首页|基于护士为主导的多学科合作营养干预对卒中患者营养指标的影响

基于护士为主导的多学科合作营养干预对卒中患者营养指标的影响

扫码查看
目的 研究基于护士为主导的多学科合作营养干预对卒中患者营养指标的影响。方法 选取2020年1-12月该院收治的卒中患者共100例作为研究对象,采用倾向评分匹配分成观察组与对照组,各50例。对照组给予传统营养干预,观察组给予基于护士为主导的多学科合作营养干预,比较两组患者血液营养生化指标、体格监测指标及营养风险指标。结果 两组入院第21天总蛋白(TP)、白蛋白(ALB)、血红蛋白(Hb)、前白蛋白(PAB)、体重指数(BMI)、上臂肌围(AMC)、肱三头肌皮褶厚度(TSF)水平较入院第2、第15天提高,入院第15天又较入院第2天提高,且观察组入院第15、第21天上述指标水平均高于对照组,差异均有统计学意义(P<0。05);两组入院第21天营养风险筛查2002(NRS2002)评分较入院第2、第15天降低,入院第15天又较入院第2天降低,且观察组入院第15、第21天NRS2002评分均低于对照组,差异均有统计学意义(P<0。05)。结论 卒中患者给予基于护士为主导的多学科合作营养干预,能够改善血液营养生化指标、体格监测指标,降低患者营养风险。
Effects of nurse-led multidisciplinary cooperative nutrition intervention on nutritional indicator of patients with stroke
Objective To explore the impact of nurse-led multidisciplinary collaborative nutrition inter-vention on the nutritional indicators in the patients with stroke.Methods A total of 100 patients with stroke admitted in this hospital from January to December 2020 were selected as the study subjects and divided into the observation group and control group by the propensity score matching,50 cases in each group.The control group was given the traditional nutrition intervention,and the observation group was given the nurse-led mul-tidisciplinary cooperative nutrition intervention.The blood,nutritional and biochemical indicators,physique monitoring indicators and nutritional risk indicators were compared between the two groups.Results The levels of total protein(TP),albumin(ALB),hemoglobin(Hb),prealbumin(PAB),body mass index(BMI),upper arm muscle circumference(AMC)and triceps skin fold thickness(TSF)on 21 d after admission in both groups were increased compared with those on 2,15 d after admission,and which on 15 d after admission were higher than those on 2 d after admission(P<0.05),moreover the above indicators levels on 15,21 d after ad-mission in the observation group were higher than those in the control group,and the differences were statisti-cally significant(P<0.05).Body mass index(BMI),upper arm circumference(AMC)and triceps skinfold thickness(TSF)in both groups on 21 d of admission were higher than those on 2,15 d of admission(P<0.05).The nutritional risk screening 2002(NRS2002)score on 21 d after admission in the two groups were decreased compared with those on 2,15 d after admission,while which on 15 d after admission was decreased compared with that on 2 d after admission,moreover the NRS2002 score on 15,21 d after admission in the ob-servation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Giving the nurse-led multidisciplinary cooperative nutrition intervention could im-prove the blood nutritional and biochemical indicators and physique monitoring indicators,and reduce the nu-tritional risk of the patients with stroke.

strokenurse-ledmultidisciplinary cooperationnutritional interventionnutritional indica-tors

兰柳华、龙耀斌、梁声、李萍、刘惠玲

展开 >

广西医科大学第二附属医院康复医学科,南宁 530001

卒中 护士为主导 多学科合作 营养干预 营养指标

广西卫生健康委自筹经费科研课题广西壮族自治区医疗卫生重点学科建设项目

Z20190373桂卫科教发[2022]4号

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(1)
  • 20