基于循证护理的肠内营养支持在克罗恩病患者中的应用效果

Application effect of enteral nutrition support on the basis of evidence-based nursing care in Crohn′s disease patients

目的探讨基于循证护理的肠内营养支持在克罗恩病的应用效果。方法选取2019年5月至2020年5月福建医科大学附属第一医院收治的120例克罗恩病患者作为研究对象,采用随机数字表法将其分为对照组(60例)和观察组(60例)。对照组采用常规护理,观察组采用常规护理联合基于循证护理的肠内营养支持。比较两组的营养状况、生活质量及不良反应发生情况。结果观察组的血清前白蛋白(PA)、白蛋白(Alb)、血红蛋白(Hb)水平高于对照组,观察组的体重减少量少于对照组,差异均有统计学意义(P<0.05)。观察组的生活质量评分高于对照组,观察组的不良反应总发生率低于对照组,差异均有统计学意义(P<0.05)。结论基于循证护理的肠内营养支持在CD的治疗有较好的应用效果,能改善患者机体营养状态,且不良反应较少,利于提高患者的生活质量。

Objective To explore the application effect of enteral nutrition support on the basis of evidence-based nursing care in Crohn′s disease patients.Methods A total of 120 cases diagnosed with Crohn′s disease in the First Affiliated Hospital of Fujian Medical University from May 2019 to May 2020 were selected.Patients were divided into the control group(60 cases)and the observation group(60 cases)by random number table method.The control group received routine nursing and the observation group received enteral nutrition support based on evidence-based nursing.The nutritional status,quality of life and adverse reactions of the two groups were compared.Results The levels of serum prealbumin(PA),albumin(Alb)and hemoglobin(Hb)in the observation group were higher than those of in the control group,the weight loss in the observation group was less than that in the control group,the differences were statistically significant(P<0.05).The quality of life score in the observation group was higher than that in the control group,the total incidence of adverse reactions in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Enteral nutrition support on the basis of evidence-based nursing care in Crohn′s disease patients is effective,which improve the nutritional status of patients,reduce the risk of adverse reactions and improve the quality of life.