护理研究2025，Vol.39Issue(9)：1425-1431,7.DOI:10.12102/j.issn.1009-6493.2025.09.003
AIWW与NRS2002营养筛查工具在胃癌住院病人营养筛查中的效果比较
Comparison of AIWW and NRS2002 in the nutritional screening of inpatients with gastric cancer
摘要
Abstract
Objective:To explore the effects of AIWW and NRS2002 in the nutritional risk screening of inpatients with gastric cancer,and to analyze their applicability in patients with gastric cancer.Methods:A convenience sampling method was used to select 376 patients with gastric cancer who were treated in the gastric and abdominal tumor wards of a tertiary grade A tumor hospital in Guangxi from October 2023 to April 2024.AIWW and NRS2002 were used for nutritional screening within 24 hours after the patients'admission.The MPG-SGA assessment results were used as the diagnostic criteria for malnutrition.The sensitivity,specificity,positive predictive value,negative predictive value,positive likelihood ratio,negative likelihood ratio,Kappa value,receiver operating characteristic(ROC)curve and area under the curve of AIWW and NRS2002 were calculated.Results:A total of 376 patients with gastric cancer were included.Using MPG-SGA as the diagnostic standard,254 patients(67.6%)had malnutrition.The risks of malnutrition in patients with gastric cancer diagnosed by AIWW and NRS2002 were 67.0%and 34.8%respectively.The sensitivities of AIWW and NRS2002 in diagnosing malnutrition were 0.98 and 0.51 respectively,and the specificities were 0.97 and 0.98 respectively.The Kappa consistency results of AIWW and NRS2002 with MPG-SGA were 0.928 and 0.389 respectively.The areas under the ROC curves were 0.982 and 0.788 respectively.Conclusions:Both AIWW and NRS2002 could provide a basis for the screening of malnutrition risk in patients with gastric cancer.In the evaluation of diagnostic efficiency,AIWW has a high sensitivity,good consistency with MPG-SGA,and simple items for easy assessment.Therefore,it is recommended to use the AIWW nutritional screening tool for the nutritional screening of patients with gastric cancer.关键词
胃癌/营养不良/营养筛查/基于年龄、体质指数、进食情况、体重减少情况的营养风险评估工具(AIWW)/营养风险筛查2002(NRS2002)/诊断效能/护理Key words
gastric cancer/malnutrition/nutritional screening/AIWW/NRS2002/diagnostic efficiency/nursing引用本文复制引用
朱茵,蓝江玲,张玉姣,张仕珍,雷奕..AIWW与NRS2002营养筛查工具在胃癌住院病人营养筛查中的效果比较[J].护理研究,2025,39(9):1425-1431,7.基金项目
医健公益行-医院管理专项项目,编号:ZGC-YXKY-51 （）
广西高等教育本科教学改革项目,编号:2023JGA156 （）
广西医科大学学位与研究生教育改革项目 （）
