Abstract
Objective: To understand the appetite and nutritional status of hospitalized patients in a tertiary A general hospital in Guangzhou, Guangdong Province. Methods: A cross-sectional survey of appetite and nutritional status assessment on inpatients in 44 wards of the hospital was conducted. Taking all “conscious patients hospitalized for more than 48 hours” in the hospital on November 25, 2020 as the survey subjects, the patients’ appetite, dietary intake, nutrition and nutritional support in the past week were investigated. Results: A total of 890 cases were investigated, among which 25 cases (2.81%) with missing data were excluded, and thus 865 investigated cases were considered effective. The incidence of nutritional risk was 28.67%, malnutrition 13.29%, external tube feeding nutrition 3.24%, parenteral nutrition 7.05%, and oral nutritional supplement 10.40%. The average score of appetite assessment was (6.99 ± 2.43) points. Among them, cases with appetite assessment scores r = 0.548) and daily intake compliance rate (r = 0.263) (p p β = −0.079, p = 0.023). The difference between the appetite assessment scores and the daily intake compliance rates of patients with different nutritional support methods was statistically significant (p < 0.05); the individualized diet group had the highest appetite assessment score (8.57 ± 1.70), while the parenteral nutrition group had the lowest appetite assessment score (4.90 ± 2.99); the individualized diet group had the highest daily intake rate of 100%, followed by the parenteral nutrition group with 96.72%, and the regular diet group had the lowest rate of 84.02%. Conclusion: The appetite of hospitalized patients is closely related to nutritional status, and therefore, attention should be paid to the appetite status and nutritional status of hospitalized patients. Inpatients with different nutritional support methods should be given individualized appetite and nutritional interventions.
Highlights
Taking a fairly important position, nutritional support treatment runs through the whole process of clinical treatment, and it has been paid more and more attention by medical workers and patients
The appetite of hospitalized patients is closely related to nutritional status, and attention should be paid to the appetite status and nutritional status of hospitalized patients
Loss of appetite is commonly seen in hospitalized patients, especially cancer patients [2] [3]; appetite assessment is extremely important to ensure patient nutritional support and improve nutritional status
Summary
Taking a fairly important position, nutritional support treatment runs through the whole process of clinical treatment, and it has been paid more and more attention by medical workers and patients. Hospitalized patients generally have short-term or long-term changes in appetite status due to factors such as disease, surgery, and stress. Loss of appetite is commonly seen in hospitalized patients, especially cancer patients [2] [3]; appetite assessment is extremely important to ensure patient nutritional support and improve nutritional status. There are few clinical studies on appetite assessment of hospitalized patients and its relationship with nutrition in China. This study selected a tertiary A general hospital in Guangzhou, Guangdong Province to conduct a cross-sectional survey on November 25, 2020, in order to understand hospitalized patients’ appetite and its relations to their nutrition, and provide a basis for the implementation of clinical nutrition support treatment and nursing
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