运用营养风险筛查2002指导护理干预在腹部手术患者中的应用

Application of nutritional risk screening 2002 to guide nursing intervention in patients with abdominal surgery

目的探讨运用营养风险筛查2002(NRS2002)指导护理干预在腹部手术患者中的应用效果。方法选取2016年3月至2017年3月首都医科大学附属北京友谊医院收治的104例腹部手术患者作为研究对象,按照随机数字表法分为对照组和观察组,每组52例。对照组采用常规护理方法,观察组在对照组基础上采用NRS2002指导护理干预,比较两组NRS2002评分、营养风险筛查阳性率、临床指标(营养干预时间、住院时间)、护理满意度评分、营养指标(血清前清蛋白、清蛋白)及营养相关并发症发生情况。结果出院时,观察组NRS2002评分[(2.63±0.47)分]低于入院时[(4.72±0.62)分],且观察组低于对照组[(4.01±0.54)分],差异有统计学意义(P<0.05)。观察组营养风险筛查阳性率为36.54%,低于对照组的67.31%,差异有统计学意义(P<0.05)。观察组营养干预时间、住院时间均短于对照组,护理满意度评分高于对照组,差异有统计学意义(P<0.05)。出院时,观察组血清前清蛋白、清蛋白水平均高于入院时,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组营养相关并发症发生率为21.15%,低于对照组的40.38%,差异有统计学意义(P<0.05)。结论营养风险筛查NRS2002指导护理干预应用于腹部手术中,可改善患者术后营养状态,减少患者术后营养不良的发生,降低营养风险筛查阳性率和营养相关并发症发生率,缩短住院时间,提高患者护理满意度。

Objective To explore the application of nutritional risk screening 2002(NRS2002)to guide nursing intervention in patients with abdominal surgery.Methods 104 patients with abdominal surgery admitted to Beijing Friendship Hospital,Capital Medical University from March 2016 to March 2017 were selected as the research subjects,and they were divided into control group and observation group according to the random number table method,with 52 cases in each group.The control group was given routine nursing method,and the observation group was given NRS2002 guidance intervention nursing method,the NRS2002 score,positive rate of nutritional risk screening,clinical indicators(nutrition intervention time,hospitalization time),nursing satisfaction score,nutritional indicators(serum prealbumin,albumin)and the occurrence of nutrition-related complications were compared between the two groups.Results At discharge,the NRS2002 score of the observation group([2.63±0.47]scores)was lower than([4.72±0.62]scores)at admission and the observation group was lower than([4.01±0.54]scores)of the control group,and the difference was statistically significant(P<0.05).The positive rate of nutritional risk screening in the observation group was 36.54%,which was lower than 67.31%in the control group,and the difference was statistically significant(P<0.05).The nutritional intervention time and hospitalization time in the observation group were shorter than those in the control group,and the nursing satisfaction score was higher than that in the control group,and the difference was statistically significant(P<0.05).At discharge,the levels of serum prealbumin and albumin in the observation group were higher than those at admission,and observation group was higher than the control group,and the difference was statistically significant(P<0.05).The incidence of nutrition-related complications in the observation group was 21.15%,which was lower than 40.38%in the control group,and the difference was statistically significant(P<0.05).Conclusion NRS2002 guided nursing intervention in abdominal surgery,which can improve postoperative nutritional status of patients,reduce postoperative malnutrition,and reduce the positive rate of nutritional risk screening and the incidence of nutrition-related complications,reduce the hospitalization time and improve patient satisfaction.