目的探讨标准个性化营养护理在老年衰弱患者治疗后营养及免疫功能的改善效果。方法选取2020年10月至2022年8月苏州市相城人民医院收治的老年衰弱患者80例,分为干预组与对照组,每组40例。其中对照组予以常规营养护理,观察组干预组予以标...目的探讨标准个性化营养护理在老年衰弱患者治疗后营养及免疫功能的改善效果。方法选取2020年10月至2022年8月苏州市相城人民医院收治的老年衰弱患者80例,分为干预组与对照组,每组40例。其中对照组予以常规营养护理,观察组干预组予以标准个性化营养护理,对比两组干预前、干预后营养状态、免疫功能及不良事件发生情况。结果干预前观察组干预组血清总蛋白(Serum Total Protein,STP)、血清前白蛋白(Prealbumin,PA)、转铁蛋白(Transferrin,TRF)、Fried衰弱表型(Fried's Cardiovascular Health Study Index,CHS Index)评分、微型营养评估表(Mini-Nutritional Assessment,MNA)评分、5次座椅站立试验时间、免疫球蛋白A(Immunoglobulin A,IgA)、免疫球蛋白M(Immunoglobulinm M,IgM)、免疫球蛋白G(Immunoglobulin G,IgG)差异无统计学意义;干预后STP、PA、TR、MNA评分、IgA、IgM、IgG分高于干预前,干预组高于对照组,差异有统计学意义(P<0.05);干预后CHS Index评分、5次座椅站立试验低于干预前,观察组干预组低于对照组,差异有统计学意义(P<0.05);干预组不良事件发生率(2.50%)低于对照组(20.00%),差异有统计学意义(P<0.05)。结论标准个性化营养护理能够提高老年衰弱患者治疗后营养,改善其免疫水平,降低不良事件的发生。展开更多
Nowadays, there exist various standards for individual management systems （MSs）, at least, one for each stakeholder. New ones will be published. An integrated management system （IMS） aims to integrate some or all ...Nowadays, there exist various standards for individual management systems （MSs）, at least, one for each stakeholder. New ones will be published. An integrated management system （IMS） aims to integrate some or all components of the business into one coherent and efficient MS. Maximizing integration is more and more a strategic priority in that it constitutes an opportunity to eliminate and/or reduce potential factors of destruction of value for the organizations and also to be more competitive and consequently promote its sustainable success. A preliminary investigation was conducted on a Portuguese industrial company which, over the years, has been adopting gradually, in whole or in part, individualized management system standards （MSSs）. A research, through a questionnaire, was performed with the objective to develop, in a real business environment, an adequate and efficient IMS-QES （quality, environment, and safety） model and to potentiate for the future a generic IMS model to integrate other MSSs. The strategy and research methods have taken into consideration the case study. It was obtained a set of relevant conclusions resulting from the statistical analyses of the responses to the survey. Globally, the investigation results, by themselves, justified and prioritized the conception of a model of development of the IMS-QES and consequent definition and validation of a structure of an IMS-QES model, to be implemented at the small- and medium-sized enterprise （SME） where the investigation was conducted.展开更多
文摘目的探讨标准个性化营养护理在老年衰弱患者治疗后营养及免疫功能的改善效果。方法选取2020年10月至2022年8月苏州市相城人民医院收治的老年衰弱患者80例,分为干预组与对照组,每组40例。其中对照组予以常规营养护理,观察组干预组予以标准个性化营养护理,对比两组干预前、干预后营养状态、免疫功能及不良事件发生情况。结果干预前观察组干预组血清总蛋白(Serum Total Protein,STP)、血清前白蛋白(Prealbumin,PA)、转铁蛋白(Transferrin,TRF)、Fried衰弱表型(Fried's Cardiovascular Health Study Index,CHS Index)评分、微型营养评估表(Mini-Nutritional Assessment,MNA)评分、5次座椅站立试验时间、免疫球蛋白A(Immunoglobulin A,IgA)、免疫球蛋白M(Immunoglobulinm M,IgM)、免疫球蛋白G(Immunoglobulin G,IgG)差异无统计学意义;干预后STP、PA、TR、MNA评分、IgA、IgM、IgG分高于干预前,干预组高于对照组,差异有统计学意义(P<0.05);干预后CHS Index评分、5次座椅站立试验低于干预前,观察组干预组低于对照组,差异有统计学意义(P<0.05);干预组不良事件发生率(2.50%)低于对照组(20.00%),差异有统计学意义(P<0.05)。结论标准个性化营养护理能够提高老年衰弱患者治疗后营养,改善其免疫水平,降低不良事件的发生。
基金Acknowledgements： This work had the financial support of the Portuguese National Science Foundation （FCT） through the Research Unit, UI 4005, Project Reference PEst-OE/EME/UI4005/2011.
文摘Nowadays, there exist various standards for individual management systems （MSs）, at least, one for each stakeholder. New ones will be published. An integrated management system （IMS） aims to integrate some or all components of the business into one coherent and efficient MS. Maximizing integration is more and more a strategic priority in that it constitutes an opportunity to eliminate and/or reduce potential factors of destruction of value for the organizations and also to be more competitive and consequently promote its sustainable success. A preliminary investigation was conducted on a Portuguese industrial company which, over the years, has been adopting gradually, in whole or in part, individualized management system standards （MSSs）. A research, through a questionnaire, was performed with the objective to develop, in a real business environment, an adequate and efficient IMS-QES （quality, environment, and safety） model and to potentiate for the future a generic IMS model to integrate other MSSs. The strategy and research methods have taken into consideration the case study. It was obtained a set of relevant conclusions resulting from the statistical analyses of the responses to the survey. Globally, the investigation results, by themselves, justified and prioritized the conception of a model of development of the IMS-QES and consequent definition and validation of a structure of an IMS-QES model, to be implemented at the small- and medium-sized enterprise （SME） where the investigation was conducted.
