肺移植营养不良患者多学科营养管理方案的构建与应用  

Construction and application of multidisciplinary nutrition management scheme for malnourished patients undergoing lung transplantation

作　　者：丁思妍 周海琴[1] 史晓芬[2] 黄珂瑶 裴友 是子豪 李文锐 Ding Siyan;Zhou Haiqin;Shi Xiaofen;Huang Keyao;Pei You;Shi Zihao;Li Wenrui(Center of Lung Transplantation,Wuxi People's Hospital,Wuxi 214000,China)

机构地区：[1]无锡市人民医院移植中心,江苏无锡214000 [2]无锡市人民医院移植中心护理部,江苏无锡214000 [3]无锡市人民医院移植中心营养科,江苏无锡214000

出　　处：《护理学杂志》2021年第16期1-5,共5页Journal of Nursing Science

基　　金：无锡市卫生健康委青年科研项目(Q201921);南京医科大学科技发展基金一般项目(NMUB2019293)。

摘　　要：目的构建肺移植营养不良患者多学科营养管理方案,探讨该方案对术前营养不良患者肺移植术后营养状态及康复效果的影响。方法按照住院时间将肺移植前营养不良患者分为对照组49例和干预组50例。对照组采用常规营养管理方案,干预组构建并实施包括运动处方、营养处方、药物治疗、心理管理等方面的多学科营养管理方案。结果移植后1个月,干预组患者总白蛋白、白蛋白、竖脊肌横截面积、6分钟步行距离、呼吸困难评分显著优于对照组,术后住院时间显著短于对照组(P<0.05,P<0.01)。结论多学科营养管理有利于改善术前营养不良肺移植患者的术后营养状态,促进康复。Objective To construct a multidisciplinary nutrition management scheme for malnourished patients undergoing lung transplantation,and to explore its application effect on nutritional status and rehabilitation after transplantation for preoperative malnourished patients.Methods The malnourished patients before lung transplantation were divided into a control group(n=49)and an intervention group(n=50)chronologically.The control group was given routine nutrition management,while the intervention group received multidisciplinary nutrition management scheme including exercise prescription,nutrition prescription,drug therapy,psychological management,etc.Results One month after the lung transplantation,the total albumin,albumin,erector spinal muscle cross-sectional area,6-Minute Walk Distance and modified Medical Research Council score of the intervention group were significantly better than those of the control group,and its postoperative hospital stay was significantly shorter than that of the control group(P<0.05,P<0.01).Conclusion Multidisciplinary nutrition management is conducive to improving the nutritional status after lung transplantation for preoperative malnourished patients,and promoting their rehabilitation.

关 键 词：肺移植 营养不良 术前预后营养指数 多学科合作 营养管理 

分 类 号：R473.6[医药卫生—护理学]