追踪护理模式对异基因造血干细胞移植患者营养状况的影响

The effect of follow-nursing model in the nutritional conditions of allogeneic hematopoietic stem cell transplantation patients

目的 探讨追踪护理模式对异基因造血干细胞移植（allo-HSCT）患者营养状况的影响.方法 选取2015年1月至2016年12月接受allo-HSCT的80例患者为研究对象.将80例患者按随机数字表法分为观察组和对照组各40例.给予对照组患者常规护理,给予观察组患者追踪护理.护理3个月后对比2组患者的主观综合性营养评价量表（SGA）分级评定、各项血液指标和各项人体测量学指标.结果 追踪护理后观察组患者营养不良发生率为52.5%（21/40）,而对照组患者营养不良发生率为77.5%（31/40）,2组比较差异有统计学意义（χ2=4.451,P〈0.05）.护理后观察组患者的体质量指数、肱三头肌皮褶厚度、上臂肌围、白蛋白、前白蛋白、血红蛋白显著高于对照组,2组比较差异有统计学意义（t=2.599~36.481,P〈0.05或0.01）.结论 给予allo-HSCT患者追踪护理模式较常规护理模式能够提高患者的营养状况,改善患者各项身体指标.

Objective To explore the effect of follow-nursing model in the nutritional conditions of allogeneic hematopoietic stem cell transplantation（allo-HSCT）patients. Methods Eighty patients who underwent allo- HSCT from January 2015 to December 2016 were enrolled and divided into the observation group（40 cases）and the control group（40 cases）by random digit table.The observation group was treated with follow-nursing model, while the control group was treated with regular nursing. The Subjective Global Assessment （SGA）, hematologic indexes and other body measurement indexes of the two cohorts were assessed three months later. Results The incidence of malnutrition in the observation group was 52.5%（21/40）,compared to the control group with 77.5%（31/40）（χ2=4.451,P〈0.05）.The indexes including body mass index, triceps skin fold, arm muscle circumference, albumin, prealbumin and hemoglobin in the observation group were obviously higher than the control group with statistical significance （t=2.599-36.481, P〈0.05 or 0.01）. Conclusions The follow-nursing model may improve the nutritional conditions and some other body indexes of allo-HSCT patient compared to regular nursing model.