Evaluation of Hospital Food Consumption and the Reasons for Food Refusal in Patients Admitted to Imam Reza Hospital (AS) by Ward

Document Type : Original article

Authors

Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Abstract
Introduction: Inadequate food intake in hospitalized patients leads to malnutrition which causes numerous negative adverse effects, including increased mortality and the length of hospital stay. The present study aimed to investigate the rate of food intake of hospitalized patients in Imam Reza Medical Hospital.
Materials and Methods: This cross-sectional study was conducted on the patients admitted to Imam Reza Hospital in Mashhad in 2019. The data gathering tool was a checklist that is part of the standard Nutrition Day checklist. The selected section of this standard checklist measures the patient's food intake and the reason for food refusal. The obtained data were analyzed in  SPSS  software (version 16).
Results: As evidenced by the obtained results, the patients hospitalized in the cardiovascular ward  (85.7%) and gastroenterology department  (81.3%) had the highest rate of food consumption, whereas the lowest consumption was related to the patient of the trauma department  (63.2%). Food refusal was due to nausea and vomiting, anorexia, and reluctance to eat certain foods. The highest nutrition education was conducted in the departments of gastroenterology and hepatology (37.5%) and oncology (33.3%).
Conclusion: Hospital managers need to take effective measures to increase nurses' awareness of the importance of specialized nutrition education. Furthermore, there is a need to increase the number of nutritionists in patients' bedside.

Keywords


  1. References


    1. Thibault R, Chikhi M, Clerc A, Darmon P, Chopard P, Genton L, et al. Assessment of food intake in hospitalised patients: a 10-year comparative study of a prospective hospital survey. Clin Nutr. 2011; 30 (3):289-96.
    2. Hiesmayr M, Schindler K, Pernicka E, Schuh C, Schoeniger-Hekele A, Bauer P, et al. Decreased food intake is a risk factor for mortality in hospitalised patients: the Nutrition Day survey 2006. Clin Nutr. 2009; 28 (5):484-91.
    3. Saunders J, Smith T, Stroud M. Malnutrition and undernutrition. Medicine. 2011; 39 (1):45-50.
    4. Rüfenacht U, Rühlin M, Wegmann M, Imoberdorf R, Ballmer PE. Nutritional counseling improves quality of life and nutrient intake in hospitalized undernourished patients. Nutrition. 2010; 26 (1):53-60.
    5. Dupertuis Y, Kossovsky M, Kyle U, Raguso C, Genton L, Pichard C. Food intake in 1707 hospitalised patients: a prospective comprehensive hospital survey. Clin Nutr. 2003; 22 (2):115-23.
    6. Langhans W. Anorexia of infection: current prospects. Nutrition. 2000; 16 (10):996-1005.
    7. Gall M, Grimble G, Reeve N, Thomas S. Effect of providing fortified meals and between-meal snacks on energy and protein intake of hospital patients. Clin Nutr. 1998; 17 (6):259-64.
    8. Schindler K, Pernicka E, Laviano A, Howard P, Schütz T, Bauer P, et al. How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007–2008 cross-sectional nutritionDay survey. Clin Nutr. 2010; 29 (5):552-9.
    9. Correia MI, Campos AC; ELAN Cooperative Study. Prevalence of hospital malnutrition in Latin America: the multicenter ELAN study. Nutrition. 2003; 19 (10):823-5.
    10. Williams P, Walton K. Plate waste in hospitals and strategies for change. E-SPEN. 2011; 6 (6):e235-41.
    11. Waitzberg DL, Caiaffa WT, Correia MI. Hospital malnutrition: the Brazilian national survey  (IBRANUTRI): a study of 4000 patients. Nutr. 2001; 17 (7-8):573-80.
    12. Díaz AV, García ÁC. Evaluation of factors affecting plate waste of inpatients in different healthcare settings. Nutr Hosp. 2013; 28 (2):419-27.
    13. Gheorghe C, Pascu O, Iacob R, Vadan R, Iacob S, Goldis A, et al. Nutritional risk screening and prevalence of malnutrition on admission to gastroenterology departments: a multicentric study. Chirurgia  (Bucur). 2013; 108 (4):535-41.
    14. Amiri Farahani L, Heidari T, Narenji F, Asghari Jafarabadi M, Shirazi V. Relationship between pre menstrual syndrome with body mass index among university students. J Hayat. 2012; 17 (4):85-95.
    15. Khalili H, Mojtahedzadeh M, Oveysi MR, Tavakoli F. Do critically ill patients receive adequate nutritional support? Res Bull Med Sci. 2004; 9 (1):45-50.
    16. Kowanko I. Energy and nutrient intake of patients in acute care. J Clin Nurs. 2001; 10 (1):51-7.
    17. Tangvik RJ, Guttormsen AB, Tell GS, Ranhoff AH. Implementation of nutritional guidelines in a university hospital monitored by repeated point prevalence surveys. Eur J Clin Nutr. 2012; 66 (3):388-93.
    18. Jessri M, Mirmiran P, Jessri M, Johns N, Rashidkhani B, Amiri P, et al. A qualitative difference. Patients’ views of hospital food service in Iran. Appetite. 2011; 57 (2):530-3.