Friday, March 18, 2011

Nutrition shizhizhao response 5 patients derive errors

No matter who's a patient, family will eat well, drink and serve with stewed chicken soup, boiling time:, a day after meal can't wait-for-ten tricks, but also to eat all kinds of repair body care products ".

However, only to their wishes. According to statistics, our inpatient malnutrition rate as high as 40%-50%. Among them, the assimilation to 46.8% ranked top, nephropathy and thoracic surgery.

In fact, in the eyes of the hospital dietitian, take care of the patient can not drink Bowl chicken soup and eat healthy food.

Family members should be developed for disease targeted, "recipes" blindly "or stressed the mouthfeel, potentially counterproductive. Of these, most dietitians are headaches had five categories of patients.

First class: superstition bone soup

"In my nearly 20 years of working time, often have to surgery or coma patients fed head soup, some even or health care professionals recommend.

Bone soup cannot add nutrition, families do not know what it is not surprising that even the doctors and nurses do not understand?! " Executive Director of the nutrition society of Dalian, Dalian subsidiary hospital Nutrition Department chief physician Wang XING told reporters that the bone soup is not good, but for patients, but is not 100. "The other day, a colleague's mother, sudden hemorrhage, where he came back, it is because their families to feed the bone soup, diarrhea, indigestion benign illnesses become very serious. ”

In fact, the nutritional value of bone soup is not and milk in 1/10, with patients in greatest need of adequate energy and protein are very small.

Wang XING, bone soup up fat, but also many is saturated fatty acids, not easy to digest, is not suitable for surgery or critical illness weakened the gastrointestinal tract. The soup has only a small amount of amino acids and minerals and other nutrients, does not eat of the patient, it is not enough. Therefore, even if the illness is only allowed to eat liquid food, bone soup is certainly not one preferred. Milk, eggs (flushing), chips, soy milk, and other relatively better. For some surgical patients drink head soup calcium supplement, Wang and rejuvenating think this is a big mistake. Of calcium in bone soup, bring 1 pound boiled soup bones, which only contains 182 mg calcium, is far from satisfying the needs of every single adults 800 mg of calcium.

The second category: think the porridge most dependant

Rice is the most common "meal" of the patient, and many patients active withdrawal of rice and other normal solid foods at every meal porridge, thinking that you can add nutrition, speeding up recovery.

However, the King and rejuvenating told reporters that the rice did not dependant. Through fine processing of rice, the nutrient value is not in itself, containing 75% of the starch, only 8% of proteins and small amounts of b vitamins. Cook the rice for more rotten, b vitamins and the more damage. Therefore, the porridge nutritional value than rice or bread.

Compared with the rice, porridge is really easy to digest, suitable for the digestive function of the gastrointestinal tract diseases, such as gastroenteritis, severe peptic ulcer, pancreatitis, hepatitis, and other serious, as well as some extremely frail patients.

For the first time after operation, you need to eat a diet, or you can use it as a preferred. But for normal gastrointestinal digestion of other patients, there is no need to drink. Wang and rejuvenating recommendations, patient the most delicious solid foods, cannot eat liquid food. Even porridge, should not be too thin, it may wish to add accessories.

The third category: blindly take care products

Many a patient's bedside, sea cucumber, bird's nest, Cordyceps sinensis, variety of health products at the beginning of the element, and stuffed.

Shanghai Huadong hospital-Nutrition Department Director Dietitians Chenxia fly Director pointed out that some patients a day taking five or six different qualities, but seldom eat, the result of a lack of inspection, calorie, would not be able to meet a person's basic needs, nutrition naturally difficult to maintain. Wang XING on reporter joked that actually delivers health care as a basket of eggs. Patient recovery key also depends on meat, eggs, milk, food, etc., if enough energy, light food supplements, that's a red herring.

Suffering from hypertension, are fever, the cancer hasn't to do surgery, most patients do not fit to eat healthy food, may make the condition worse.

Shanghai Jiao Tong University School of medicine nutrition Professor Fong Chin reminder, health products could not be immediate, generally eat 3-6 months to be valid. Add the best consultation prior to a doctor or nutritionist, some products, such as calcium tablets do not eat on an empty stomach, liver and Western medicines and health products to class distance 3-4 hours before serving, these are very high.

Category 4: eat more fruits and vegetables are less

Go to the hospital to visit patients, carrying a basket of phenomena and common however.

People habitually think: fruit than vegetable nutritious. In fact, the fruit's nutritional value is generally lower than the vegetables, such as 100 grams of vitamin C content of Apple is 4 mg, and 100 grams of vitamin C content in Chinese cabbage is 28 mg.

In addition, many patients were forbidden fruit "," this is a dietitian is not willing to people visiting blind sent fruits.

Professor Yang Li Instituteof Xiyuan hospital, coronary heart disease, high blood fat disease patient'd eat watermelon with moisture much, so as not to increase the burden on the heart, you can eat citrus, Apple, peach, able to reduce the blood fats and cholesterol. Diabetic patients don't eat fructose contains large quantities of apples, pears, bananas, Kiwi fruits should be eaten, strawberry, grape and so on.

Category 5: restaurant instead of feeding

The patient complains of the food without oil hospital, taste light, even the salt are reluctant to drop, so often to the outermost point of the meal or simply go out to eat.

Restaurant while delicious, but the consumption of oil, together with regular meat, only can use up to 60-70 g of oil. Wang XING, restaurant high oil, salt dishesThe surgical patient can eat properly, if suffering from metabolic diseases, diabetes, cardiovascular disease, and so on, you don't patronize the satisfy appetites. Really want to eat, and might as well point jidangeng, dumplings and other oil meals.

(Edit: Justin Lin, internships)

No comments:

Post a Comment