経口摂取増加を目指す当院NSTの活動

Abstract

平成28年度の栄養サポートチーム（ nutrition support team：NST）介入依頼症例のうち約7割が既に経口摂取を開始してお り，食事介入を前提とした栄養状態の改善が期待されている．平成28年度からは歯科医師，摂食・嚥下障害看護認定看護師を ラウンドメンバーに加え，経口摂取への移行や摂取量増加による栄養状態の改善に取り組んでいる．平成28年度介入依頼症例 を検討した結果，NST介入により食事摂取量の増加を主体とした投与エネルギー量の増加により，栄養状態が改善する可能性 が示唆された．一方，投与たんぱく質量は有意差を認めず，たんぱく質投与量を意識した提案や，経口からのたんぱく質投与 量を強化できる食事調製に関わる環境作りも必要と思われた．

Around 70% of the patients in 2016 had already been ingesting food orally when the nutrition support team （ NST） started intervention，and our NST was expected to help improve the nutritional status by dietary intervention．In 2016 our NST added a dentist and certified nurse in dysphagia nursing as round members with the aim to improve the patients’ nutritional status by shifting to oral ingestion and increasing the amount ingested．The analysis of our NST intervention in 2016 suggested that the intervention by our NST contributed to the improvement of the patients’ nutritional status by increasing calorie intake mainly by increasing the amount of oral ingestion．However，the amount of protein intake was not improved by NST intervention. Thus, it is necessary to propose a dietary composition considering the protein intake, especially to increase oral ingestion of protein．