个体化中医营养护理方案对肝硬化腹水伴营养不良患者肝功能、营养状况及生活质量的影响  

Effect of Individualized Chinese Medical Nutrition Nursing Program on Liver Function,Nutritional Status and Quality of Life in Patients with Cirrhotic Ascites and Cacotrophy

作　　者：马丽娜 郑霞[1] 俞美定 MA Li-na;ZHENG Xia;YU Mei-ding(The operating room,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;不详)

机构地区：[1]上海中医药大学附属曙光医院手术室,上海201203 [2]上海中医药大学附属曙光医院PICC门诊

出　　处：《中华全科医学》2020年第1期142-145,共4页Chinese Journal of General Practice

基　　金：上海卫生计生系统重要薄弱学科建设计划(2015ZB0306).

摘　　要：目的探究个体化中医营养护理方案对肝硬化腹水伴营养不良患者肝功能、营养状况及生活质量的影响。方法选取2017年9月—2018年2月于上海中医药大学附属曙光医院收治的肝硬化腹水伴营养不良患者120例,根据护理方法不同分为观察组与对照组各60例,2组患者于入院初进行营养风险筛查后,对照组采用常规营养护理措施,观察组在对照组基础上采用个体化中医营养护理方案,2组患者在出院前再次进行营养风险筛查,观察2组患者肝功能改善状况、营养状况,并比较2组的生活质量、护理满意度及营养风险评分。结果观察组患者白蛋白显著高于对照组,且总胆红素及谷草转氨酶异常人数显著低于对照组(均P<0.05);观察组患者肱三头肌皮褶厚度、上臂围以及血红蛋白均显著高于对照组(均P<0.05);观察组患者生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康以及总体健康各方面评分均显著高于对照组(均P<0.05);观察组患者护理总满意度为95.00%,显著高于对照组的81.67%(P<0.05);观察组患者出院前营养风险总评分显著低于对照组(P<0.05)。结论对肝硬化腹水伴营养不良患者采用个体化中医营养护理方案促使患者肝功能得到有效恢复,明显改善营养不良状况,降低营养风险总评分,提高生活质量及患者对护理的满意度,值得临床广泛应用。Objective To explore the effect of individualized Chinese medical nutrition nursing program on liver function,nutritional status and quality of life in patients with cirrhotic ascites and cacotrophy.Methods A total of 120 patients with cirrhotic ascites and cacotrophy admitted to our hospital from September 2017 to February 2018 were divided into observation group and control group according to different nursing methods.Both groups received nutritional risk screening on admission,the control group adopted the routine nutrition nursing measures,and the observation group adopted the individualized traditional Chinese medicine nutrition nursing program on the basis of the control group,and they were evaluated by nutritional risk screening before discharge.The improvement of liver function and nutritional status were observed in the two groups,and the quality of life,nursing satisfaction,the total score of nutrition risk in the two groups were compared.Results The serum albumin in the observation group was significantly higher than that in the control group,and the total number of abnormal bilirubin and aspartate aminotransferase was significantly lower than that of the control group,and the difference was statistically significant(all P<0.05);the skin-fold thickness of musculus triceps brachii,upper arm circumference and hemoglobin in the observation group were significantly higher than those in the control group,and the difference was statistically significant(all P<0.05);the scores of physiological function,physiological duty,physical pain,vitality,social function,emotional duty,mental health and general health in the observation group were significantly higher than those in the control group,and the differences were statistically significant(all P<0.05);the total satisfaction of the patients in the observation group was 95.00%,which was significantly higher than 81.67%in the control group,and the difference was statistically significant(P<0.05);the total score of nutrition risk before discharge in the observation

关 键 词：个体化 中医营养护理 肝硬化腹水 营养不良 生活质量 

分 类 号：R473.5[医药卫生—护理学]