Construction of malnutrition management system in hospital： an introduction to hunger-free hospital programme
Wang Li1，Yang Liuqing2，Li Suyun2，Shi Hanping2
1.Administrative Office， Beijing Shijitan Hospital, Capital Medical University/the Ninth Clinical Medical College of Peking University， Beijing 100038， China；2.Department of Clinical Nutrition, Beijing Shijitan Hospital/Capital Medical University Beijing International Science and Technology Cooperation Base for Cancer Metabolism and Nutrition/Department of Oncology, Capital Medical University, Beijing 100038， China
Abstract： In “Healthy China 2030” planning outline and national nutrition plan (2017—2030), the important role of nutrition has been established in the construction of healthy China from the national policy level. In October 2018, to strengthen malnutrition management of patients, we took the lead in starting up the hunger-free hospital programme in China. We explored actively in constructing the hospital malnutrition management system, establishing the technical route of malnutrition management system, improving the multi-department linkage mechanism, standardizing diagnosis and treatment, implementing nutrition management standard strictly, improving the concept of nutrition management and establishing closed-loop nutrition management mechanism, and etc. After implementation of one year, we analyzed indexes such as ratio of dual diagnostic for cancer patients, ratio of nutritional risk screening, ratio of nutritional assessment for patients with positive nutrition risk screening, and ratio of nutritional consultation and nutritional treatment. We also focused on the medical documents records about nutritional screening, nutritional assessment and therapy. The proportion increased significantly. The indexes also suggest that simple enteral nutrition therapy and enteral nutrition therapy combined with nutrition consultation can reduce hospitalization costs and the incidence of postoperative complications. It can be concluded that the positive effect of management has emerged obviously through the innovation of nutrition treatment concepts, management models and mechanisms. Malnutrition management system has achieved initial results. Malnutrition patients can benefit from the mode of hunger-free hospital programme. Hunger-free hospital programme is of great significance.
王莉，杨柳青，李素云，石汉平. 构建院内营养不良管理体系，建设“无饿医院”[J]. 肿瘤代谢与营养电子杂志, 2020, 7(4): 381-386.
Wang Li，Yang Liuqing，Li Suyun，Shi Hanping. Construction of malnutrition management system in hospital： an introduction to hunger-free hospital programme. Electron J Metab Nutr Cancer, 2020, 7(4): 381-386.
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