Garcés García-Espinosa L, Barreto PJ, Gutiérrez RAR, Argüelles BD, Díaz HJM, Morales HL, Cabrera VL, Franquiz CG

Language: Spanish
References: 15
Page: 246-256
PDF size: 114.91 Kb.

ABSTRACT

Undernutrition affects one third of the patients admitted to the Clinical Surgical “Hermanos Ameijeiras” Hospital (Havana City, Cuba). Hospital Malnutrition Study revealed that recognition of undernutrition associated with disease is inadequate, implementation of artificial nutrition schemes is insufficient, in spite of the fact that patients with an indication for them are few in number; and the act of hospital dietetic prescription fails in inform about the patient’s nutrients needs, texture/consistency of foods to be served, and restrictions to be introduced in the diet due to the primary health problem. It has been perceived that previously annotated failures can be explained due to poor knowledge that medical care teams have on minimally required issues of Food and Nutrition. Hence, an ad hoc survey oriented to measure selfperceived degree of knowledge on Food and Nutrition, use of this knowledge in the process of hospital dietetic prescription, and inclusion of a nutritionist within the medical care of the patient was administered to 147 physicians selected from the hospital surgical and clinical services. Fifty-three point seven percent of the surveyed physicians referred to have knowledge on Food and Nutrition. Thirty-four point two percent of them declared they estimated patient’s nutrient requirements as part of the hospital dietetic prescription process. Only 10.0% of the surveyed physicians referred that they consult with a nutritionist about the best nutritional intervention in the patient. At the current moment, the physician’s knowledge is insufficient for dealing with the nutritional and metabolic cost the disease imposes upon the patient’s health status. That might explain, in part, the situation revealed by the Hospital Malnutrition Study. The implementation and conduction of a hospital Continuous Education System on Food and Nutrition offering the acting physician knowledge and tools for dealing successfully with undernutrition associated with disease is urgently required.

REFERENCES

1. Barreto Penié J, Santana Porbén S, Barceló Acosta M, Martínez González C, Garcés García-Espinosa L, Argüelles Barreto D, et al. Estado de la desnutrición en el Hospital Clínico quirúrgico “Hermanos Ameijeiras”, de La Habana. RCAN Rev Cubana Aliment Nutr 2012;22:29-44.

2. Barreto Penié J, Santana Porbén S, Martínez González C, Espinosa Borrás A. Desnutrición hospitalaria: La experiencia del Hospital “Hermanos Ameijeiras”. Acta Médica del Hospital “Hermanos Ameijeiras” 2003;11: 76-95.

3. Barreto Penié J, Santana Porbén S, Martínez González C, Cabrera Valdés L, Gómez Contreras N, Fránquiz Castañeda G, et al. Estado de los procesos hospitalarios de cuidados alimentarios y nutricionales: 8 años después. RCAN Rev Cubana Aliment Nutr 2012;22:45-54.

4. Garcés García-Espinosa L, Santana Porbén S, Barreto Penié J, Gutiérrez Rojas AR, Argüelles Barreto D, Díaz Hernández JM, et al. Estado de la prescripción dietética en un hospital clínico quirúrgico terciario. RCAN Rev Cubana Aliment Nutr 2012; 22:228-245.

5. Santana Porbén S. Estado de la Nutrición artificial en Cuba. Lecciones del Estudio Cubano de Desnutrición hospitalaria. Publicación RNC sobre Nutrición Clínica 2009;17:37-47.

6. Goiburu ME, Alfonzo LF, Aranda AL, Riveros MF, Ughelli MA, Dallman D, et al. Nivel de conocimiento en Nutrición clínica en miembros del equipo de salud de hospitales universitarios del Paraguay. Nutr Hosp [España] 2006;21:591-5.

7. Casanueva E, Valdés R. El conocimiento nutriológico de médicos residentes. Rev Invest Clin 1991; 43:211-4.

8. Martínez Canalejo H, Santana Porbén S. Manual de Procedimientos Bioestadísticas. Editorial Ciencias Médicas. La Habana: 1990.

9. Sánchez L, García Lorda P, Bulló M, Balanzà R, Megias I, Salas-Salvadó J. The teaching of nutrition at medical schools: current situation. Nutr Hosp [España] 2003;18:153-8.

10. Adams KM, Lindell KC, Kohlmeier M, Zeisel SH. Status of nutrition education in medical schools. Am J Clin Nutr 2006;83(Suppl):941S–944S.

11. Gómez Álvarez AM, Cardellá Rosales L. The need for teaching the molecular fundamentals of Nutrition during the basic science portion of medical training. Medicc Review Health and Medical News of Cuba 2005;7:26-7.

12. La enseñanza de las ciencias de la Nutrición en las escuelas médicas. Proceedings of an international conference, Ciudad México: 2001. Nutrición Clínica [México] 2003;6: 1-202.

13. Giraldo Giraldo NA, Múnera García NE, Espitaleta VM, Piñeres LM. Prevalencia de malnutrición y evaluación de la prescripción dietética en pacientes adultos hospitalizados en una institución pública de alta complejidad. Perspectivas en Nutrición Humana 2007;9:37-47.

14. Prado SD, Abreu MSD. Nutricionista: onde trabalha? Quais suas condições de trabalho? Revista de Nutrição [Brasil] 1991;4:65-91.

15. Santana Porbén S, Barreto Penié J. Sistema de Educación Continuada en Nutrición Clínica, Nutrición Artificial y Apoyo Nutricional. Su lugar dentro de un Programa de Intervención Alimentaria, Nutricional y Metabólica. Nutr Hosp [España] 2009;24:550-9