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KMID : 0869620170340020147
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Journal of Korean Society of Hospital Pharmacists
2017 Volume.34 No. 2 p.147 ~ p.156
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The Comparison of Improvement Effect in Patient’s Nutrition State according to the Adaptation of Nutrition Support Team’s Consultation
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Kwon Ji-Eun
Park Ae-Ryoung
Kim Soon-Joo
La Hyen-O
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Abstract
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Purpose : The primary goal of Total parenteral nutrition(TPN) therapy is to supply the nutrients by intravenous injection to the patients who cannot get adequate nourishment by oral. TPN have an affect on the hospital days and the therapeutic effect. In Seoul St. Mary’s hospital, Nutrition support team (NST) performs consultation of nutrition state and monitoring of patients. This study evaluated the effects of NST works through the improvement of nutrition index between compliance group and non-compliance group according to consultation of NST.
Methods : We collected retrospectively the data from patients at Seoul St. Mary’s hospital from September 2012 to August 2013, who received TPN therapy and consultation of NST. Patients were categorized according to the adaptation of NST’s consultation. We checked the difference of nutrition index such as total protein, albumin, transferrin, retinol binding protein, and pre-albumin between before the consultation and 14 days after the adaptation of NST. Also we collected the number of administration of albumin in order to evaluate nutrition state of patients.
Results : Out of 105 patients who received NST’s consultation, 46 patients were in compliance group and 59 patients were in non-compliance group. Total protein and albumin were increased to 0.3±0.1 and 0.1±0.1 g/dL in compliance group. But there was no change in non-compliance group of 0.0±0.1 and 0.0±0.0 g/dL. These results showed statistically significant difference between compliance group and non-compliance group(P 0.05). In compliance group the average of patient’s serum transferrin, retinol binding protein and pre-albumin were increased to 14.0±7.0, 1.0±0.2 and 3.2±0.7 mg/dL, respectively. In non-compliance group the average of patient’s serum transferrin, retinol binding protein and pre-albumin were decreased to 2.2±3.8, 0.2±0.2 and, 1.7±0.9 mg/dL, respectively. Also these results showed statistically significant difference between compliance group and non-compliance group(P 0.05). The number of administration of albumin was 0.7±1.1 and 1.5±2.5 in compliance group and non-compliance group, respectively(P 0.05).
Conclusion : In conclusion, this study suggests that NST’s consultation may give the result for the effective increase of nutrition lab. Therefore the continuing expansion of NST activity can improve the patient’s nutrition state. In order to provide appropriate nutritional management, it is necessary to improve the recognition of medical team for the nutrition support.
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KEYWORD
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Nutrition support team, The adaptation of NST’s consultation, Nutrition state
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