Journal of Japanese Society for Parenteral and Enteral Nutrition
Online ISSN : 2189-017x
Print ISSN : 2189-0161
Volume 31, Issue 6
Displaying 1-20 of 20 articles from this issue
  • Junko Izai, Kazuya Nomura, Ayumi Ikemoto, Hitomi Yamaguchi, Hidenori S ...
    2016 Volume 31 Issue 6 Pages 1243-1248
    Published: 2016
    Released on J-STAGE: December 20, 2016
    JOURNAL FREE ACCESS

    Purpose: Benefits of the International Nutrition Survey (INS) was evaluated by questionnaire for the representatives of Japanese intensive care units (ICUs).

    Methods: The questionnaire was sent to the representative of each ICU and asked about the characteristics of the ICU, how to share the results of the INS, changes in nutritional management, and impact on other healthcare professionals after the INS.

    Results: Nineteen representatives (100%) and 12 other healthcare professionals (63.2%) of each participating ICU answered the questionnaire. After the INS, nutritional leadership tended to change to a multidisciplinary team (MDT) from physicians alone. ICUs sharing the INS results with a MDT answered that early enteral feeding increased after the INS more frequently, than ICUs sharing the results only with physicians (92.3% vs 16.3%). ICUs providing nutritional education to a MDT answered that protein delivery increased after the INS more frequently, than ICUs providing education only to physicians or not (83.3% vs 0%).

    Conclusion: The INS contributes to multidisciplinary collaboration in nutritional management, especially when the results are shared with a MDT.

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  • Emi Ida, Koji Nishimoto, Kiyotaka Omori
    2016 Volume 31 Issue 6 Pages 1249-1255
    Published: 2016
    Released on J-STAGE: December 20, 2016
    JOURNAL FREE ACCESS

    Purpose: To evaluate the effectiveness of using a checklist created for pharmacists to monitor patient status after commencing nutrition therapy.

    Subjects and Methods: The subjects were patients who were receiving total parenteral nutrition (TPN) during the 2-year periods either before or after checklist introduction. Checklist items included the five major nutrients, electrolytes, nutrient dosage, and the number of suggested prescriptions.

    Results: All pre- and post-checklist patients (272 and 254 patients, respectively) were administered carbohydrates, proteins, and vitamins. No alterations were observed with electrolytes and nutrient dosage. However, the percentage of patients with lipid and micronutrient administration significantly increased post-checklist introduction to 32.1% and 28.4%, respectively. The number of suggested prescriptions also increased by 160% post-checklist introduction, with a significant increase in the number of suggestions adopted to 20.4%. Furthermore, it became possible to make suggestions about prescriptions for metabolic complications.

    Conclusion: Our results indicate that the use of TPN checklists by pharmacists to monitor patients allowed for sufficient provision of the five major nutrients as well as prescription suggestions regarding metabolic complications.

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  • Satoshi Anada, Masaru Nakano, Hiroyuki Miyashita, Keiji Yagisawa, Chik ...
    2016 Volume 31 Issue 6 Pages 1256-1262
    Published: 2016
    Released on J-STAGE: December 20, 2016
    JOURNAL FREE ACCESS

    Objectives: To explore potential factors associated with improving Activities of daily living (ADLs) among malnourished patients during hospitalization.

    Subjects and Methods: Subjects were patients working with a Nutrition support team (NST), and for whom albumin values <3.0 g/dL at hospitalization. We focused on Functional Independence Measure (FIM) Motor items as an index of ADLs and examined factors that may help improve patient ADLs.

    Results: The present study recruited 557 subjects (mean age, 80.6±11.3 years). The subject mean FIM Motor score was 15.0 points (IQR: 13.0-34.0) at the time of NST initiation, but had increased significantly to 17.0 points (IQR: 13.0-41.0; p=0.000) by NST completion. Although, subjects whom requiring 107 moderate and 409 severe amount of care, while 516 (92.6%) subjects did not showed dramatically improvement at the time of NST completion. Multiple linear regression analysis revealed that significant independent variables for ΔFIM Motor scores included FIM Cognitive items (β: 0.113, p=0.021), age (β: -0.140, p=0.003), patients with gastrointestinal diseases (β: 0.166, p=0.000), and patients with orthopedic diseases (β: 0.127, p=0.007), and patients with kidney diseases (β: 0.148, p=0.001) in subjects whom requiring severe amount of care at baseline.

    Conclusions: In order to help malnourished patients improve ADLs, grasping patient cognitive function and primary disease is important, but comprehensive support is also highly necessary.

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