个体化营养管理策略联合延续护理模式在肝硬化患者中的应用效果  

Application Effect of Individualized Nutrition Management Strategy Combined with Continuous Nursing Mode in Patients with Cirrhosis

作　　者：陈秀华 杜皓洁 Chen Xiuhua;Du Haojie(Department of Internal Medicine,Feixian County People's Hospital Affiliated to Shandong Medical College,Linyi 273400,Shan-dong Province,China)

机构地区：[1]山东医学高等专科学校附属费县人民医院内科,山东临沂273400

出　　处：《中外医药研究》2025年第3期141-143,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：山东省卫生健康委员会(编号:202303021543)。

摘　　要：目的:分析个体化营养管理策略联合延续护理模式在肝硬化患者中的应用效果。方法:选取2020年1月—2022年12月山东医学高等专科学校附属费县人民医院内科收治的100例肝硬化患者为研究对象,采用抽签法分为对照组(开展常规院内护理联合延续护理模式)与研究组(在对照组基础上接受个体化营养管理策略),各50例。比较两组营养指标、营养风险、营养状况。结果:干预后,两组血红蛋白水平、体质量指数升高,研究组白蛋白、平均臂肌围、握力水平升高,凝血酶原时间缩短,研究组营养指标水平均优于对照组(P<0.05);干预后,两组营养风险筛查2002评分表评分降低,研究组低于对照组(P<0.05);干预后,研究组主观整体营养评估表分级改善,且研究组优于对照组(P<0.05)。结论:个体化营养管理策略联合延续护理模式在肝硬化患者中的应用效果显著,可改善其营养状况。Objective:To analyze the effect of individualized nutrition management strategy combined with continuous nursing mode in patients with cirrhosis.Methods:A total of one hundred patients with cirrhosis admitted to Department of Internal Medicine,Feixian County People's Hospital Affiliated to Shandong Medical College from January 2020 to December 2022 were selected as the study subjects,and were divided into the control group(to carry out routine in-hospital nursing combined with continuous nursing mode)and the study group(to receive individualized nutrition management strategy on the basis of the control group)with fifty cases each.The nutritional indexes,nutritional risk and nutritional status of the two groups were compared.Results:After intervention,hemoglobin levels and body mass index increased in both groups.Albumin,average arm circumference,and grip strength levels increased in the study group,and prothrombin time was shortened.Nutritional indexes in the study group were better than those in the control group(P<0.05).After the intervention,the scores of nutrition risk screening 2002 were lower in the two groups,and the study group was lower than the control group(P<0.05).After intervention,the subjective global nutrition assessment scale of the study groups improved,and the study group was better than the control group(P<0.05).Conclusion:The application of individualized nutrition management strategy combined with continuous nursing mode in patients with cirrhosis is remarkable and can improve their nutritional status.

关 键 词：肝硬化 个体化营养管理策略 延续护理模式 营养状况 

分 类 号：R473.5[医药卫生—护理学]