Effect of comprehensive nutrition nursing intervention program based on attribution theory on nutritional status of elderly patients with chronic obstructive pulmonary disease
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.
Chronic obstructive pulmonary diseaseNutrition interventionAttribution theoryNutritional statusIm-mune function
维普
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