主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (12): 1678-1681.doi: 10.3969/j.issn.1672-1756.2018.12.019

• • 上一篇    

延续性营养护理服务对改善老年卧床患者营养状况的效果

卢少萍;徐永能;任晓晓;李远红;李绣球;黄巧   

  1. 广东省医学科学院,广东省人民医院,广东省老年医学研究所办公室,510080 广州市(卢少萍);综合科(徐永能,黄巧);康复科(任晓晓,李绣球);营养科(李远红)
  • 发布日期:2019-01-07
  • 基金资助:
    广东省科技计划项目(2012B040301039)

The effects of continuous nutrition nursing on the nutritional status of elderly bedridden patients at home

  • Published:2019-01-07

摘要: 目的:评价延续性营养护理服务对改善老年卧床患者营养状况的效果。方法:选取2016年1-12月在我院出院的老年卧床患者为研究对象,按出院时间顺序奇数号为实验组(n=58),偶数号为对照组(n=55);对照组患者及其照顾者接受常规出院指导和电话随访等护理服务,实验组在对照组的基础上接受延续性营养护理服务;持续干预6个月,在出院时,出院后3个月、6个月时采用微型营养评估量表(Mini-nutritional Assessment,MNA)对两组患者进行营养状况评估。结果:出院时,两组患者营养状况的差异无统计学意义;在出院后3个月、6个月时,两组患者营养状况的差异均有统计学意义(P<0.05),实验组患者营养不良发生率均低于对照组。结论:延续性营养护理服务有助于改善老年卧床患者的营养状况。

关键词: 老年;卧床患者;营养;延续护理;健康教育

Abstract: Objective: To evaluate the effects of continuous nutritionnursing on the nutritional status of elderly bedridden patients at home. Methods: The 120 elderly bedridden patients who were discharged from our hospital from January to December 2016 were divided into two groups by hospitalization time. According to the order of discharge time, the odd number was the experimental group (n=58) and the even number was the control group (n=55). In the control group, the patients and their caregivers were given routine continuous nursing services, such as diet education guidance and telephone follow-up.In the experimental group, the patients and their caregivers were given continuous nutrition care.Continuous intervention last for 6 months.At the time of discharge, 3 months and 6 months after discharge, the nutritional status of the two groups was evaluated with the micro nutrition assessment MNA (mini-nutritional assessment) scale. Results: At the time of discharge, there was no significant difference in the distribution of nutritional status between the two groups, and at 3 and 6 months after discharge, there was a significant difference in the distribution of nutritional status between the two groups (P<0.05). The incidence of malnutrition in the trial group was lower than that in the control group. Conclusion: Continuous nutrition nursing can improve the nutritional status of elderly bedridden patients.

Key words: elderly; bedridden patients; nutrition; continuous nursing; health education