Khảo sát tình trạng dinh dưỡng và khẩu phần ăn thực tế ở bệnh nhân bỏng người lớn tại Khoa Bỏng Người lớn, Bệnh viện Bỏng Quốc gia.

Abstract

Objective: This study is to investigate the nutritional status and diet of adult burn patients.
Subjects and methods: A cross-sectional study on 54 adult burn patients, no comorbidities in adult Burn Department from April 2010 to July 2020, on the first day of hospital admission and 10th day in the hospital. Assess nutritional status at the time of admission by body mass index serum albumin concentration. Investigation of the patient’s diet by the 24h recall, combined with food frequency questionnaires on the 10th day after admission.
Results: After ten days of hospitalization, the prevalence of chronic energy deficiency according to BMI increased from 9.3% to 22.2% of patients. There were 51.4% of patients meeting dietary energy requirements, 75.5% of patients meeting dietary protein requirements. Only 1.9% of patients met the glutamine needs, 25.9% met vitamin A needs.
However, 25.9% of patients exceeded the recommended lipid requirements. 81.5% of patients abstained from eating eggs, 72.2% with chicken, 66.7% with flipped duck eggs and shrimp, 55 - 60% with beef and fish. Notably, 100% of patients eat pork meat daily. Conclusion: The nutritional value in the daily diet of adult burn patients almost did not provide enough as recommended. The nutrition status of patients tended to deteriorate after ten days of hospitalization.