LEARNS模式下饮食强化干预在活动性肺结核治疗中的应用效果分析  

Application of Dietary Intensification Intervention in the Treatment of Active Pulmonary Tuberculosis Under LEARNS Mode

作　　者：衷文婷 吴建英 周李香 施玉菁 戴小燕 尹海滨 Zhong Wenting;Wu Jianying;Zhou Lixiang(Ji’an Central People’s Hospital,Ji’an,Jiangxi,343000,China)

机构地区：[1]吉安市中心人民医院,江西吉安343000

出　　处：《黑龙江医学》2024年第22期2797-2799,共3页Heilongjiang Medical Journal

基　　金：吉安市指导性科技计划项目(20233-043366)。

摘　　要：目的:探讨LEARNS模式下饮食强化干预在活动性肺结核治疗中的应用效果,为临床护理提供参考依据。方法:选取2021年1月—2023年4月吉安市中心人民医院收治的86例活动性肺结核患者作为研究对象,按照信封法将其随机分成对照组和试验组,每组各43例。对照组实施常规护理干预,试验组在常规护理基础上实施LEARNS模式下饮食强化干预。比较两组患者肺功能指标、舒适度评分、营养状况[整体营养状况评估表(PGSGA)评分]、自我护理能力[自我护理能力量表(ESCA)评分]、护理满意度[纽卡斯尔护理满意度量表(NSNS)评分]情况。结果:干预后,两组患者各项肺功能指标均明显高于干预前,且试验组高于对照组,差异均有统计学意义(t=5.062、9.471、7.747,P<0.05)。干预后,两组患者舒适度评分高于干预前,PGSGA评分低于干预前,且试验组舒适度评分高于对照组,PGSGA评分低于对照组,差异均有统计学意义(t=8.825、6.471,P<0.05)。干预后,两组患者ESCA中各维度评分均高于干预前,且试验组高于对照组,差异均有统计学意义(t=6.310、7.450、7.634、6.865,P<0.05)。干预后,两组患者NSNS评分均高于干预前,且试验组高于对照组,差异有统计学意义(t=7.129,P<0.05)。结论:活动性肺结核患者采用LEARNS模式下饮食强化干预有助于提高患者舒适度及自我护理能力,改善肺功能指标和营养状况。Objective:To explore the effect of intensive diet intervention in the treatment of active pulmonary tuberculosis(APTB)under LEARNS mode,and to provide basis for clinical nursing.Methods:A total of 86 patients with active pulmonary tuberculosis admitted to Ji’an Central People’s Hospital from January 2021 to April 2023 were selected.They were randomly divided into control group and trial group,with 43 patients in each group.The control group was given routine nursing intervention,while the experimental group was given intensive diet intervention under LEARNS mode on the basis of routine nursing.The pulmonary function index,comfort score,nutritional status(PGSGA score),self-care ability(ESCA score)and nursing satisfaction(NSNS score)were compared between the two groups.Results:After intervention,the pulmonary function indexes of the two groups were significantly higher than those before intervention,and the test group was higher than the control group,the difference was statistically significant(t=5.062,9.471,7.747;P<0.05).After intervention,the scores of comfort degree were higher and the scores of PGSGA were lower in the two groups,and the scores of comfort degree were higher and the scores of PGSGA were lower in the trial group than in the control group,and the difference was statistically significant(t=8.825,6.471;P<0.05).After intervention,the ESCA scores of both groups were higher than those before intervention,and the test group was higher than the control group.The difference was statistically significant(t=6.310,7.450,7.634,6.865;P<0.05).After intervention,NSNS scores of both groups were higher than those before intervention,and the test group was higher than the control group.The difference was statistically significant(t=7.129,P<0.05).Conclusion:The intensive diet intervention in the pattern of LEARNS can improve the comfort and self-care ability of the patients with active pulmonary tuberculosis,and improve the pulmonary function and nutritional status.

关 键 词：活动性肺结核 LEARNS模式 饮食强化干预 营养状况 肺功能 

分 类 号：R473.5[医药卫生—护理学]