体重的比例为13.9%。结果表明,有必要教育临床护理人员记录患者体重作为营养状况指标的重要性,以改善营养不良和高危患者的预后。
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引用次数: 0
Comparison of Various Predictive Energy Equations for Female University Students With Measured Basal Metabolic Rate 女大学生各种预测能量方程与实测基础代谢率的比较
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2022-10-01 DOI: 10.1097/TIN.0000000000000282
R. Meseri, Özge Küçükerdönmez, R. N. Akder
The aim of this study was to compare basal metabolic rate (BMR) calculated with various equations and BMR measured using an indirect calorimeter. The study was carried out on second-year university female students (n = 48) with a body mass index of less than 30. Indirect calorimetry with a ventilated hood was accepted as the gold standard and 11 predictive equations were used. Among the equations, Mifflin-St Jeor had the highest correlation (r = 0.435), but Bernstein (66.7%) and Owen (56.3%) were the most accurate equations. According to Bland-Altman analysis, the lowest bias and the highest explanation were obtained with the Bernstein and Owen equations. More comprehensive studies are needed in different groups to develop new equations with higher accuracy.
本研究的目的是比较用各种方程计算的基础代谢率(BMR)和用间接量热计测量的BMR。这项研究是对体重指数低于30的大学二年级女生(n=48)进行的。采用带通风罩的间接量热法作为金标准,并使用了11个预测方程。在这些方程中,Mifflin St Jeor的相关性最高(r=0.435),但Bernstein(66.7%)和Owen(56.3%)是最准确的方程。根据Bland-Altman分析,Bernstein和Owen方程得到了最低的偏差和最高的解释。需要在不同的群体中进行更全面的研究,以开发更高精度的新方程。
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引用次数: 0
The Benefit of Supplemental Vitamin E to Reduce Radiation-Induced Oral Side Effects in Head and Neck Cancer 补充维生素E对减少头颈癌放射引起的口服副作用的益处
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2022-10-01 DOI: 10.1097/TIN.0000000000000283
C. Lutes, H. Samavat, A. Parker, R. Zelig
Antioxidant use during oncology treatment is controversial. Inconsistent research indicates that antioxidant supplementation can be both beneficial and harmful. The purpose of this review is to evaluate the recently published literature to determine whether oral supplementation with the antioxidant vitamin E is beneficial for reducing common side effects of radiation therapy in adults diagnosed with head and neck cancer. Three studies demonstrated supplementation can be effective in reducing side effects without compromising locoregional control, disease-free survival, or overall survival. Larger studies are needed to determine the optimal dose and duration of supplementation and the effectiveness of vitamin E as monotherapy.
抗氧化剂在肿瘤治疗中的使用是有争议的。不一致的研究表明,补充抗氧化剂可能有益也可能有害。本综述的目的是评估最近发表的文献,以确定口服抗氧化剂维生素E是否有助于减少诊断为头颈癌的成人放射治疗的常见副作用。三项研究表明,在不影响局部控制、无病生存期或总生存期的情况下,补充剂可以有效地减少副作用。需要更大规模的研究来确定补充维生素E的最佳剂量和持续时间以及维生素E作为单一疗法的有效性。
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引用次数: 1
Mini Nutritional Assessment Score and Visceral Proteins as Potential Predictors of Pressure Injuries in Home Care Patients With Stroke 迷你营养评估评分和内脏蛋白质作为卒中家庭护理患者压力损伤的潜在预测因素
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2022-10-01 DOI: 10.1097/TIN.0000000000000298
N. Yurt, Mahcube Cubukcu
This study aimed to determine the presence of pressure injuries and their severity based on Mini Nutritional Assessment (MNA) score and visceral protein levels in stroke patients receiving home care services. A case-control study was conducted in a case group with pressure injury (n = 54) and in a control group with no pressure injury (n = 54). The MNA scores and serum albumin and prealbumin values were significantly lower in the case group than in the control group (P < .001). There were also significant differences according to the pressure injury stages. Lower MNA score and low levels of serum albumin and prealbumin are associated with the presence of pressure injuries and increased severity of pressure injuries.
本研究旨在根据接受家庭护理服务的脑卒中患者的迷你营养评估(MNA)评分和内脏蛋白水平来确定压力损伤的存在及其严重程度。在有压力损伤的病例组(n = 54)和无压力损伤的对照组(n = 54)中进行病例-对照研究。病例组MNA评分、血清白蛋白和前白蛋白值均显著低于对照组(P < 0.001)。压伤阶段的差异也有统计学意义。较低的MNA评分和低水平的血清白蛋白和前白蛋白与压力损伤的存在和压力损伤的严重程度增加有关。
{"title":"Mini Nutritional Assessment Score and Visceral Proteins as Potential Predictors of Pressure Injuries in Home Care Patients With Stroke","authors":"N. Yurt, Mahcube Cubukcu","doi":"10.1097/TIN.0000000000000298","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000298","url":null,"abstract":"This study aimed to determine the presence of pressure injuries and their severity based on Mini Nutritional Assessment (MNA) score and visceral protein levels in stroke patients receiving home care services. A case-control study was conducted in a case group with pressure injury (n = 54) and in a control group with no pressure injury (n = 54). The MNA scores and serum albumin and prealbumin values were significantly lower in the case group than in the control group (P < .001). There were also significant differences according to the pressure injury stages. Lower MNA score and low levels of serum albumin and prealbumin are associated with the presence of pressure injuries and increased severity of pressure injuries.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48503063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Prebiotics, Probiotics, and Synbiotics on Stool Output, Mortality, and Recovery in the Critically Ill 益生元、益生菌和益生元对危重患者大便量、死亡率和恢复的影响
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2022-10-01 DOI: 10.1097/TIN.0000000000000299
Haley J. Chin, Zhiping Yu
This study reviewed the research published between 2010 and 2020 on application and usage of prebiotics, probiotics, and synbiotics on stool output, mortality, and recovery in critically ill patients. A total of 15 articles were retrieved and 11 were identified for review. Among studies addressing stool output, 4 of 7 reported improved outcomes. No statistically significant effect of the intervention was seen in 5 studies addressing mortality. Concerning elements of recovery, positive evidence was seen in the areas of return to gut function, time on mechanical ventilation, time to ventilator weaning, and length of stay in intensive care unit and/or hospital.
这项研究回顾了2010年至2020年间发表的关于益生元、益生菌和合生元在危重患者排便量、死亡率和康复方面的应用和使用的研究。共检索到15篇文章,确定了11篇供审查。在针对粪便排出量的研究中,7项研究中有4项报告结果有所改善。在5项关于死亡率的研究中,没有发现干预的统计学显著效果。关于恢复因素,在肠道功能恢复、机械通气时间、呼吸机断奶时间以及在重症监护室和/或医院的住院时间等方面都有积极的证据。
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引用次数: 1
Influence of Vitamin D Consumption on Bone Mineral Density Among Saudi Women in Jeddah Not Taking Supplements 吉达未服用维生素D补充剂的沙特妇女维生素D摄入量对骨密度的影响
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2022-10-01 DOI: 10.1097/TIN.0000000000000293
N. Hakim, K. Hussein
This cross-sectional study of 341 women in Jeddah, Saudi Arabia, compared a 1-point-in-time vitamin D intake measurement assessed by the Semiquantitative Food Frequency Questionnaire with bone mineral density (BMD) at the lumbar spine and femur in pre- and post-menopausal women. Premenopausal women had significantly higher BMD at the lumbar spine and femur compared with postmenopausal women (P < .01). A significant positive association was seen between dietary vitamin D intake (95.5 ± 81.54 IU/day) and femur BMD at the trochanter (P < .05). Vitamin D intake of Saudi women is inadequate, suggesting the need for public health measures to promote improved nutrition in women and support an expansion of fortification programs.
这项针对沙特阿拉伯吉达341名女性的横断面研究将半定量食物频率问卷评估的1点维生素D摄入量测量值与绝经前和绝经后女性腰椎和股骨的骨密度(BMD)进行了比较。与绝经后妇女相比,绝经前妇女腰椎和股骨的BMD显著较高(P<0.01)。膳食维生素D摄入量(95.5±81.54 IU/天)与股骨粗隆处的股骨BMD呈正相关(P<0.05)。沙特妇女的维生素D摄入量不足,建议有必要采取公共卫生措施,促进改善妇女营养,并支持扩大强化计划。
{"title":"Influence of Vitamin D Consumption on Bone Mineral Density Among Saudi Women in Jeddah Not Taking Supplements","authors":"N. Hakim, K. Hussein","doi":"10.1097/TIN.0000000000000293","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000293","url":null,"abstract":"This cross-sectional study of 341 women in Jeddah, Saudi Arabia, compared a 1-point-in-time vitamin D intake measurement assessed by the Semiquantitative Food Frequency Questionnaire with bone mineral density (BMD) at the lumbar spine and femur in pre- and post-menopausal women. Premenopausal women had significantly higher BMD at the lumbar spine and femur compared with postmenopausal women (P < .01). A significant positive association was seen between dietary vitamin D intake (95.5 ± 81.54 IU/day) and femur BMD at the trochanter (P < .05). Vitamin D intake of Saudi women is inadequate, suggesting the need for public health measures to promote improved nutrition in women and support an expansion of fortification programs.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43452444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Topics in Clinical Nutrition
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