营养状态调查联合微信平台干预在溃疡性结肠炎患儿中的应用效果

Effects of nutritional status investigation combined with WeChat platform intervention in ulcerative colitis children

目的观察营养状态调查联合微信平台干预对溃疡性结肠炎(UC)患儿营养质量、体重和疾病复发率的影响。方法选取济宁医学院附属医院收治的96例UC患儿为研究对象,以2017年1—12月的48例患儿为对照组,以2018年1—12月的48例患儿为观察组。对照组予以常规随访干预,观察组在其基础上给予营养状态调查联合微信平台干预,比较两组患儿家属干预前与干预6个月后疾病认知与儿童营养认知水平、严格执行医嘱与纠正宠溺患儿习惯所占比例、家属护理满意度,并观察两组患儿干预前与干预3周后营养生化指标,干预前与干预6个月后饮食摄入与营养状况、BMI、腰椎骨密度(BMD),6个月内患儿疾病复发率。结果干预6个月后,观察组患儿家属疾病认知与儿童营养认知水平、患儿家属严格执行医嘱、纠正宠溺患儿习惯所占比例、总护理满意度、每日蛋白质、脂肪、糖类以及能量摄入量、BMI、BMD均高于对照组,营养状况分级明显优于对照组,差异均有统计学意义(P<0.05);干预3周后,观察组患儿血清血清白蛋白、前白蛋白水平高于对照组,差异均有统计学意义(P<0.05)。结论营养状态调查联合微信平台干预可提高UC患儿家属疾病与儿童营养认知水平,可促使患儿家属严格执行医嘱,有效改善UC患儿营养状态、体重与生长情况,降低疾病复发风险,提高护理满意度,值得临床推广。

Objective To explore the effects of nutritional status investigation combined with WeChat platform intervention on nutritional quality,weight and disease recurrence rate of ulcerative colitis(UC)children.Methods A total of 96 UC children were selected in Affiliated Hospital of Jining Medical University.From January to December 2017,48 children were included in control group.From January to December 2018,48 children were included in observation group.Control group carried out routine follow-up.On the basis of that in control group,observation group implemented nutritional status investigation combined with WeChat platform intervention.We compared the disease cognition,children's nutrition cognition,ratio of strictly implementing doctor's advice and correcting the habit of doting on children,family members'nursing satisfaction among children's patients between two groups before intervention and 6 months after intervention.Besides,we observed the nutritional biochemical indexes before intervention and three weeks after intervention,and dietary intake as well as nutritional status,body mass index(BMI),bone mineral density(BMD)before intervention and 6 months after intervention,and disease recurrence rate of children within 6 months.Results A total of 6 months after intervention,the disease cognition,children's nutrition cognition,ratio of strictly implementing doctor's advice and correcting the habit of doting on children,nursing satisfaction among children's patients,and daily protein,fat,sugar as well as energy intake,BMI and BMD in observation group were higher than those in control group with statistical differences(P<0.05).Three weeks after intervention,serum albumin and prealbumin of children in observation group were higher than those in control group with statistical differences(P<0.05).Conclusions Nutritional status investigation combined with WeChat platform intervention can improve the disease and children's nutrition cognition of UC children's patients,promote them to strictly implement doctor's advice,and improve UC children's nutritional status,weight and growth,and reduce the risk of disease recurrence,and enhance nursing satisfaction which is worth to be used widely in clinical application.