家属参与在老年AECOPD患者营养风险管理中的应用

The application of family participation in nutritional risk management in elderly patients with AECOPD

目的构建家属参与在老年慢性阻塞性肺疾病急性加重期(AECOPD)患者营养风险管理方案并进行应用与效果分析。方法选取2017年6月至2019年6月收治呼吸科的老年AECOPD患者240例,随机数字表法分为对照组与试验组,每组120例。对照组基于常规护理干预,试验组接受家属参与营养风险管理干预,分别统计2组干预前及干预后营养情况、呼吸情况及生活质量。结果干预前对照组与试验组COPD患者一般资料基线齐,差异无统计学意义(P>0.05);干预后2组患者营养不良发生率、营养指标得分情况以及CAT评分差异具有统计学意义(P<0.05)。结论家属参与模式在老年AECOPD出院患者营养风险管理中发挥重要作用,能够改善患者营养状态及疾病预后,提高患者生活质量。

Objective To investigate the application and effects of family participation in nutritional risk management scheme in elderly patients with acute exacerbation chronic obstructive lung disease(AECOPD).Methods A total of 240 patients with AECOPD who were treated in our hospital from June 2017 to June 2019 were enrolled in the study,who were randomly divided into control group(n=120)and experimental group(n=120).The patients in control group were treated by conventional nursing intervention,however,the patients in experimental group were treated by the nutrition risk management intervention participated by the family members of patients.The nutritional status,respiratory status and quality of life before and after the intervention were observed and compared between the two groups.Results Before intervention,there were no significant differences in the baseline data between the two groups(P>0.05).After the intervention,there were significant differences in the incidence of malnutrition,nutritional index scores,and CAT scores between the two groups(P<0.05).in the baseline data between the two groups(P>0.05).Conclusion The family participation mode plays an important role in nutritional risk management for elderly patients with AECOPD,which can improve the nutritional status and disease prognosis as well as the life quality of patients.