Abstract
Increased prevalence of malnutrition in hospitalized patients with chronic diseases requires hospital improvements in nutritional care quality. All patients have a right to safe, nutritious food. Accordingly, this investigation aimed to assess the dietary care quality in one major hospital in Holly Makkah, Saudi Arabia. Subjects and methods: Cross-sectional study divided into two parts, 1st part; for asses patient satisfaction related to food services and relevance of their health status. The sample derived from 100 adult inpatient with chronic diseases at different wards in the hospital. Data were collected using an interview questionnaire. 2 nd part; meals analysis of the special diets which offered for the inpatient to evaluate and determine their adequacy For hospital food service and dietitian role 83% of the studied cases were not satisfied about the ability to choose their meals and that point was significant (130.05). Meals analysis revealed that Energy, Fat, K+ were lower than the dietary requirements for all patients on all days, moreover, cardiovascular (CVD) and hypertensive (HTN) patients were consumed less than the recommended requirements from fiber. The protein and carbohydrate were lower than the requirements in most weekly meals for all patients, the patient satisfaction for dietitian performance, attitude, and behavior reached to 83 % of the studied cases. Review and renew of the menus for the therapeutic diets offered for the patients are necessary and extra focus on patient's dietary intake monitoring and following up to avoid patient's malnutrition.