fa بررسی ارتباط سوء تغذیه اولیه و پیامدهای آن در بیماران بستری در بیمارستان کوثر شهرستان سمنان در سال 1401 تغذيه Nutrition پژوهشي-کامل Research(Original) <span style="line-height:2;"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span b="" koodak="" lang="FA" style="font-family:"><span style="letter-spacing:-.1pt">سابقه</span></span></b><b> </b><b><span b="" koodak="" lang="FA" style="font-family:"><span style="letter-spacing:-.1pt">و</span></span></b><b> </b><b><span b="" koodak="" lang="FA" style="font-family:"><span style="letter-spacing:-.1pt">هدف</span></span></b><b><span b="" koodak="" lang="AR-SA" style="font-family:"><span style="letter-spacing:-.1pt">:</span></span></b><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> سوءتغذیه </span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">با</span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">افزایش</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> مـدت بـستری، تأخیر در بهبودی و افزایش مرگ و میر بیمـاران بـستری </span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">منجر</span></span> <span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">به</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> افزایش هزینه</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">های بیمارسـتانی می</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">شود </span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">که</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> در صورت </span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">انجام مداخلات </span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">به</span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">هنگام</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt"> و تشخیص به موقع </span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">قابل</span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">پیشگیری</span></span> <span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">است</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">. این مطالعه با هدف بررسی غربالگری تغذیه</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span b="" lang="FA" style="font-family:" zar=""><span style="letter-spacing:-.1pt">‌ای بیماران بالای 19 سال در هنگام پذیرش در بیمارستان کوثر سمنان انجام پذیرفت.</span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA"><span b="" koodak="" style="font-family:">مواد</span></span></b><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"> و روش‌ها:</span></span></b><span lang="AR-SA"><span b="" style="font-family:" zar=""> در </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">این</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> مطالعه</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">ی مقطعی، 506 نفر از </span></span><span lang="FA"><span b="" style="font-family:" zar="">بیماران بزرگسال بستری شده در 6 ماه نخست سال 1401 در بیمارستان کوثر سمنان وارد مطالعه شدند. </span></span><span lang="FA"><span b="" style="font-family:" zar="">پس</span></span> <span lang="FA"><span b="" style="font-family:" zar="">از</span></span> <span lang="FA"><span b="" style="font-family:" zar="">جمع</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">آوری</span></span><span lang="FA"><span b="" style="font-family:" zar=""> اطلاعات مربوط به وضعیت تغذیه</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">‌ای از چک لیست ارزیابی </span></span><span lang="FA"><span b="" style="font-family:" zar="">اولیه</span></span><span lang="FA"><span b="" style="font-family:" zar=""> تغذیه</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">‌ای</span></span><span lang="FA"><span b="" style="font-family:" zar="">،</span></span><span lang="FA"><span b="" style="font-family:" zar=""> بیماران </span></span><span lang="FA"><span b="" style="font-family:" zar="">در</span></span> <span lang="FA"><span b="" style="font-family:" zar="">معرض</span></span> <span lang="FA"><span b="" style="font-family:" zar="">سوء</span></span> <span lang="FA"><span b="" style="font-family:" zar="">تغذیه</span></span><span lang="FA"><span b="" style="font-family:" zar=""> در سه گروه کم</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">خطر، خطر متوسط و پرخطر برای سوء ‌تغذیه غربالگری و طبقه</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">‌بندی شدند. </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">داده‌‌ها در سطح معنی</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">‌داری </span></span><span lang="FA"><span b="" style="font-family:" zar="">کم</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">تر</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> 05/0 تحلیل شدند.</span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA"><span b="" koodak="" style="font-family:">یافته&rlm;ها:</span></span></b> <span lang="FA"><span b="" style="font-family:" zar="">350 بیمار </span></span><span lang="FA"><span b="" style="font-family:" zar="">از</span></span><span lang="FA"><span b="" style="font-family:" zar=""> 506 </span></span><span lang="FA"><span b="" style="font-family:" zar="">بیمار</span></span> <span lang="FA"><span b="" style="font-family:" zar="">بررسی</span></span> <span lang="FA"><span b="" style="font-family:" zar="">شده</span></span> <span lang="FA"><span b="" style="font-family:" zar="">در</span></span> <span lang="FA"><span b="" style="font-family:" zar="">هنگام</span></span> <span lang="FA"><span b="" style="font-family:" zar="">پذیرش</span></span> <span lang="FA"><span b="" style="font-family:" zar="">در</span></span> <span lang="FA"><span b="" style="font-family:" zar="">معرض</span></span> <span lang="FA"><span b="" style="font-family:" zar="">خطر</span></span> <span lang="FA"><span b="" style="font-family:" zar="">سوء</span></span> <span lang="FA"><span b="" style="font-family:" zar="">تغذیه</span></span> <span lang="FA"><span b="" style="font-family:" zar="">بودند</span></span> <span lang="FA"><span b="" style="font-family:" zar="">که</span></span><span lang="FA"><span b="" style="font-family:" zar=""> 7/49 درصد مرد و 3/50 درصد زن با میانگین سنی 22/18 </span></span><span lang="FA"><span cambria="" style="font-family:">&plusmn;</span></span><span lang="FA"><span b="" style="font-family:" zar=""> 9/60 سال بودند. </span></span><span lang="FA"><span b="" style="font-family:" zar="">شدت</span></span> <span lang="AR-SA"><span b="" style="font-family:" zar="">خطر سوء تغذیه در </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">هنگام</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""> پذیرش در </span></span><span lang="FA"><span b="" style="font-family:" zar="">71/33 درصد </span></span><span lang="FA"><span b="" style="font-family:" zar="">موارد</span></span><span lang="FA"><span b="" style="font-family:" zar=""> کم، در 71/1 درصد </span></span><span lang="FA"><span b="" style="font-family:" zar="">موارد</span></span><span lang="FA"><span b="" style="font-family:" zar=""> متوسط و در 57/64 درصد </span></span><span lang="FA"><span b="" style="font-family:" zar="">موارد</span></span><span lang="FA"><span b="" style="font-family:" zar=""> بالا بود.</span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><span b="" style="font-family:" zar="">به</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">علاوه</span></span> <span lang="AR-SA"><span b="" style="font-family:" zar="">خطر سوء تغذیه در بدو پذیرش در بیماران مسن </span></span><span lang="FA"><span b="" style="font-family:" zar="">(05/0></span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">) </span></span><span lang="FA"><span b="" style="font-family:" zar="">و</span></span><span lang="FA"><span b="" style="font-family:" zar=""> در بیماران بستری در بخش داخلی (001/0</span></span><span dir="LTR" style="font-size:10.0pt">P<</span><span lang="FA"><span b="" style="font-family:" zar="">) به</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">طور معنی</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">داری </span></span><span lang="FA"><span b="" style="font-family:" zar="">بالاتر</span></span><span lang="FA"><span b="" style="font-family:" zar=""> بود. مدت بستری در بیماران با خطر بالا برای سوء ‌تغذیه به</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">طور معنی</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">‌داری بیش</span></span><span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">‌</span></span><span lang="FA"><span b="" style="font-family:" zar="">تر از بیماران با خطر کم و متوسط بود (049/0=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span b="" style="font-family:" zar="">).</span></span> <span lang="FA"><span b="" style="font-family:" zar="">خطر </span></span><span lang="FA"><span b="" style="font-family:" zar="">مرگ</span></span> <span lang="FA"><span b="" style="font-family:" zar="">و</span></span> <span lang="FA"><span b="" style="font-family:" zar="">میر</span></span><span lang="FA"><span b="" style="font-family:" zar=""> در افراد با خطر بالای سوء‌ تغذیه افزایش می‌یافت </span></span><span lang="AR-SA"><span b="" style="font-family:" zar="">(032/0=</span></span><span dir="LTR" style="font-size:10.0pt">P</span><span lang="AR-SA"><span b="" style="font-family:" zar="">).</span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span b="" koodak="" lang="FA" style="font-family:">استنتاج</span></b><b><span b="" koodak="" lang="AR-SA" style="font-family:">:</span></b> <span b="" lang="FA" style="font-family:" zar="">سوء تغذیه در بیماران بزرگسال بستری در بیمارستان شایع بود </span><span b="" lang="FA" style="font-family:" zar="">و</span> <span b="" lang="FA" style="font-family:" zar="">باعث</span><span b="" lang="FA" style="font-family:" zar=""> افزایش طول مدت بستری در بیمارستان </span><span b="" lang="FA" style="font-family:" zar="">و</span><span b="" lang="FA" style="font-family:" zar=""> مرگ و میر </span><span b="" lang="FA" style="font-family:" zar="">شد</span><span b="" lang="FA" style="font-family:" zar="">. بنابراین، ارزیابی وضعیت تغذیه بیماران در مراحل اولیه بستری و درمان، تغذیه مناسب برای </span><span b="" lang="FA" style="font-family:" zar="">کاهش</span><span b="" lang="FA" style="font-family:" zar=""> پیامدهای آن بر بیماران و سیستم مراقبت بهداشتی، ضروری است.</span></span></span></span><br> &nbsp; <span style="line-height:2;"><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></b><span style="font-size:10.0pt"><span style="letter-spacing:-.2pt"> Malnutrition is associated with prolonged hospitalization, delayed recovery, increased mortality among hospitalized patients, and elevated hospital costs. These outcomes can be mitigated through appropriate diagnosis and timely interventions. In this regard, the present study aimed to evaluate the nutritional status of patients aged over 19 years upon admission to Kosar Semnan Hospital.</span></span><br> <b><span style="font-size:10.0pt"><span arial="" style="font-family:">Materials and methods:</span></span></b><span style="font-size:10.0pt"> In this cross-sectional study, 506 adult patients hospitalized during the first six months of 2022 at Kosar Semnan Hospital were included. After collecting demographic data and nutritional status information using a nutritional status assessment checklist, patients were screened and classified into three groups: low risk, moderate risk, and high risk for malnutrition based on predefined criteria. The data were analyzed using a significance level of P< 0.05.</span><br> <b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="letter-spacing:-.2pt">Of the 506 patients examined, 350 (69.2%) were at risk of malnutrition upon admission. Among the participants, 49.4% were men and 50.6% were women, with a mean age of&nbsp;60.9 &plusmn; 18.22 years. The risk of malnutrition at admission was low in 33.7%, moderate in 1.7%, and high in 64.9% of cases. The risk of malnutrition at admission was significantly higher among elderly patients (P<0.05) and among those hospitalized in the internal medicine ward (P<0.001). The length of hospitalization was significantly longer in patients with a high risk of malnutrition compared to those at low or moderate risk (P=0.049). In addition, the&nbsp;risk of mortality was significantly higher in patients classified as high risk for malnutrition (P= 0.032).</span></span><br> <b><span style="font-size:10.0pt"><span arial="" style="font-family:">Conclusion:</span></span></b> <span style="font-size:10.0pt"><span style="background:white">Malnutrition was highly prevalent among hospitalized adult patients and was associated with prolonged hospital stays and increased mortality rates. Therefore, early assessment&nbsp;of patients&#39; nutritional status during hospitalization, along with the implementation of appropriate nutritional interventions, is crucial to minimizing its impact on both patient outcomes and the healthcare system.</span></span></span><br> &nbsp; غربالگری تغذیه‌ای, سوء تغذیه, بیماران بستری nutrition screening, malnutrition, inpatients 44 55 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-18238-1&slc_lang=fa&sid=1 Maryam Nazari مریم نظری maryam.nazary1@yahoo.com 1003194753284600178471 1003194753284600178471 No Associate Professor, Department of Nutrition, Aradan Faculty of Nutrition and Food Sciences, Semnan University of Medical Sciences, Semnan, Iran دانشیار، گروه تغذیه، دانشکده تغذیه و علوم غذایی آرادان، دانشگاه علوم پزشکی سمنان،سمنان، ایران Malihe Sadeghi ملیحه صادقی sadeghiii.m@gmail.com 1003194753284600178472 1003194753284600178472 No Professor, Department of Health Information Technology, Faculty of Paramedicine, Semnan University of Medical Sciences, Iran استادیار، گروه فناوری اطلاعات سلامت، دانشکده پیراپزشکی، دانشگاه علوم پزشکی سمنان، ایران Negar Adineh نگار آدینه negaradineh76@icloud.com 1003194753284600178473 1003194753284600178473 No Student, Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran دانشجو، کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی سمنان، سمنان، ایران Atefeh Ashabi عاطفه اصحابی ashabi_nutrition@yahoo.com 1003194753284600178474 1003194753284600178474 Yes Associate Professor, Department of Nutrition, Aradan Faculty of Nutrition and Food Sciences, Semnan University of Medical Sciences, Semnan, Iran دانشیار، گروه تغذیه، دانشکده تغذیه و علوم غذایی آرادان، دانشگاه علوم پزشکی سمنان،سمنان، ایران