饮食记录法联合营养教育对学龄期克罗恩病患儿饮食质量的影响  

Effect of dietary recording combined with nutrition education on diet quality in school-age children with Crohn's disease

作　　者：罗沙 邓芳菊[1] LUO Sha;DENG Fangju(Hunan Children's Hospital,Hunan 410000 China)

机构地区：[1]湖南省儿童医院,410000

出　　处：《全科护理》2025年第7期1203-1207,共5页Chinese General Practice Nursing

摘　　要：目的:探讨饮食记录法联合营养教育对学龄期克罗恩病(CD)患儿饮食质量的影响。方法:2022年10月—2023年10月选取学龄CD患儿98例为研究对象,基于随机数表法将患儿及其照顾者分为观察组及对照组,各49例。对照组行常规营养教育,观察组在对照组基础上应用3日饮食日记记录患儿饮食状况,并根据日记内容对其实施针对性营养教育,干预时间为3个月,比较两组干预前后替代健康饮食指数(AHEI-2010)、患儿主观整体营养评估(PG-SGA)评分、疾病活动度、患儿实验室营养指标及生活质量改善情况。结果:干预后观察组AHEI-2010评分及儿童炎症性肠病生活质量量表(IMPACT-Ⅲ)评分较对照组显著提升(P<0.05),而干预后观察组儿童疾病活动度(PCDAI)问卷评分及PG-SGA评分较对照组显著下降(P<0.05),干预后观察组血清血红蛋白(Hb)、血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)较对照组显著提升(P<0.05)。结论:饮食记录法联合营养教育能有效改善CD患儿营养状况,有助于患儿病情控制,有助于患儿生活质量提升。Objective:To explore the effect of dietary recording combined with nutrition education on diet quality in school-age children with Crohn's disease(CD).Methods:From October 2022 to October 2023,a total of 98 school-age children with CD were selected as the research subjects.The children and their caregivers were divided into an observation group and a control group based on the random number table method,49 cases in each.The patients in control group received routine nutrition education,and the patients in observation group received 3-day food diary to record the children's diet status on the basis of the control group,and implemented targeted nutrition education according to the contents of the diary.The intervention time lasted for 3 months.The alternative healthy eating index(AHEI-2010),PG-SGA score,disease activity,laboratory nutrition index and quality of life were compared between the two groups before and after intervention.Results:After intervention,the scores of AHEI-2010 and IMPACT-Ⅲ in observation group were significantly higher than those in control group(P<0.05),while the scores of PCDAI and PG-SGA in observation group were significantly lower than those in control group(P<0.05).The serum hemoglobin(Hb),serum albumin(ALB),and prealbumin(PA),transferrin(TRF)of observation group were significantly improved than control group(P<0.05).Conclusion:The combination of dietary record keeping and nutritional education can effectively improve the nutritional status of children with CD,help control their condition,and enhance their quality of life.

关 键 词：饮食记录法 营养教育 学龄期 克罗恩病 饮食质量 营养状况 

分 类 号：R473.72[医药卫生—护理学]