上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (1): 20-.

• 专题报道（营养学研究） • 上一篇    下一篇

利用层次分析法构建住院患者营养状况综合评价量表

吴蓓雯1, 曹伟新2   

  1. 上海交通大学 1. 护理学院, 2. 医学院瑞金医院临床营养科, 上海 200025
  • 出版日期:2010-01-26 发布日期:2010-01-26
  • 通讯作者: 曹伟新, 电子信箱: cwx302@yahoo.com.cn。
  • 作者简介:吴蓓雯（1970—）, 女, 主任护师, 博士；电子信箱: gaoan2005@yahoo.com.cn。
  • 基金资助:

    上海市卫生局基金（054049）

Comprehensive nutritional assessment scale for hospitalized patients established with analytical hierarchy process

WU Bei-wen1, CAO Wei-xin2   

  1. 1. School of Nursing, Shanghai Jiaotong University, Shanghai 200025, China；2. Department of Clinical Nutrition, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2010-01-26 Published:2010-01-26
  • Supported by:

    Shanghai Municipal Health Bureau Foundation, 054049

PDF (PC)

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摘要：

目的 利用主、客观营养状况评价指标，构建住院患者营养状况综合评价量表。方法 利用层次分析法（AHP法）建立评价住院患者营养状况的分层结构模型。在此基础上，应用Satty乘积法获得模型中各评价指标间的排序权重，并建立住院患者营养状况综合评价量表。结果 新构建的营养状况综合评价量表包括11项主、客观评价指标，各评价指标在营养状况综合评价量表中具有不同权重；权重位居前三位的指标依次为血清前白蛋白（2.3）、血清白蛋白（2.3）和体质量下降程度（1.6）。结论 利用AHP法构建的营养状况综合评价量表兼顾了主、客观评价指标间的权重，实现了定性指标的定量化转换，是数学理论应用于临床医学领域的全新尝试。

关键词: 营养状况评价, 评价工具, 层次分析法

Abstract:

Objective To establish a comprehensive nutritional assessment scale for hospitalized patients with objective and subjective nutritional assessment indicators. Methods The hierarchical structure model was established to evaluate the nutritional status of hospitalized patients by analytic hierarchy process, and the weight coefficients of various assessment indicators were worked out by Satty product method, then the comprehensive nutritional assessment scale for hospitalized patients was established. Results The newly established comprehensive nutritional assessment scale included 11 subjective and objective indicators, and the weight coefficients of indicators varied. The leading three important indicators for nutritional assessment were serum prealbumin (2.3), serum albumin (2.3) and degree of weight loss (1.6). Conclusion With both subjective and objective indicators, the new comprehensive nutritional assessment scale established with analytic hierarchy process transforms the qualitative indicator into the quantitative one. It is a new attempt to apply the mathematical theory into the area of clinical medicine.

Key words: nutritional assessment, tool of assessment, analytical hierarchy process