American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: https://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2019, 7(2), 208-218
DOI: 10.12691/ajnr-7-2-13
Open AccessArticle

Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients

Rabab El-Sayed Hassan El-Sayed1,

1Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Pub. Date: February 18, 2019

Cite this paper:
Rabab El-Sayed Hassan El-Sayed. Design Child-friendly Food Guide Based on Nutritional Risk Assessment of Pediatric Inpatients. American Journal of Nursing Research. 2019; 7(2):208-218. doi: 10.12691/ajnr-7-2-13

Abstract

Background: However, the hospital malnutrition's prevalence is high; this condition is ignored and, as a result, is not treated. The first step in fighting malnutrition is to know how to identify patients at higher risk of suffering from this condition by using risk screening tools. The aim of the present study was to design child-friendly food guide based on nutritional risk assessment of pediatric inpatients. Method: In this exploratory cross-sectional study, one hundred children in medical departments affiliated to Mansoura University Children Hospital, Egypt was assessed as regarding their admission and discharge weight and height of the body, the body mass index/kg/m2, and biochemical analysis of hemoglobin and serum albumin. A Screening Tool for Assessing Malnutrition in Pediatrics (STAMP) has been applied in order to also assess pediatric inpatients' overall risk of malnutrition. Furthermore, the perspective of hospitalized children/their mothers about the hospital introduced food habits and meals pattern were surveyed. Results: Slightly less than half of the studied children were males and the large percent of the hospitalized children's mothers were highly educated. According to STAMP score, all studied children were considered to be at risk for malnutrition with the underlying diseases were related to neurological or general medical disorders among the largest. The study findings also revealed that the majority of participants tried to escape the delivered hospital meals and reported their needs for a dietary guide contains healthy food varieties to overcome the risk of under-nutrition related to children's hospitalization. Conclusion: every effort must be made to identify children at risk of developing under-nutrition upon admission in order to provide necessary nutritional support for them.

Keywords:
child-friendly food guide malnutrition risk pediatric inpatients STAMP

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Mehta, N. M., Corkins, M. R., Lyman, B., Malone, A., Goday, P. S., Carney, L., ... & American Society for Parenteral and Enteral Nutrition (ASPEN) Board of Directors. Defining pediatric malnutrition: a paradigm shift toward etiology‐related definitions. Journal of Parenteral and Enteral Nutrition, 37(4), 460-481.‏ 2013.
 
[2]  Hwang, E. H., Park, J. H., Chun, P., & Lee, Y. J. Prevalence and Risk Factors for the Weight Loss during Hospitalization in Children: A Single Korean Children’s Hospital Experience. Pediatric gastroenterology, hepatology & nutrition, 19(4), 269-275.‏ 2016.
 
[3]  Hecht, C., Weber, M., Grote, V., Daskalou, E., Dell'Era, L., Flynn, D. & Joosten, K. Disease associated malnutrition correlates with length of hospital stay in children. Clinical nutrition, 34(1), 53-59. 2015.‏
 
[4]  Radman, M., Mack, R., Barnoya, J., Castañeda, A., Rosales, M., Azakie, A., ... & Fineman, J. The effect of preoperative nutritional status on postoperative outcomes in children undergoing surgery for congenital heart defects in San Francisco (UCSF) and Guatemala City (UNICAR). The Journal of thoracic and cardiovascular surgery, 147(1), 442-450.‏ 2014.
 
[5]  Geier, L. M., Bekx, M. T., & Connor, E. L. Factors contributing to initial weight loss among adolescents with polycystic ovary syndrome. Journal of pediatric and adolescent gynecology, 25(6), 367-370.‏ 2012.
 
[6]  Mărginean, O., Pitea, A. M., Voidăzan, S., & Mărginean, C. Prevalence and assessment of malnutrition risk among hospitalized children in Romania. Journal of health, population, and nutrition, 32(1), 97.‏ 2014.
 
[7]  Joosten, K. F., & Hulst, J. M. Prevalence of malnutrition in pediatric hospital patients. Current opinion in pediatrics, 20(5), 590-596.‏ 2008.
 
[8]  Beser, O. F., Cokugras, F. C., Erkan, T., Kutlu, T., Yagci, R. V., Ertem, D., ... & Coşkun, M. E. Evaluation of malnutrition development risk in hospitalized children. Nutrition, 48, 40-47.‏ 2018.
 
[9]  Teixeira, A. F., & Viana, K. D. A. L. Nutritional screening in hospitalized pediatric patients: a systematic review. Jornal de pediatria, 92(4), 343-352.‏ 2016.
 
[10]  Chourdakis, M., Hecht, C., Gerasimidis, K., Joosten, K. F., Karagiozoglou-Lampoudi, T., Koetse, H. A., ... & Koletzko, B. Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population–3. The American journal of clinical nutrition, 103(5), 1301-1310.‏ 2016.
 
[11]  SHAABAN, Sanaa. 1Faculty of Medicine, Ain Shams University, Cairo, Egypt.(Correspondence to: May Nassar: maie_nassar@ yahoo. co. uk). 2018.‏
 
[12]  Beser, O. F., Cokugras, F. C., Erkan, T., Kutlu, T., Yagci, R. V., Ertem, D., ... & Coşkun, M. E. Evaluation of malnutrition development risk in hospitalized children. Nutrition, 48, 40-47.‏ 2018.
 
[13]  McCarthy, H., Dixon, M., Crabtree, I., Eaton‐Evans, M. J., & McNulty, H. The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP©) for use by healthcare staff. Journal of Human Nutrition and Dietetics, 25(4), 311-318.‏ 2012.
 
[14]  Yi, D. Y. Enteral Nutrition in Pediatric Patients. Pediatric gastroenterology, hepatology & nutrition, 21(1), 12-19.‏ 2018.
 
[15]  Daskalou, E., Galli-Tsinopoulou, A., Karagiozoglou-Lampoudi, T., & Augoustides-Savvopoulou, P. Malnutrition in hospitalized pediatric patients: assessment, prevalence, and association to adverse outcomes. Journal of the American College of Nutrition, 35(4), 372-380.‏ 2016.
 
[16]  McCarthy, H., McNulty, H., Dixon, M., & Eaton‐Evans, M. J. Screening for nutrition risk in children: the validation of a new tool. Journal of Human Nutrition and Dietetics, 21(4), 395-396.‏ 2008.
 
[17]  Wong, S., Graham, A., Hirani, S. P., Grimble, G., & Forbes, A. Validation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) in patients with spinal cord injuries (SCIs). Spinal cord, 51(5), 424.‏ 2013.
 
[18]  Lee, W. S., & Ahmad, Z. The prevalence of under-nutrition upon hospitalization in children in a developing country: A single hospital study from Malaysia. Pediatrics & Neonatology, 58(5), 415-420.‏ 2017.
 
[19]  Imanzadeh, F., Olang, B., Khatami, K., Hosseini, A., Dara, N., Rohani, P., ... & Farahbakhsh, N. Assessing the prevalence and treatment of malnutrition in hospitalized children in Mofid Children's Hospital during 2015-2016. Archives of Iranian medicine, 21(7), 302-309.‏ 2018.
 
[20]  Aurangzeb, B., Whitten, K. E., Harrison, B., Mitchell, M., Kepreotes, H., Sidler, M., ... & Day, A. S. Prevalence of malnutrition and risk of under-nutrition in hospitalized children. Clinical nutrition, 31(1), 35-40.‏ 2012.
 
[21]  Aurangzeb, B., Whitten, K. E., Harrison, B., Mitchell, M., Kepreotes, H., Sidler, M., ... & Day, A. S. Prevalence of malnutrition and risk of under-nutrition in hospitalized children. Clinical nutrition, 31(1), 35-40.‏ 2012.
 
[22]  Huysentruyt, K., Alliet, P., Muyshont, L., Rossignol, R., Devreker, T., Bontems, P., ... & De Schepper, J. The STRONGkids nutritional screening tool in hospitalized children: a validation study. Nutrition, 29(11-12), 1356-1361.‏ 2013.
 
[23]  Peng, L. T., Li, R., Zhao, W. H., Chen, Y. H., Li, X. M., Chen, M. Y., ... & Li, X. N. Nutritional risk screening and its clinical significance in 706 children hospitalized in the surgical department. Zhongguo dang dai er ke za zhi= Chinese journal of contemporary pediatrics, 15(10), 880-885.‏ 2013.
 
[24]  Li, X. Reply of Letter to the Editor–Nutritional risk screening and its clinical significance in hospitalized children. Clinical Nutrition, 33(2), 372.‏ 2014.
 
[25]  Moeeni, V., Walls, T., & Day, A. S. Assessment of nutritional status and nutritional risk in hospitalized Iranian children. Acta Paediatrica, 101(10), e446-e451. 2012.‏
 
[26]  Campanozzi, A., Russo, M., Catucci, A., Rutigliano, I., Canestrino, G., Giardino, I., ... & Pettoello-Mantovani, M. Hospital-acquired malnutrition in children with mild clinical conditions. Nutrition, 25(5), 540-547.‏ 2009.
 
[27]  Quadros, D. R. S., Kamenwa, R., Akech, S., & Macharia, W. M. Hospital-acquired malnutrition in children at a tertiary care hospital. South African Journal of Clinical Nutrition, 31(1), 8-13.‏ 2018.
 
[28]  Weimann, A., Braga, M., Carli, F., Higashiguchi, T., Hübner, M., Klek, S., ... & Waitzberg, D. L. ESPEN guideline: clinical nutrition in surgery. Clinical nutrition, 36(3), 623-650.‏ 2017.
 
[29]  Theurer, V. A. Improving patient satisfaction in a hospital foodservice system using low-cost interventions: Determining whether a room service system is the next step.‏ 2011.
 
[30]  El Sherbiny N. A., Ibrahim E. H., & Hewedi M. M. Patients’ satisfaction with delivered food services in Fayoum Hospitals. EC Nutr, 9(2), 94-104.‏ 2017.
 
[31]  Abdelhafez, A. M., Al Qurashi, L., Al Ziyadi, R., Kuwair, A., Shobki, M., & Mograbi, H. Analysis of factors affecting the satisfaction levels of patients toward food services at General Hospitals in Makkah, Saudi Arabia. American Journal of Medicine and Medical Sciences, 2(6), 123-130.‏ 2012.
 
[32]  Huysentruyt, K., Devreker, T., Dejonckheere, J., De Schepper, J., Vandenplas, Y., & Cools, F. Accuracy of nutritional screening tools in assessing the risk of undernutrition in hospitalized children. Journal of pediatric gastroenterology and nutrition, 61(2), 159-166.‏ 2015.
 
[33]  Teixeira, A. F., & Viana, K. D. A. L. Nutritional screening in hospitalized pediatric patients: a systematic review. Jornal de pediatria, 92(4), 343-352.‏ 2016.
 
[34]  Chourdakis, M., Hecht, C., Gerasimidis, K., Joosten, K. F., Karagiozoglou-Lampoudi, T., Koetse, H. A., ... & Koletzko, B. Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population–3. The American journal of clinical nutrition, 103(5), 1301-1310.‏ 2016.
 
[35]  Huysentruyt, K., Devreker, T., Dejonckheere, J., De Schepper, J., Vandenplas, Y., & Cools, F. Accuracy of nutritional screening tools in assessing the risk of undernutrition in hospitalized children. Journal of pediatric gastroenterology and nutrition, 61(2), 159-166.‏ 2015.
 
[36]  Aminuddin, N. F., Vijayakumaran, R. K., & Abdul Razak, S. Patient Satisfaction With Hospital Foodservice and its Impact on Plate Waste in Public Hospitals in East Malaysia. Hospital Practices and Research, 3(3), 90-97.‏ 2018.
 
[37]  Ling, L. H. L., & Mun, C. Y. Correlations between anthropometric measurements, biochemical indicators, dietary intake and Dialysis Malnutrition Score among haemodialysis patients in Sibu, Sarawak. Malaysian Journal of Nutrition, 24(2).‏ 2018.
 
[38]  Yalçın, T., Yürük, A. A., Türkoğlu, İ., Ilgaz, F., Açıkgöz, A., Aksan, A., ... & Samur, G. Nutritional status and food intake are related to malnutrition risk and length of stay in hospitalized patients. Progress in Nutrition, 20(3), 438-446.‏ 2018.
 
[39]  Tsaousi, G., Panidis, S., Stavrou, G., Tsouskas, J., Panagiotou, D., & Kotzampassi, K. Prognostic indices of poor nutritional status and their impact on prolonged hospital stay in a Greek university hospital. BioMed research international, 2014.‏