病院食栄養基準における成分別栄養管理導入の試み

概要

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ABSTRACT : The dietary nutrient standards was defined on the survey of medical characters of the hospitalized patient, referred to elemental standards generally recommended, at the hospital which had been offering a meal classified according to the diseases.　(1) The object was a general hospital of emergency appointment with dialysis treatment center, and provides 64 beds, and more 47 beds for dialysis dedicated. Hospitalized patient were 12 men and 20 women (F>M), 60% of them were in fifties to sixties, and many were in long-term care.　(2) 129 meals were prepared per day, general balanced diets 18.9%, for dialysis 42.9% for other special therapeutic diets 32.7%. More ”non-general” abounding than ”general” caused inefficient cooking works.　(3) Dialysis patient in hospital were 67±9-year-old and 152.1cm height on an average, standard mean weight was 51.1kg for their recommendations.　(4) Trial nutrition standards defined General balanced and Special therapeutic diet, then established EC (energy-controlled), PC (protein-controlled), FC (fat-controlled), and other-controlled diets by elemental nutrition requirements, which were adequate to nutritional needs of each and every resident on the basis of data from hospitalized patient and some known guidelines.　Key words : dietary management, medical nutrition standards
山形県立米沢女子短期大学の論文
2003-06-30