摘要
医院是营养不良发生率最高的场所,住院患者是营养不良发病率最高的人群。 营养不良是导致患者治疗效果降
低、并发症增多、死亡风险升高、住院时间延长、医疗费用增加、生活质量下降、生存时间缩短的独立危险因素。 规范化的营养
管理已成为当前医院管理者和医务人员需要高度重视且迫切解决的问题。 推动“无饿医院”建设,可以有效预防患者住院期
间摄入不足,防止医院获得性营养不良,有效治疗疾病相关性营养不良,达到提高医疗质量,提高医疗安全,提高医疗效率,实
现价值医疗的目标。 为此,国民营养健康专家委员会临床营养行动专家委员会组织管理、医疗、营养、护理四方人员形成专家
组,基于现有的国内外研究证据,制订《建设“无饿医院”,保障患者安全管理规范专家共识(2024 年版)》。 本规范详细阐述了
“无饿医院”建设的组织机构与职责、实施方案及质量控制,对医疗机构规范营养管理,全面推动“无饿医院”建设具有指导性
意义。
Abstract
Hospitals are the places with the highest incidence of malnutrition and inpatients are the groups with the highest
incidence of malnutrition. Malnutrition is an independent risk factor for patients with reduction of therapeutic effect whilst increase of
complications mortality risk prolonged hospital stay medical costs and a decline in the quality of life a reduction in survival time.
Standardized nutrition management has become a problem that both hospital administrators and medical practitioners are required to pay
great attention to and solve in urgent. It can effectively prevent the insufficient intake during hospitalization hospital - acquired
malnutrition and treat disease-related malnutrition by promoting the construction of "Hungry-Free Hospital". Thus the goal will be
achieved to improve medical quality patient safety medical efficiency as well as realize value-based healthcare. For this purpose the
Clinical Nutrition Action Expert Committee of the National Nutrition and Health Expert Committee organized the administration
medical nutrition and nursing personnel to build up an expert group who finally formulate the Expert consensus for management
specification to construct "Hungry-Free Hospital" ensure patient safety 2024 edition based on existed research evidence at home and
abroad. This specification elaborates the organization responsibilities implementation plan and quality control for construction of
"Hungry-Free Hospital" which has guiding significance for standardizing nutrition management in medical institutions and
comprehensively promoting the construction of "Hungry-Free Hospital".
关键词
营养不良 /
无饿医院 /
医疗质量 /
医疗效率 /
患者安全 /
价值医疗 /
实施方案 /
质量控制
Key words
Malnutrition /
Hungry-Free Hospital /
Medical quality /
Medical efficiency /
Patient safety /
Value-based healthcare;Implementation plan /
Quality control
国民营养健康专家委员会临床营养行动专家委员会,“无饿医院”建设项目专家组.
建设 “ 无饿医院”,保障患者安全管理规范 专家共识(2024年版)[J]. 肿瘤代谢与营养电子杂志. 2025, 12(1): 37-44
Expert consensus for management specification to construct "Hungry-Free Hospital" ensure patient safety(2024 edition)[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2025, 12(1): 37-44
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基金
国家重点研发计划项目(2022YFC2009600)