| 董桂平,张朝辉,胡睿,潮凤,刘柳,李瑜,虎丹丹.基于微型营养评定法的营养评估及干预在老年住院慢性病患者中的应用[J].中国临床保健杂志,2019,22(2):229-232. |
| 基于微型营养评定法的营养评估及干预在老年住院慢性病患者中的应用 |
| Based on micro nutrition evaluation method for nutritional assessment and intervention in the application of the hospitalized elderly patients with chronic diseases |
| 投稿时间：2019-01-20 |
| DOI：10.3969/J.issn.1672-6790.2019.02.022 |
| 中文关键词: 营养评价 营养支持 生活质量 慢性病 老年人 |
| 英文关键词: Nutrition assessment Nutritional support Quality of life Chronic disease Aged 〖FL |
| 基金项目:安徽省自然科学基金(1508085QH165) |
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| 中文摘要: |
| 目的 通过微型营养评定法(MNA)评价老年住院慢性病患者营养状况,探讨营养支持及护理干预在老年住院慢性病患者中的应用效果。 方法 选取慢性病患者54例,运用MNA进行营养评估,根据评估结果对于存在营养风险的患者给予营养支持和护理干预,比较干预前及干预后第2周MNA分值及日常生活能力评估分值(Barthel指数)、血清白蛋白(ALB)、前白蛋白(PAB)、血红蛋白(HGB)、体质指数(BMI)、上臂围、小腿围、患者利手握力等变化。 结果 运用MNA对住院老年慢性病患者进行营养风险评估并给予个性化营养支持与护理方案,结果显示:干预前后MNA总分、Barthel指数、PAB、利手握力、BMI、上臂围、小腿围结果比较差异均有统计学意义(P＜0.05)。营养总风险率由干预前68.52%下降到干预后46.29%。 结论 MNA可及时发现老年住院慢性病患者存在的营养风险,有利于临床针对性的采取相应的营养支持与护理干预措施,可以降低住院老年慢性病患者的营养风险,提高老年住院慢性病患者的生活质量。 |
| 英文摘要: |
| Objective To appraise the nutritional status of hospitalized elderly patients with chronic disease by mini nutritional assessment(MNA),and to investigate the effect of nutritional support and nursing intervention on nutritional risks of hospitalized elderly patients with chronic disease. Methods Fifty hospitalized elderly patients with chronic disease were selected for nutritional assessment using MNA,and nutritional support and nursing intervention were given to patients with nutritional risk according to the assessment results.Then the MNA,Barthel,ALB,PAB,HGB,BMI,arm girth,calf circumference and hand grip strength of patients before and 2 weeks after intervention were compared. Results MNA was used to assess the nutritional risk of inpatients with chronic diseases and provide personalized nutritional support and nursing programs.The results showed that the MNA total score,Barthel index,PAB,handiwork strength,BMI,upper arm circumference and calf circumference before and after the intervention were statistically significant (P<0.05).The rate of nutritional risks fell to 46.29 percent after intervention from 68.52 percent before intervention. Conclusion MNA can timely detect the nutritional risks of hospitalized elderly patients with chronic disease,which is conducive to the clinical targeted adoption of corresponding nutritional support and nursing intervention measures,and can reduce nutritional risks of hospitalized elderly patients with chronic disease and improve the quality of life for patients of elderly inpatients with chronic diseases.. |
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