Application of a specialist nurse-led nutrition management program in children with leukemia during induction remission chemotherapy
Objective To explore the effects of a specialist nurse-led nutrition management program on the nutritional status of children with leukemia during induction remission chemotherapy.Methods Using the convenience sampling method,45 children with leukemia who received induction remission chemotherapy in a tertiary hospital in Sichuan Province from December 2023 to May 2024 were selected as an experimental group,and the specialist nurse-led nutrition management program was implemented.A total of 45 children with leukemia who admitted to the same hospital to receive induction remission chemotherapy from August to November 2023 were selected as a control group,and routine nursing care was provided.The duration of the intervention was 45 days,and the children's mid-upper arm circumference,BMI,serum albumin and pre-protein concentration were compared between the 2 groups before and after the intervention,and post-intervention satisfaction of their parents was also compared.Results 2 cases were lost to follow-up during the study,and finally 44 cases were included in both the experimental group and the control group.After the intervention,mid-upper arm circumference,BMI,and serum albumin concentration in the experimental group were higher than those in the control group,with statistically significant differences(P＜0.05);there was no significant difference in pre-protein concentration between the 2 groups(P=0.199);the satisfaction of parents in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.001).Conclusion Implementation of a specialist nurse-led nutrition management program is helpful in improving mid-upper arm circumference and BMI in children with leukemia during induction and remission chemotherapy,as well as their serum albumin concentration and parental satisfaction.
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维普
