结构性营养护理对ICU脑卒中患者免疫功能、营养状况及神经功能的影响

Effects of Structural Nutrition Care on Immune Function,Nutritional Status and Neurological Function of Stroke Patients in ICU

目的:分析结构性营养护理用于重症监护室(ICU)脑卒中患者的效果。方法:选取在商丘市第一人民医院2020年1月至2020年12月诊治的140例ICU脑卒中患者,随机分成对照组、观察组,每组70例。对照组患者进行常规护理,观察组患者给予结构性营养干预,比较两组患者护理效果。结果:护理后,观察组患者美国国立卫生研究院脑卒中量表(NIHSS)评分显著低于对照组,差异具有统计学意义(P<0.05);护理后,观察组患者总蛋白、白蛋白、血红蛋白水平均高于对照组,差异具有统计学意义(P<0.05);护理后,观察组患者CD4^(+)、CD8^(+)、白细胞介素–6(IL–6)水平均低于对照组,CD4^(+)/CD8^(+)、白细胞介素–10(IL–10)水平高于对照组,差异具有统计学意义(P<0.05);护理后,观察组患者日常饮食管理行为、饮食依从行为态度、遵医饮食行为、家属支持态度以及总分均高于对照组,差异具有统计学意义(P<0.05)。结论:对ICU脑卒中患者实施结构性的营养管理策略,能提高患者免疫功能,促进患者营养状态改善,改善神经功能。

Objective To analyze the effect of structured nutritional care in patients with stroke in intensive care unit(ICU).Methods A total of 140 ICU stroke patients diagnosed and treated in the First People's Hospital of Shangqiu from January 2020 to December 2020 were randomly divided into a control group and an observation group,with 70 patients in each group.Patients in the control group received routine nursing,patients in the observation group received structural nutrition intervention,and the nursing effect of the two groups was compared.Results After nursing,the score of National Institutes of Health stroke scale(NIHSS)in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After nursing,the levels of total protein,albumin and hemoglobin in the observation group were higher than those in the control group,with statistical significance(P<0.05).After nursing,the levels of CD4^(+),CD8^(+)and interleukin-6(IL-6)in the observation group were lower than those in the control group,and the levels of CD4^(+)/CD8^(+)and interleukin-10(IL-10)were higher than those in the control group,with statistical significance(P<0.05).After nursing,the score of daily diet management behavior,dietary compliance behavior,dietary compliance behavior,family support attitude and total score of patients in the observation group were higher than those in the control group,with statistical significance(P<0.05).Conclusion The implementation of structural nutrition management strategy for stroke patients in ICU can improve their immune function,promote their nutritional status and improve their neurological function.