胃肠道肿瘤患者的不同营养评估法在患者护理中的应用效果  

The application of different nutritional assessment methods in patients with gastroin-testinal tumors

作　　者：廖桂兰[1] 洪菁[1] 苏梅芳[1] 周桂兰[1] 黄志琼[1] 姚小玲[1] Liao Guilan;Hong Jing;Su Meifang;Zhou Guilan;Huang Zhiqiong;Yao Xiaoling(Gastrointestinal Surgery, Affiliated Hospital of Guilin Medical University, Guilin 541001, China)

机构地区：[1]广西桂林医学院附属医院胃肠外科,541001

出　　处：《国际护理学杂志》2018年第10期1297-1299,共3页international journal of nursing

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题（Z2016400）

摘　　要：目的 探讨胃肠道肿瘤患者的不同营养评估法对患者护理的应用效果.方法 选取2016年1月～2016年12月在该院治疗的胃肠道肿瘤患者96例进行分析,将患者随机分为两组,各48例.其中一组患者采用简易营养评估法（mini nutritional assessment,MNA）,作为MNA组,另一组患者采用主观全面评估法（subjec-tive global assessment,SGA）,作为SGA组.根据两种评估方法对患者营养状况的评估,对患者进行持续营养护理.比较两组患者化疗后住院时间、并发症发生率.结果 MNA组营养不良患者的并发症发生率（73.50％）明显高于营养正常患者（7.10％）,差异有统计学意义（P〈0.05）;SGA组营养不良患者的并发症发生率（72.70％）明显高于营养正常患者（6.70％）,差异有统计学意义（P〈0.05）;两组患者根据营养评估情况进行持续营养护理后,患者并发症发生率明显低于护理前,差异有统计学意义（P〈0.05）;MNA组患者的并发症发生率与SGA组的比较,差异无统计学意义（P〉0.05）.结论 采用MNA和SGA均能对胃肠道肿瘤患者进行有效的评估,根据评估结果对患者进行持续营养护理能够有效减少患者并发症发生率,有助于患者的恢复,两种方式在对患者护理效果方面无明显差异.Objective To study the effect of different nutritional assessment methods for patients nursing with gastrointestinal cancer. Methods From January 2016 to December 2016, 96 patients with gastrointestinal cancer in our hospital were selected, all patients were randomly divided into two groups, 48 cases of each group. One group of patients were treated with mini nutritional assessment （MNA） as MNA group. Another group of patients were treated with subjective global assessment （SGA） as SGA group. The hospitalization time and complication rate were compmed between the two groups. Results In MNA group, the complication rate of innutrition patients （73.50%） were significantly higher than patients of normal nutrition （7.10%）, with statistically significant （P〈0. 05）. In SGA group, the complication rate of innutrition patients （72. 70% ） were significantly higher than patients of normal nutrition （6. 70% ）, with statistically significant （P〈0. 05）. Two groups of patients according to the nutritional assessment of the situation of continuous nutrition care, the incidence of complications was significantly lower than before nursing, with statistically significant （P〈0. 05 ）. There was no significant difference in complication rate between MNA group and SGA group （P〉0. 05）. Conclusion The nutritional assessment MNA and SGA can effective evaluate patients with gastrointestinal cancer. According to the results of the evaluation of patients with continuous nutrition care can effectively reduce the incidence of complications and help patients recover. There was no significant difference between the two methods in patient care.

关 键 词：胃肠道肿瘤 简易营养评估法 主观全面评估法 并发症 

分 类 号：R473.73[医药卫生—护理学]