首页|营养支持对护理院鼻饲高龄老人营养状况的影响

营养支持对护理院鼻饲高龄老人营养状况的影响

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探讨对护理院鼻饲高龄老人进行营养干预的效果.选取2023年3-9月在上海日月星护理院入住的鼻饲高龄老人,根据老人的能量和营养需求,优化完善食谱,给予合理配比的匀浆膳饮食.营养干预前后分别监测鼻饲老人的体重、体质指数(BMI)、皮褶厚度、血清白蛋白、低蛋白血症、营养风险筛查2002评估分值和压力性损伤情况,并设计护理院鼻饲老人饮食干预调查问卷,了解医护人员对改进前后鼻饲饮食的认知和态度等.结果表明,经过营养干预,鼻饲高龄老人体重、BMI和皮褶厚度维持和增加率分别达到87.04%,85.19%和87.04%,且饮食干预前后老人的皮褶厚度变化差异具有统计学意义(P<0.05).饮食干预后具有营养风险的老人少于干预前,差异具有统计学意义(P<0.05).合理的饮食营养干预能明显改善护理院鼻饲高龄老人的营养状况,减少营养风险.
The Effect of Nutritional Support on the Nutritional Status of Elderly People Fed Nasal Feeding in Nursing Homes
Explore the effect of nutritional intervention on elderly people receiving nasal feeding in nursing homes.Select the elderly who were admitted to Shanghai Sun Moon Star Nursing Home from March to September 2023 and receive nasal feeding.Based on their energy and nutritional needs,optimize and improve their diet,and provide a reasonable proportion of homogenate meals.Before and after nutritional intervention,the body weight,body mass index(BMI),skin fold thickness,serum albumin,hypoproteinemia,nutritional risk screening 2002 evaluation score,and stress injury status of the elderly who received nasal feeding were monitored;Design a survey questionnaire on dietary intervention for elderly patients receiving nasal feeding in nursing homes,to understand the cognition and attitude of medical staff towards the improvement of nasal feeding diet before and after.The results showed that after nutritional intervention,the maintenance and increase rates of body weight,BMI,and skin fold thickness in elderly individuals receiving nasal feeding reached 87.04%,85.19%,and 87.04%,respectively.There was a statistically significant difference in skin fold thickness changes before and after dietary intervention(P<0.05).After dietary intervention,there were fewer elderly people with nutritional risk than before intervention,and the difference was statistically significant(P<0.05).Reasonable dietary and nutritional interventions could significantly improve the nutritional status of elderly people receiving nasal feeding in nursing homes and reduce nutritional risks.

nasal feeding fluidnutritional risk screeningnutritional intervention

胡文霞、向学君、袁晶晶、刘婷婷、孙丽红

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上海日月星护理院(上海 200082)

上海中医药大学(上海 201203)

鼻饲流质 营养风险筛查 营养干预

2024

食品工业
上海市食品工业研究所

食品工业

影响因子:0.47
ISSN:1004-471X
年,卷(期):2024.45(8)