营养风险筛查方法2002在临床护理中应用的研究进展

Research advances on nutritional risk screening method 2002 in the application of clinical nursing

欧洲肠外肠内营养学会(ESPEN)制定的以循证医学为基础的营养风险筛查工具——营养风险筛查方法 2002(NRS2002),是可以预测住院患者的临床结局,判断是否需要营养干预的一种有效工具,被ESPEN推荐为住院患者营养筛查的首选工具。营养风险是指与营养因素有关的出现临床并发症的风险,而不是出现营养不良的风险。通过发现患者的营养风险,可以预测患者的临床结局,监测患者使用临床营养支持的效果。而目前国内营养支持治疗在临床应用中仍存在不合理性。该文旨在对NRS2002及其在国内临床护理中应用的情况等予以综述,以期为临床工作者提供参考。

Nutritional risk screening tool made by European Society for parenteral and enteral nutrition（ ES- PEN ） is based on evidence-based medicine, that is Nutritional risk screening method 2002 （NRS2002）, is an effective tool to predict the clinical outcome of hospitalized patients and determine whether nutrition intervention is needed, which is recommended as a nutritional risk screening tool of first choice for hospitalized patients. Nutritional risk refers to the risk of clinical complications related to nutritional factors, not the risk of malnutrition. Discovering the nutritional risk can predict the clinical outcome and monitor the efficacy of nutritional support in patients. But in current domestic nutrition support treatment these still exists irrationality in the clinical application. The aim of this paper is to review the NRS2002 method and the clinical nursing application at home, in order to plovide a reference for clinical practi- tioners.