Subscribe Now Subscribe Today
Research Article
 

Development, Validation and Reliability of the Simple Nutrition Screening Tool (SNST) for Adult Hospital Patient in Indonesia



Susetyowati , Hamam Hadi, Mohammad Hakimi and A.H. Asdie
 
Facebook Twitter Digg Reddit Linkedin StumbleUpon E-mail
ABSTRACT

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.

Services
Related Articles in ASCI
Similar Articles in this Journal
Search in Google Scholar
View Citation
Report Citation

 
  How to cite this article:

Susetyowati , Hamam Hadi, Mohammad Hakimi and A.H. Asdie, 2014. Development, Validation and Reliability of the Simple Nutrition Screening Tool (SNST) for Adult Hospital Patient in Indonesia. Pakistan Journal of Nutrition, 13: 157-163.

DOI: 10.3923/pjn.2014.157.163

URL: https://scialert.net/abstract/?doi=pjn.2014.157.163

REFERENCES
1:  Abbot Laboratories, 2006. Malnutrition. Ross Production Division, Abbott Laboratories Inc., Columbus, USA.

2:  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.
CrossRef  |  

3:  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.
PubMed  |  

4:  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.

5:  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.
Direct Link  |  

6:  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.
CrossRef  |  Direct Link  |  

7:  Fletcher, R.H., S.W. Fletcher and E.H. Wagner, 1996. Clinical Epidemiology: The Essentials. Williams and Wilkins, Baltimore.

8:  Fletcher, A. and E. Carey, 2011. Knowledge, attitudes and practices in the provision of nutritional care. Br. J. Nurs., 20: 615-620.
CrossRef  |  

9:  Gibson, R.S., 2005. Principles of Nutritional Assessment. 2nd Edn., Oxford University Press, New York, ISBN-13: 9780195171693, Pages: 908.

10:  Hartono, A., 2006. Terapi Gizi and Diet Rumah Sakit. EGC, Jakarta.

11:  Hill, G., 2000. Buku Ajar Nutrisi Bedah. Karya Cipta Mandiri, Jakarta.

12:  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.
CrossRef  |  Direct Link  |  

13:  Jones, J.M., 2002. The methodology of nutritional screening and assessment tools. J. Human Nutr. Dietetics, 15: 59-71.
CrossRef  |  

14:  Jones, J.M., 2004. Development of a nutritional screening or assessment tool using a multivariate technique. Nutrition, 20: 298-306.
CrossRef  |  Direct Link  |  

15:  Jones, J.M., 2004. Validity of nutritional screening and assessment tools. Nutrition, 20: 312-317.
CrossRef  |  Direct Link  |  

16:  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.
CrossRef  |  Direct Link  |  

17:  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.
CrossRef  |  Direct Link  |  

18:  Kondrup, J., S.P. Allison, M. Elia, B. Vellas and M. Plauth, 2003. ESPEN guidelines for nutrition screening 2002. Clin. Nutr., 22: 415-421.
CrossRef  |  Direct Link  |  

19:  Kondrup, J., 2004. Proper hospital nutrition as a human right. Clin. Nutr., 23: 135-137.
CrossRef  |  PubMed  |  

20:  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.
CrossRef  |  

21:  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.
CrossRef  |  Direct Link  |  

22:  Norman, K., C. Pichard, H. Lochs and M. Pirlich, 2008. Prognostic impact of disease-related malnutrition. Clin. Nutr., 27: 5-15.
CrossRef  |  Direct Link  |  

23:  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.
CrossRef  |  Direct Link  |  

24:  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.
Direct Link  |  

25:  Rasmussen, H.H., M. Holst and J. Kondrup, 2010. Measuring nutritional risk in hospitals. Clin. Epidemiol., 2: 209-216.
CrossRef  |  Direct Link  |  

26:  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.
CrossRef  |  

27:  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.
CrossRef  |  Direct Link  |  

28:  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.
CrossRef  |  Direct Link  |  

29:  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.
CrossRef  |  Direct Link  |  

30:  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.
CrossRef  |  Direct Link  |  

©  2020 Science Alert. All Rights Reserved