Development, Validation and Reliability of the Simple Nutrition Screening Tool (SNST) for Adult Hospital Patient in Indonesia
DOI:
https://doi.org/10.3923/pjn.2014.157.163Keywords:
Malnutrition, nutrition screening, SNST-UGM, subjective global assessmentAbstract
Malnutrition is one common problem for hospitalized patient in all over the world. Thus, patients with at risk of malnutrition are recommended to receive a nutritional therapy which are identified by using nutritional screening tool. Some of the existing screening tools cannot be performed in Indonesia because most of Indonesian people rarely check their weight in regular basis. Therefore it’s hard to know wether they lose or gain weight. The aim of this study was to develop a simple, valid and reliable screening tool that can be used to identify adult patients with risk of malnutrition. Four hundred and ninety five adult patients were screened by Simple Nutrition Screening Tool (SNST). This screening tool was developed in Sardjito General Hospital/Gadjah Mada University, Indonesia. The validity of SNST was tested by measuring the sensitivity and specificity value compared to Subjective Global Assessment (SGA), the interrater reliability value of the screening tool was also assessed by dietitian, nurse and food service officer in 73 patients. From the development process of SNST, 6 questions were obtained with sensitivity value 91.28 and specificity value 79.78. Subjects who were at risk of malnutrition, according to the SNST, had significantly lower mean values for the objective nutrition parameters (p = 0.001) and longer length of stays than subjects who were not at risk of malnutrition (p = 0.001). There was a good agreement in the assessment of at risk of malnutrition between dietitians (kappa = 0.803), dietitian and nurse (kappa=0.653) and between dietitian and food service officer (kappa=0.718). The SNST is a valid and reliable tool to identify patients with risk of malnutrition.
References
Abbot Laboratories, 2006. Malnutrition. Ross Production Division, Abbott Laboratories Inc., Columbus, USA.
Alberda, C., A. Graf and L. McCargar, 2006. Malnutrition: Etiology, consequences and assessment of a patient at risk. Best Pract. Res. Clin. Gastroenterol., 20: 419-439.
American Dietetic Association, 1994. Identifying patients at risk: ADA’s definitions for nutrition screening and nutrition assessment. Council on Practice (COP) quality management committee. J. Am. Diet. Assoc., 94: 838-839.
Barendregt, K., P.B. Soeters, S.P. Allison and J. Kondrup, 2008. Basic concepts in nutrition: Diagnosis of malnutrition-screening and assessment. E-SPEN, Eur. E-J. Clin. Nutr. Metab., 3: e121-e125.
Detsky, A.S., J.R. McLaughlin, J.P. Baker, N. Johnston, S. Whittaker, R.A. Mendelson and K.N. Jeejeebhoy, 1987. What is subjective Global assessment of nutritional status? J. Parenteral Enteral Enteral Nutr., 11: 8-13.
Ferguson, M., S. Capra, J. Bauer and M. Banks, 1999. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition, 15: 458-464.
Fletcher, R.H., S.W. Fletcher and E.H. Wagner, 1996. Clinical Epidemiology: The Essentials. Williams and Wilkins, Baltimore.
Fletcher, A. and E. Carey, 2011. Knowledge, attitudes and practices in the provision of nutritional care. Br. J. Nurs., 20: 615-620.
Gibson, R.S., 2005. Principles of Nutritional Assessment. 2nd Edn., Oxford University Press, New York, ISBN-13: 9780195171693, Pages: 908.
Hartono, A., 2006. Terapi Gizi and Diet Rumah Sakit. EGC, Jakarta.
Hill, G., 2000. Buku Ajar Nutrisi Bedah. Karya Cipta Mandiri, Jakarta.
Imoberdorf, R., R. Meier, P. Krebs, P.J. Hangartner and B. Hess et al., 2010. Prevalence of undernutrition on admission to Swiss hospitals. Clin. Nutr., 29: 38-41.
Jones, J.M., 2002. The methodology of nutritional screening and assessment tools. J. Human Nutr. Dietetics, 15: 59-71.
Jones, J.M., 2004. Development of a nutritional screening or assessment tool using a multivariate technique. Nutrition, 20: 298-306.
Jones, J.M., 2004. Validity of nutritional screening and assessment tools. Nutrition, 20: 312-317.
Kahokehr, A.A., T. Sammour, K. Wang, V. Sahakian, L.D. Plank and A.G. Hill, 2010. Prevalence of malnutrition on admission to hospital-acute and elective general surgical patients. E-SPEN Eur. E-J. Clin. Nutr. Metab., 5: e21-e25.
Keller, H.H., 2006. The SCREEN I (seniors in the community: Risk evaluation for eating and nutrition) index adequately represents nutritional risk. J. Clin. Epidemiol., 59: 836-841.
Kondrup, J., S.P. Allison, M. Elia, B. Vellas and M. Plauth, 2003. ESPEN guidelines for nutrition screening 2002. Clin. Nutr., 22: 415-421.
Kondrup, J., 2004. Proper hospital nutrition as a human right. Clin. Nutr., 23: 135-137.
Mikkelsen, B.E., A.M. Beck, U.N. Balknas, M.E. Camilo and P. Furst et al., 2002. What can foodservice operators do to remedy under nutrition in hospitals? Foodservice Res. Int., 13: 269-279.
Mueller, C., C. Compher and D.M. Ellen, 2011. A.S.P.E.N. clinical guidelines nutrition screening, assessment and intervention in adults. J. Parenteral Enteral Nutr., 35: 16-24.
Norman, K., C. Pichard, H. Lochs and M. Pirlich, 2008. Prognostic impact of disease-related malnutrition. Clin. Nutr., 27: 5-15.
O'Flynn, J., H. Peake, M. Hickson, D. Foster and G. Frost, 2005. The prevalence of malnutrition in hospitals can be reduced: Results from three consecutive cross-sectional studies. Clin. Nutr., 24: 1078-1088.
Raja, R., S. Gibson, A. Turner, J. Winderlich, J. Porter, R. Cant and R. Aroni, 2008. Nurses’ views and practices regarding use of validated nutrition screening tools. Aust. J. Adv. Nurs., 26: 26-33.
Rasmussen, H.H., M. Holst and J. Kondrup, 2010. Measuring nutritional risk in hospitals. Clin. Epidemiol., 2: 209-216.
Sacks, G.S., K. Dearman, W.H. Replogle, V.L. Cora, M. Meeks and T. Canada, 2000. Use of subjective global assessment to identify nutrition-associated complications and death in geriatric long-term care facility residents. J. Am. Coll. Nutr., 19: 570-577.
Soeters, P.B., P.L. Reijven, M.A. van Bokhorst-de van der Schueren, J.M. Schols, R.J. Halfens, J.M. Meijers and W.G. van Gemert, 2008. A rational approach to nutritional assessment. Clin. Nutr., 27: 706-716.
Sorensen, J., J. Kondrup, J. Prokopowicz, M. Schiesser, L. Krahenbuhl, R. Meier and M. Liberda, 2008. EuroOOPS: An international, multicentre study to implement nutritional risk screening and evaluate clinical outcome. Clin. Nutr., 27: 340-349.
Borum, P.R., 2004. Disease-related malnutrition: An evidence-based approach to treatment: edited by Rebecca J Stratton, Ceri J Green, and Marinos Elia, 2003, 824 pages, hardcover, $175. CABI Publishing, Wallingford, United Kingdom. Am. J. Clin. Nutr., 79: 1128-1129.
Powell-Tuck, P.J and E.M. Hennessy, 2003. A comparison of mid upper arm circumference, body mass index and weight loss as indices of undernutrition in acutely hospitalized patients. Clin. Nutr., 22: 307-312.
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