营养教育在腹主动脉瘤患者根治术后的临床应用

The clinical application value of nutrition education in patients with abdominal aortic aneurysm after radical resection

目的探讨营养教育在腹主动脉瘤患者根治术中的应用价值。方法选取2017年10月至2019年10月青岛市市立医院收治的行根治术的腹主动脉瘤患者96例,采用随机数字表法分为对照组(48例,行常规护理)和观察组(48例,行常规护理联合营养教育),比较两组康复效果、营养指标和生活质量,另参照焦虑自评量表(SAS)和抑郁自评量表(SDS)判定患者心理状态。结果观察组首次排气时间、下床活动时间和住院时间短于对照组,心理状态评分低于对照组,依从性和生活质量综合评定问卷评分高于对照组,差异有统计学意义(P<0.05);观察组患者体重为(68.16±6.32)kg,体质指数为(23.02±0.54)kg/m^(2),血清白蛋白水平为(37.2±2.4)g/L,血清转铁蛋白水平为(2.45±0.36)g/L,血清前白蛋白水平为(267.27±25.12)mg/L,总铁结合力为(56.17±6.24)μmol/L,高于对照组的(64.32±5.44)kg、(21.72±0.78)kg/m^(2)、(32.1±1.8)g/L、(2.16±0.32)g/L、(215.12±22.26)mg/L和(50.34±5.21)μmol/L,差异有统计学意义(P<0.05)。结论在腹主动脉瘤患者根治术中联合营养教育可促进患者术后康复,对患者负面情绪有缓解作用,可提高患者依从性,改善营养不良状态,促进生活质量的提升。

Objective To investigate the application value of nutrition education in the radical operation of abdominal aortic aneurysm.Method 96 patients with radical surgery from Qingdao Municipal Hospital from October 2017 to October 2019 were selected,by control group(48 cases,routine care)and the observation group(48 cases,routine nursing combined nutrition education),comparing the rehabilitation effects,nutritional indicators and quality of life between the two groups,referring also to the anxiety self⁃assessment scale(SAS)and depression self⁃rating scale(SDS)determines the patient's psychological status.Result The first exhaust time,off⁃bed activity time and hospitalization time in the observation group were shorter than those in the control group.Mental state scores were lower than in the control group,the compliance and GQOLI⁃74 scores were higher than those in the controls.The difference was statistically significant(P<0.05),the weight of the observation group was(68.16±6.32)kg,the BMI was(23.02±0.54)kg/m^(2),the serum albumin level was(37.2±2.4)g/L,and the serum transferrin level was(2.45±0.36)g/L,the serum prealbumin level is(267.27±25.12)mg/L,and the total iron binding capacity is(56.17±6.24)μmol/L,which are higher than the control group(64.32±5.44)kg and(21.72±0.78)kg/m^(2),(32.1±1.8)g/L,(2.16±0.32)g/L,(215.12±22.26)mg/dl and(50.34±5.21)μmol/L,the difference was statistically significant(P<0.05).Conclusion The application of nutrition education in the radical operation of abdominal aortic aneurysm patients can promote patients'postoperative rehabilitation,relieve the negative emotions of patients,improve patient compliance,improve malnutrition,promote the improvement of quality of life.