中华全科医学2024，Vol.22Issue(9) ：1614-1618.DOI:10.16766/j.cnki.issn.1674-4152.003695

基于归因理论的综合营养护理干预方案对老年慢性阻塞性肺疾病患者营养状况的影响

Effect of comprehensive nutrition nursing intervention program based on attribution theory on nutritional status of elderly patients with chronic obstructive pulmonary disease

车丽萍 唐琦 蒋燕红 周黛娜 胡玲琴 冯莉 俞建洪
中华全科医学2024，Vol.22Issue(9) ：1614-1618.DOI:10.16766/j.cnki.issn.1674-4152.003695
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基于归因理论的综合营养护理干预方案对老年慢性阻塞性肺疾病患者营养状况的影响

Effect of comprehensive nutrition nursing intervention program based on attribution theory on nutritional status of elderly patients with chronic obstructive pulmonary disease

车丽萍 1唐琦 1蒋燕红 2周黛娜 1胡玲琴 1冯莉 3俞建洪1
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作者信息

  • 1. 绍兴文理学院附属医院老年医学科,浙江绍兴 312000
  • 2. 绍兴文理学院附属医院呼吸与危重症医学科
  • 3. 绍兴文理学院附属医院营养科
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摘要

目的 营养状况与老年慢性阻塞性肺疾病(COPD)患者预后关系密切,本文旨在探讨归因理论的综合营养干预在老年COPD患者中的应用效果.方法 采用随机数字表法将2021年8月-2023年8月就诊于绍兴文理学院附属医院的108例老年COPD患者分为对照组(54例,传统营养干预)和试验组(54例,基于归因理论的综合营养干预),最终2组各51例入组.比较2组营养状况、血清营养学指标、免疫功能及营养不良发生率.结果 护理 6 个月试验组 BMI(22.09±4.67 vs.20.31±4.12)、上臂肌围[(21.95±5.13)cm vs.(19.90±4.01)cm]及肱三头肌皮褶厚度[(12.05±2.05)mm vs.(10.45±2.11)mm]大于对照组(P＜0.05);白蛋白(ALB)[(39.95±5.01)g/Lvs.(37.88±4.79)g/L]、前清蛋白(PA)[(0.30±0.06)g/L vs.(0.27±0.05)g/L]及总蛋白(TP)[(61.60±6.44)g/Lvs.(59.16±5.23)g/L]均大于对照组(P＜0.05);CD3+、CD4+及 CD4+/CD8+大于对照组(P＜0.05);营养不良发生率(3.92％vs.15.69％)低于对照组(P＜0.05).结论 基于归因理论的综合营养护理干预可改善老年COPD患者营养状况,促进血清营养学指标的恢复,有助于增强免疫功能,预防营养不良.

Abstract

Objective The nutritional status of elderly patients with chronic obstructive pulmonary disease(COPD)is a significant predictor of prognosis.The objective of this study is to investigate the potential benefits of a comprehensive nu-tritional intervention based on attribution theory for elderly patients with COPD.Methods A total of 108 elderly patients with COPD treated at the Affiliated Hospital of Shaoxing University of Arts and Sciences from August 2021 to August 2023 were randomly assigned to either a control group(54 cases with traditional nutritional intervention)or an experimental group(54 cases with comprehensive nutritional intervention based on attribution theory).Ultimately,51 cases were en-rolled in each group.A comparison was made of the nutritional status,serum nutritional indexes,immune function and incidence of malnutrition of the two groups.Results The BMI[(22.09±4.67)vs.(20.31±4.12)].Similarly,the upper arm muscle circumference[(21.95±5.13)cm vs.(19.90±4.01)cm]of the experimental group after 6 months of nursing and triceps skin fold thickness[(12.05±2.05)mm vs.(10.45±2.11)mm]were higher than those in the control group(P＜0.05).The albumin(proportionate)[(39.95±5.01)g/L vs.(37.88±4.79)g/L]and prealbumin(PA)[(0.30±0.06)g/Lvs.(0.27±0.05)g/L]and total protein(TP)[(61.60±6.44)g/L vs.(59.16±5.23)g/L]were higher than those in control group(P＜0.05).CD3+,CD4+and CD4+/CD8+were higher than those in the control group(P＜0.05).Additionally,the incidence of malnutrition was lower in the experimental group(3.92％vs.15.69％)than in the control group(P＜0.05).Conclusion A comprehensive nutrition nursing intervention based on attribution theory has been demonstrated to improve the nutritional status of elderly patients with COPD,promote the recovery of ser-um nutritional indexes,and enhance immune function and prevent malnutrition.

关键词

慢性阻塞性肺疾病/营养干预/归因理论/营养状况/免疫功能

Key words

Chronic obstructive pulmonary disease/Nutrition intervention/Attribution theory/Nutritional status/Im-mune function

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基金项目

浙江省医药卫生科技项目(2022KY1314)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子：1.688
ISSN：1674-4152
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