阶梯护理决策辅助肠内营养干预应用于胰腺癌患者中的效果观察  

Eff ect observation of step nursing decision assisted enteral nutrition intervention in patients with pancreatic cancer

作　　者：秦蒙蒙 贾波 刘灿[1] 李晶晶[1] QIN Mengmeng;JIA Bo;LIU Can;LI Jingjing(Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University,Beijing,102218,China)

机构地区：[1]清华大学附属北京清华长庚医院(清华大学临床医学院),北京市102218

出　　处：《护理实践与研究》2022年第14期2167-2171,共5页Nursing Practice and Research

摘　　要：目的探讨基于阶梯护理决策辅助肠内营养干预对胰腺癌患者肠内营养依从性、免疫功能及营养状态的影响。方法选取2018年10月—2021年10月医院收治的胰腺癌患者126例为研究对象,按照组间基础资料具有可比性的原则分为对照组和观察组,各63例。对照组实施常规护理,观察组在对照组基础上实施基于阶梯护理决策辅助肠内营养干预。比较两组患者肠内营养依从性,以及干预前后免疫功能、营养状态。结果观察组患者肠内营养制剂弃去率、肠内营养并发症发生率低于对照组,观察组患者住院天数少于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者淋巴细胞数及CD4+/CD8+值均高于对照组,观察组患者中性粒细胞数低于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者BMI、上臂围、肱三头肌皮褶厚度均高于对照组,差异有统计学意义(P<0.05)。结论对胰腺癌患者实施基于阶梯护理决策辅助肠内营养干预可提高胰腺癌患者肠内营养依从性,减轻免疫抑制,改善其营养状态。Objective To explore the effect of assisted enteral nutrition intervention based on step nursing decision-making on enteral nutrition compliance,immune function and nutritional status in patients with pancreatic cancer.Methods A total of 126 patients with pancreatic cancer who were admitted to the hospital from October 2018 to October 2021 were selected as the study objects.According to the principle of comparability of basic data between groups,they were divided into control group and observation group,with 63 cases in each group.The control group received routine nursing,and the observation group received assisted enteral nutrition intervention based on step nursing decision assisted enteral nutrition intervention on the basis of the control group.The enteral nutrition compliance,immune function and nutritional status before and after intervention were compared between the two groups.Results The abandonment rate of enteral nutrition preparations and the incidence of enteral nutrition complications in the observation group were lower than those in the control group,and the length of hospital stay in the observation group was less than that in the control group,and the diff erences were statistically signifi cant(P<0.05).After intervention,the number of lymphocytes and CD4+/CD8+values in the observation group were higher than those in the control group,and the number of neutrophils in the observation group was lower than that in the control group,and the diff erences were statistically signifi cant(P<0.05).After intervention,the BMI,upper arm circumference and triceps skinfold thickness of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Implementing assisted enteral nutrition intervention based on step nursing decision-making for patients with pancreatic cancer can improve enteral nutrition compliance,reduce immunosuppression and improve nutritional status in patients with pancreatic cancer.

关 键 词：阶梯护理决策 肠内营养 胰腺癌 肠内营养依从性 免疫功能 营养状态 

分 类 号：R473.73[医药卫生—护理学]