Effect of dietary management based on RFH-NPT nutritional risk assessment in patients with chronic hepatitis B cirrhosis
Objective To explore the effect of dietary management based on Royal Free Hospital Nutritional Prioritizing Tool(RFH-NPT)nutritional risk assessment on the nutritional status and liver function of patients with chronic hepatitis B cirrhosis.Methods A total of 120 patients with chronic hepatitis B cirrhosis admitted to the hospital from March 2020 to March 2023 were included in the study.They were divided into a control group and an observation group,with 60 cases in each group,based on the principle of comparability of basic data between groups.The control group implemented routine nutritional nursing intervention,while the observation group implemented dietary management based on RFH-NPT nutritional risk assessment in addition to the routine nursing.Both groups were intervened for 3 months.The nutritional status[body mass index(BMI),arm muscle circumference(AMC),albumin(ALB),and prealbumin(PA)],liver function[alanine aminotransferase(ALT),total bilirubin(TBIL),and monoamine oxidase(MAO)],degree of liver fibrosis[type Ⅲ procollagen(PC-Ⅲ),type Ⅳ collage(IV-C),laminin(LN),and hyaluronidase(HA)],hope levels[Herth Hope Index(HHI)],and quality of life[Chronic Liver Disease Questionnaire(CLDQ)]between the two groups of patients were compared before and after the intervention.The occurrence of complications during the intervention period between the two groups was recorded and compared.Results After intervention,the BMI,AMC,ALB and PA levels,HHI score and CLDQ score in the observation group were higher than those in the control group(P<0.05).After intervention,the ALT,TBIL and MAO levels in the observation group were lower than those in the control group(P<0.05).After intervention,there was no statistically significant difference in levels of PC-Ⅲ,IV-C,LN and HA between the two groups(P>0.05).During the intervention period,there was no statistically significant difference in the total incidence of hepatorenal syndrome,gastrointestinal bleeding,and peritonitis between the two groups of patients(P>0.05).Conclusion The application of dietary management based on RFH-NPT nutritional risk assessment in patients with chronic hepatitis B cirrhosis can effectively improve their nutritional status and liver function,alleviate the progression of liver fibrosis,and enhance the patients'quality of life.
Royal Free Hospital Nutritional Prioritizing ToolDietary managementChronic hepatitis B cirrhosisNutritional statusLiver functionComplications
万方数据
维普
