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小儿腹泻并发营养不良的危险因素分析及护理对策研究

Analysis of Risk Factors and Nursing Strategies for Children with Diarrhea and Malnutrition

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目的:分析小儿腹泻并发营养不良的危险因素,结合分析结果探讨其护理对策,为临床护理提供参考依据.方法:选取2020年1月—2022年3月黄河三门峡医院收治的125例腹泻患儿作为研究对象,根据是否发生营养不良将单纯腹泻的60例患儿分为A组,将腹泻并发营养不良的65例患儿分为B组.分析小儿腹泻并发营养不良的危险因素并提出针对性的护理干预对策,对B组患儿开展为期6个月的短期随访,观察其护理效果.结果:单因素分析结果显示,两组患儿年龄、病程、居住地区、家属健康知识水平、患儿免疫功能、发病频率、饮食结构、进食规律比较,差异有统计学意义(P<0.05).logistic回归分析结果显示,年龄偏小、病程较长、居住地区为农村、患儿免疫功能低下、腹泻病情反复、家属健康知识水平偏低、饮食结构不合理、进食不规律等均是导致腹泻患儿并发营养不良的危险因素,差异有统计学意义(P<0.05).对B组患儿制定并实施积极护理干预措施后,65例患儿的总蛋白(TP)、白蛋白(ALB)、转铁蛋白(TRF)水平均高于干预前,差异有统计学意义(t=3.706、3.473、6.237,P<0.05).结论:对于年龄较小、病程较长且免疫功能较为低下的腹泻患儿需做好积极抗感染干预及健康知识教育.合理规划其饮食结构,促使其注重进食规律,采取输血等营养补充措施,可降低腹泻并发营养不良的风险,对改善患儿预后具有重要意义.
Objective:To analyze the risk factors of infantile diarrhea complicated with malnutrition,and to explore the nursing countermeasures combined with the analysis results,so as to provide basis for clinical nursing.Methods:A total of 125 children with diarrhea admitted to Yellow River Sanmenxia Hospital from January 2020 to March 2022 were selected as the study subjects.according to whether they suffered from malnutrition or not 60 children with simple diarrhea were classified as group A,and 65 children with diarrhea and malnutrition in group B.The study analyzes the risk factors of infantile diarrhea complicated with malnutrition,puts forward the corresponding nursing intervention countermeasures,and to carries out a short-term follow-up for 6 months,and observes the nursing effect of the children in group B.Results:The results of single factor analysis showed that the age,course of disease,living area,health knowledge level of family members,immune function,incidence frequency,diet structure and eating regularity of the two groups were compared,the difference was significant(P<0.05).The results of multivariate logistic regression analysis showed that,the risk factors of malnutrition in children with diarrhea were younger age,longer course of disease,lower immune function,recurrent diarrhea,lower health knowledge level of family members,irrational diet and irregular eating,with statistically significant difference(P<0.05).The levels of TP,ALB and TRF were significantly higher in group B than those before intervention(t=3.706,3.473,6.237;P<0.05).Conclusion:children with diarrhea who are younger have a longer course of disease and have lower immune function should conduct active anti infection intervention and health education Reasonalbe plan of diet structure,regular diet and nutrition supplement measures,such as blood transfusion,can reduce the risk of malnutrition to a certain extent,which is of great significance for improving the prognosis of children.

Diarrhea in childrenNutritionRisk factorsNursing countermeasuresNursing effect

邢丽丽、贾梦洁

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黄河三门峡医院儿科门诊,河南 三门峡 472000

黄河三门峡医院门诊部,河南 三门峡 472000

小儿腹泻 营养不良 危险因素 护理对策 护理效果

河南省医学教育研究项目

2021002192

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(11)