基于微型营养评定法结合多学科营养护理对老年股骨粗隆骨折患者的影响  

Effect of micro nutritional assessment combined with multidisciplinary nutrition nursingon elderly patients with intertrochanteric fractures of the femur

作　　者：吴婷婷 陈秀榕 洪海森[1] WU Tingting;CHEN Xiurong;HONG Haisen(Department of Orthopedics,The 909th Hospital/Dongnan Hospital of Xiamen University,Zhangzhou,Fujian 363000,China;Department of Anesthesiology,The 909th Hospital/Dongnan Hospital of Xiamen University,Zhangzhou,Fujian 363000,China)

机构地区：[1]第九〇九医院/厦门大学附属东南医院骨科,福建漳州363000 [2]第九〇九医院/厦门大学附属东南医院麻醉科,福建漳州363000

出　　处：《现代医药卫生》2025年第3期716-720,共5页Journal of Modern Medicine & Health

摘　　要：目的 探讨应用微型营养评定法(MNA)结合多学科营养护理对老年股骨粗隆骨折患者的临床干预效果。方法 选取该院骨科择期手术100例老年股骨粗隆骨折患者作为研究对象,选取2022年1-9月收治的50例患者作为对照组,选取2022年10月至2023年6月收治的50例患者作为干预组。对照组予以常规饮食护理,干预组予以MNA结合多学科营养护理。比较2组患者术中手术时间、手术出血量,使用MNA营养状况评估营养不良的风险、体重、身体质量指数情况,比较2组患者术后1 d、术后2周、术后1个月、术后3个月血液生化指标(血红蛋白、总白蛋白)、康复效果(下床时间及骨折愈合时间)和生活质量改善情况。结果 干预组患者在术后1 d、术后2周、术后1个月、术后3个月血红蛋白、总白蛋白复查结果均明显高于对照组,差异均有统计学意义(P<0.05)。干预组患者术后3个月生活质量、身体情况均优于对照组,差异均有统计学意义(P<0.05)。干预组患者营养不良和营养不良风险发生率均低于对照组,差异均有统计学意义(P<0.05)。干预组患者骨折愈合及下床时间均明显少于对照组,差异均有统计学意义(P<0.05)。结论 应用微型营养评定法结合多学科营养护理在老年股骨粗隆骨折患者中有助于提高患者的营养状况、血红蛋白及总白蛋白和康复效果,提高患者生活质量。Objective To investigate the clinical intervention effect of micro-nutrition assessment(MNA)combined with multidisciplinary nutrition nursing in elderly patients with femoral trochanteric fractures.Methods A total of 100 elderly patients with trochanteric fracture of the femur undergoing elective surgery in our hospital were selected as the study objects,50 patients admitted from January 2022 to September 2022 were selected as the control group,50 patients admitted from October 2022 to June 2023 were selected as the intervention group.The control group was given routine diet nursing,and the intervention group was given MNA combined with multidisciplinary nutrition nursing.Intraoperative time and amount of blood loss were compared between the two groups.MNA nutritional status was used to evaluate the risk of malnutrition,body weight and body mass index.Blood biochemical indexes(hemoglobin and total albumin)were compared between the two groups 1 day,2 weeks,1 month and 3 months after surgery.Assessment of rehabilitation effects(time out of bed and time to fracture healing)and European Quality of Life Scale.Results The changes in hemoglobin and albumin after 1 day and after 2 weeks,1 month,and 3 months of routine nursing or multidisciplinary nursing were compared,and the improvement of the multidisciplinary nursing group was significantly higher than that of the conventional nursing group,the difference was statistically significant(P<0.05).Comparing the quality of life,physical condition,and nutritional status of the two groups before and after surgery,the quality of life of the control group had significant statistical significance(P<0.05).In contrast,the intervention group had no significant decline.Regarding postoperative efficacy,postoperative time of getting out of bed,and fracture healing,the intervention group had obvious advantages over the control group in healing(P<0.05).Conclusion The application of micro-nutrition assessment combined with multidisciplinary nutrition nursing in elderly patients with femo

关 键 词：微型营养评定法 老年股骨粗隆骨折 多学科营养护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]