Development and validation of a nutritional and nursing risk assessment method for diabetic patients

Wang,Jing; Lin,Yun; Zeng,Kaihong; Yang,Yongtao; Hu,Xuefei; Zhao,Rong; Li,Zeyue

doi:10.3892/etm.2014.1575

May-2014 Volume 7 Issue 5

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

May-2014 Volume 7 Issue 5

Full Size Image

Article

Development and validation of a nutritional and nursing risk assessment method for diabetic patients

Authors:
- Jing Wang
- Yun Lin
- Kaihong Zeng
- Yongtao Yang
- Xuefei Hu
- Rong Zhao
- Zeyue Li
View Affiliations / Copyright

Affiliations: Department of Nutrition, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Qingyang, Chengdu, Sichuan 610072, P.R. China
Pages: 1323-1326
|
Published online on: February 24, 2014

https://doi.org/10.3892/etm.2014.1575
Expand metrics +

Abstract

The present study aimed to develop and evaluate a nutritional and nursing risk assessment method for diabetic inpatients to improve healthcare and risk management. Diabetic inpatients diagnosed according to the World Health Organization guidelines, together with their nursing staff, were divided into two groups for nutritional and nursing risk assessment. Data from one group were used to establish the assessment method, and data from the other group were used to evaluate the reliability and effectiveness of the method. To establish the method, various risk variables in the nutritional and nursing processes were evaluated by logistic regression analysis; the score and probability of the risk variables were determined based on odds ratios. The overall nutritional and nursing risk for individual inpatients was then judged by the accumulated scores. The analysis showed that there were a number of risk factors, including age and body mass index. The risk was shown to increase with increasing score for the inpatients, and the χ2 test (P<0.01) was used to indicate a significant association. When the score was 50, the sensitivity and specificity of the method used to detect the nutritional and nursing risk were 88.3 and 66.5%, respectively, with predictive positive and negative rates of 12.83 and 98.53%, respectively. Therefore, the method is simple, cost‑effective and fast; it can be used to screen a large number of patients by nursing staff and can also be used by patients themselves. Overall, the method is an effective and practicable nutritional and nursing risk assessment and educational tool.

View Figures

View References

1	Kuzu MA, Terzioğlu H, Genç V, et al: Preoperative nutritional risk assessment in predicting postoperative outcome in patients undergoing major surgery. World J Surg. 30:378–390. 2006. View Article : Google Scholar : PubMed/NCBI
2	Vellas B, Guigoz Y, Garry PJ, et al: The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 15:116–122. 1999. View Article : Google Scholar : PubMed/NCBI
3	Peng LT, Li R, Zhao WH, et al: Nutritional risk screening and its clinical significance in 706 children hospitalized in the surgical department. Zhongguo Dang Dai Er Ke Za Zhi. 15:880–885. 2013.(In Chinese).
4	Schiesser M, Müller S, Kirchhoff P, Breitenstein S, Schäfer M and Clavien PA: Assessment of a novel screening score for nutritional risk in predicting complications in gastro-intestinal surgery. Clin Nutr. 27:565–570. 2008. View Article : Google Scholar : PubMed/NCBI
5	Schiesser M, Kirchhoff P, Müller MK, Schäfer M and Clavien PA: The correlation of nutrition risk index, nutrition risk score, and bioimpedance analysis with postoperative complications in patients undergoing gastrointestinal surgery. Surgery. 145:519–526. 2009. View Article : Google Scholar
6	Kondrup J, Allison SP, Elia M, et al: Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN): ESPEN guidelines for nutrition screening 2002. Clin Nutr. 22:415–421. 2003. View Article : Google Scholar : PubMed/NCBI
7	Kondrup J, Rasmussen HH, Hamberg O and Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 22:321–336. 2003. View Article : Google Scholar : PubMed/NCBI
8	Kiyici S, Ersoy C, Kaderli A, et al: Effect of rosiglitazone, metformin and medical nutrition treatment on arterial stiffness, serum MMP-9 and MCP-1 levels in drug naive type 2 diabetic patients. Diabetes Res Clin Pract. 86:44–50. 2009. View Article : Google Scholar : PubMed/NCBI
9	Jing XF, Qiao R, Li M, Kang DY, Liu XH and Huang CY: Developing a risk appraisal model for gestational diabetes mellitus. Sichuan Da Xue Xue Bao Yi Xue Ban. 42:353–357. 2011.(In Chinese).
10	Youden WJ: Index for rating diagnostic tests. Cancer. 3:32–35. 1950. View Article : Google Scholar : PubMed/NCBI
11	Wang H, Song Z, Ba Y, Zhu L and Wen Y: Nutritional and eating education improves knowledge and practice of patients with type 2 diabetes concerning dietary intake and blood glucose control in an outlying city of China. Public Health Nutr. 1–8. 2013.PubMed/NCBI
12	Yang YN, Xie X, Ma YT, et al: Type 2 diabetes in Xinjiang Uygur autonomous region, China. PLoS One. 7:e352702012. View Article : Google Scholar : PubMed/NCBI
13	Danquah I, Bedu-Addo G, Terpe KJ, et al: Diabetes mellitus type 2 in urban Ghana: characteristics and associated factors. BMC Public Health. 12:2102012. View Article : Google Scholar : PubMed/NCBI
14	Chung SH, Han DC, Noh H, et al: Risk factors for mortality in diabetic peritoneal dialysis patients. Nephrol Dial Transplant. 25:3742–3748. 2010. View Article : Google Scholar : PubMed/NCBI
15	Debussche X, Roddier M, Fianu A, et al: REDIA Study Group: Health perceptions of diabetic patients in the REDIA study. Diabetes Metab. 32:50–55. 2006. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Development and validation of a nutritional and nursing risk assessment method for diabetic patients

This article is mentioned in:

Abstract

Figure 1

Related Articles