Sex differences in the association between the muscle quality index and the incidence of depression: A cross-sectional study

BACKGROUND Depression presents significant challenges to mental health care.Although phy-sical activity is highly beneficial to mental and physical health,relatively few stu-dies have conducted on the relationship between them.AIM To investigate the association between muscle quality index(MQI)and incidence of depression.METHODS The data used in this cross-sectional study were obtained from the 2011-2014 National Health and Nutritional Examination Survey,which included informa-tion on MQI,depression,and confounding factors.Multivariable logistic regre-ssion models were employed,while taking into account the complex multi-stage sampling design.A restricted cubic spline model was utilized to investigate the non-linear relationship between the MQI and depression.Additionally,subgroup analyses were performed to identify influential factors.RESULTS The prevalence of depression in this population was 8.44%.With the adjusted model,the MQI was associated with depression in females(odds ratio=0.68,95%confidence interval:0.49-0.95)but not in males(odds ratio=1.08,95%confidence interval:0.77-1.52).Restricted cubic spline adjustment of all covariates showed a significant negative non-linear relationship between depression and the MQI in females.The observed trend indicated an 80%decrease in the risk of depression for each unit increase in MQI,until a value of 2.2.Subsequently,when the MQI exceeded 2.2,the prevalence of depression increased by 20%for every unit increase in the MQI.Subgroup analyses further confirmed that the MQI was negatively associated with de-pression.CONCLUSION The MQI was inversely correlated with depression in females but not males,suggesting that females with a higher MQI might decrease the risk of depression.

Effects of Compound Herbal Medicine on Serum Biochemical Indexes and Egg Nutritional Quality in Laying Hens

[ Objective] To investigate the effects of traditional Chinese medicine compound preparation on serum biochemical indexes and egg nutri- tional quality of laying hens. [Method] A total of 1 200 chickens at the age of 44 weeks were selected and randomly divided into five groups. After administration with different dosages of astragalus polysaccharides and berberine for 9 weeks, serum biochemical indexes were determined and nu- trient contents of egg were detected. [ ltesultl The contents of total protein, globulin, high-density lipoprotein cholesterol （HDL-C） and alkaline phosphatase （ALP） in all treatment groups were significantly （ P 〈 0.05 or 0.01 ） higher than those in the control group. The cholesterol contents of all treatment groups were significantly （ P 〈 0.05 or 0.01 ） lower than those of the control group. E Conclusion~ The optimal concentrations of as- tragalus polysacchaddes and berberine in basic diets are 200 and 30 mg/kg, respectively.

Head and Neck Cancer Early Identification of Malnutrition High Risk Patients and Quality of Life Optimization

Malnutrition in Head and neck cancer (HNC) patients can be present at the moment of diagnosis. The nutritional status is determinant for the treatment success and quality of life of the patients. The nutritional status gradually declines during treatment and the majority of patients undergoing treatment will need nutritional therapy. On the other hand, HNC, like other cancers, can induce a paraneoplastic syndrome that leads to cachexia. This cachexia status is most of the times the cause of death or the cause of treatment failure. So, early identification of malnutrition high risk patients is crucial to start an adequate nutrition support intervention in HNC patients. This study aims to identify HNC patients who present malnutrition or higher risk of malnutrition;to signalize variables that support early identification of high-risk patients of becoming malnourished and to establish a dynamic relationship between malnutrition risk in these patients and Quality of Life (QoL) impacts. For six months consecutive outpatients with HNC admitted at the Head & Neck Unity of Oncology Portuguese Institute—Porto were asked to participate in the research (n = 114). The European Organisation for Research and Treatment of Cancer (EORTC) cancer-specific HRQoL questionnaire-QLQ-C30 and Malnutrition Universal Screening Tool, MUST were used. At the moment of first presentation, 32 patients (28.1%) presented high-risk of malnutrition. HNC patients with oral cavity and oropharynx tumour locations, older, with low literacy or with BMI under 18.5 at the moment of diagnosis, represent a high-risk group. When HNC is considered, a dynamic and bi-directional connection between malnutrition and QoL is observed. A significant (p Emotional and social functional scales and all symptom scales—including pain, presented significant differences between high and medium risk of malnutrition patients. Fatigue, pain, insomnia, appetite loss and financial difficulties were domains directly related to high risk of malnutrition patients. Pain scores were significantly higher (43.23) in the high-risk patients when compared to medium risk patients (11.67). Nutrition support should be considered at any stage of the pathway —especially in high risk group—in order to optimize tumour treatment results, reduction of adverse effects of therapy and improving both QoL and survival.

Malnutrition and Quality of Life in Chinese Cancer Patients: a Clinical Study of 23,994 Subjects

Background Malnutrition is common in patients with cancer,and can negatively impact their quality of life(QoL)and even survival.However,there is currently no large data available on the prevalence of malnutrition in Chinese cancer patients.This study evaluated the prevalence of malnutrition and the QoL of Chinese patients with locoregional,recurrent or metastatic cancer.Methods We conducted a nationwide observational,multi-center,hospital-based cross-sectional study within the Chinese Society of Nutritional Oncology(CSNO)Network.All of the patients were diagnosed with one of the following 18 different types of malignant tumors:lung cancer,gastric cancer,liver cancer,colorectal cancer,breast cancer,esophageal cancer,cervical cancer,endometrial cancer,nasopharyngeal carcinoma,malignant lymphoma,leukemia,pancreatic cancer,ovarian cancer,prostate cancer,bladder cancer,brain cancer,biliary tract malignant tumors or gastrointestinal stromal tumors.These patients were enrolled from 72 hospitals located in different regions of China.The patients’nutritional status was evaluated based on the body mass index(BMI),loss of bodyweight,laboratory measurements and patient generated-subjective global assessment(PG-SGA)scores.The cancer patients’physical status and QoL were assessed by the Karnofsky Performance Status(KPS)questionnaire and the European Organization for Research and Treatment of Cancer(EORTC)QLQ-C30 questionnaire,respectively.Results From December 2013 to April 2016,23,994 patients hospitalized for cancer treatment(such as surgery,chemotherapy or radiotherapy)were enrolled in the study.The patients included 12,494(52.9%)males and 11,124(47.1%)females.The mean age was 55.8±13.7 years.The proportions of patients in cancer stagesⅠ,Ⅱ,Ⅲ,Ⅳand uncertain were 11.5%,20.3%,27.5%,30.2%and 10.5%,respectively.Among the 23,994 inpatients,the proportions of patients who were underweight(BMI<18.5 kg/m2),normal(18.5 kg/m2<BMI<24 kg/m2),overweight(24 kg/m2≤BMI<28 kg/m2)and obese(BMI≥28 kg/m2)were 9.3%,59.9%,26.1%and 4.7%,respectively.A total of 18.3%(4,101/22,424)of patients had lost 5%or more of their bodyweight within the past month and 19.6%(2,463/12,538)of patients had lost 10%or more of their bodyweight within the past 6 months.According to the PG-SGA scores,26.6%of the patients were severely malnourished(score≥9),31.3%were moderately malnourished(scores 4~8).A total of 22.2%of patients had a serum albumin level lower than 35g/L.Only 8.6%(2056/23,991)of the patients had severe KPS scores(≤60).The patients with these severe KPS scores were most frequently among those with cancers of the brain(19.7%),prostate(18.0%),pancreas(15.5%)and bladder(15.0%).Based on the QLQ-C30 score,11.6%of patients had a poor QoL.The PG-SGA score and global QoL were correlated(r=-0.593,P<0.001).Conclusion The prevalence of malnutrition in patients with cancer is relatively high,and is related to a poorer QoL.The present findings should be kept in mind when assessing cancer patients,because addressing the patient’s problems in nutritional status would be expected to improve both the clinical outcomes and QoL in cancer patients with malnutrition.

Effects of Seed Dressing with Microbial Inoculum on Nutrient Composition and Biological Yield of Silage Corn

[Objectives]This study was conducted to understand the effects of microbial inocula on the biological yield and nutritional components of corn.[Methods]Silage corn varieties suitable for planting in Hebei Province were selected,and set with an experimental group and a control check group each.Meanwhile,at the late stage of milk ripening of silage corn growth cycle,the nutritional components and indexes of silage corn were determined and analyzed by a near-infrared analyzer and the NIRS technique.Meanwhile,the biological yield of silage corn was determined at the maturation stage of its growth period,aiming at comprehensively evaluating the regulation effects of the microbial inoculum tested on silage corn from the aspects of basic nutritional components,mineral element contents,energy and related indexes of corn,combined with agronomic characters and biological yield.[Results]The microbial inoculum improved the biological yield and nutritional indexes of silage corn,and had a positive regulation effect on the growth of silage corn.[Conclusions]The results of this study provide a theoretical basis for popularizing the planting methods and cultivation methods of silage corn with high yield and high quality.

追踪营养护理在老年结直肠癌手术患者中的应用效果

目的:观察追踪营养护理在老年结直肠癌手术患者中的应用效果。方法:选取2019—2022年该院收治的126例老年结直肠癌手术患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各63例。对照组实施常规护理,观察组在对照组基础上实施追踪营养护理。比较两组护理前后营养指标[白蛋白(ALB)、总蛋白(TP)、前白蛋白(PA)、转铁蛋白(TF)]水平、健康状况[卡氏功能状态(KPS)]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分,以及护理满意度。结果:护理后,观察组TP、PA、ALB、TF水平均高于对照组,差异有统计学意义(P<0.05);护理后,观察组KPS、GQOLI-74评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为98.41%(62/63),高于对照组的85.71%(54/63),差异有统计学意义(P<0.05)。结论:追踪营养护理应用于老年结直肠癌手术患者可提高营养指标水平、健康状况评分、生命质量评分和护理满意度,效果优于常规护理。

不同腌制工艺对木薯嫩梢加工品质的影响

本研究以木薯嫩梢(Cassava tender shoots,CTS)为对象,利用感官评价法、营养质量指数法(Index of nutritional quality,INQ)和主成分分析法(Principal component analysis,PCA),探究了传统泡菜、芽菜、酱菜、橄榄菜、烫泡菜和盐渍菜等制作工艺对CTS腌制菜基本化学和元素组成、抗营养因子和亚硝酸盐含量的差异,以筛选出CTS适合的腌制菜工艺。结果表明:腌制的不同工艺条件显著影响CTS腌制菜品质。其中,CTS芽菜蛋白质含量最高,为35.29 g/100 g;CTS盐渍菜大部分化学组成含量较低;CTS腌制菜所含的矿物质皆不同程度降低,其中CTS芽菜工艺减少最多(Mn、Zn、K和Mg含量分别减少71.91%、70.72%、59.20%和60.84%)。各CTS腌制菜氰化物含量在32.62~82.41 mg/kg;单宁含量较低,含量在1.07~2.33 g单宁酸/100 g;亚硝酸盐含量远低于国家标准,含量在0.37~1.02 mg/kg。感官评价表明,CTS泡菜具有较好鲜味、质感和品相等,大众认可度高;INQ评价结果显示CTS盐渍菜、CTS泡菜和CTS烫泡菜的营养价值较高;PCA发现前3个主成分的累计贡献率为83.949%,PCA综合得分结果显示,CTS泡菜、CTS橄榄菜和CTS烫泡菜综合分值较高。最后,综合感官评价、INQ评价和PCA分析评价结果,得出CTS腌制的最佳工艺为CTS泡菜制作工艺,其次是CTS烫泡菜和CTS盐渍菜制作工艺。

个性化营养饮食对2型糖尿病肥胖患者血糖控制、体重管理及生活质量的影响

目的分析2型糖尿病肥胖患者疾病管理期间积极进行个性化营养饮食干预的效果。方法选取2020年5月—2023年5月寿光市人民医院收治的128例2型糖尿病肥胖患者为研究对象,使用抽签法将其随机分为对照组和研究组,各64例。对照组开展常规疾病管理,研究组进行个性化营养饮食干预,比较两组血糖指标、体重管理情况、护理满意度、生活质量评分。结果研究组患者的血糖指标、体重、体重指数均有所改善且显著优于对照组,差异有统计学意义(P均<0.05)。护理后研究组患者的生活质量评分为(96.86±2.27)分,显著高于对照组的(89.52±2.63)分,差异有统计学意义(P<0.05)。结论将个性化营养饮食干预应用于2型糖尿病肥胖患者中取得了显著的效果。

万寿菊黄酮对伊拉肉兔屠宰性能、脏器指数、肉品质及肉营养成分的影响

试验旨在研究不同水平万寿菊黄酮(QG)对伊拉肉兔屠宰性能、脏器指数、肉品质和肉营养成分的影响。选取初始体重(1184.75±181.44)g的35日龄健康肉兔200只,随机分为5组,每组8个重复,每个重复5只兔。对照组饲喂基础饲粮,试验组分别饲喂添加5、25、50、75 mg/kg QG的试验饲粮。预试期5 d,正式试验期28 d。结果显示,与对照组相比,各试验组肉兔的末重无显著差异(P>0.05)。与对照组相比,50 mg/kg QG组肉兔的半净膛率有提高的趋势(P>0.05),各试验组其他屠宰性能均无显著差异(P>0.05)。与对照组相比,添加75 mg/kg QG可以提高肉兔脾脏指数(P<0.05),添加不同剂量的QG均可以提高肉兔肾脏指数和胸腺指数(P<0.05)。与对照组相比,添加75 mg/kg QG可以降低蒸煮损失(P<0.05)。与对照组相比,添加25、50、75 mg/kg QG可以提高肉兔背最长肌中粗脂肪含量(P<0.05)。研究表明,饲粮中添加QG可以促进肉兔的脏器发育,改善肉品质,提高肉中粗脂肪含量,QG适宜添加水平为50~75 mg/kg。

太湖北部湖滨带芦苇湿地夏季水质时空变化特征分析

为了解太湖北部湖滨带芦苇湿地夏季水质时空变化,于2022年6—9月,在芦苇湿地时空分布调查的基础上,分别采集典型湖滨带芦苇湿地表层水体样品,测定pH、总氮(TN)、总磷(TP)、氨氮(NH+4-N)、高锰酸盐指数(COD Mn)、叶绿素a(Chl-a)等水质理化指标,并对湿地水质时空变化特征和水体富营养化状态进行分析。结果表明,所调查的7片芦苇湿地中pH、溶解氧(DO)、电导率(EC)、水温(WT)月间变化差异均极显著(p<0.01),COD Mn月间差异显著(p<0.05),但TN、TP、NH+4-N和Chl-a月间变化无显著差异(p>0.05)。所有水质理化指标在竺山湾、月亮湾、梅梁湾和贡湖湾芦苇湿地间均具有显著差异性(p<0.05)。湿地夏季水体基本呈中度或重度富营养化状态,时间上8月水质最差,地理位置上月亮湾最差。太湖北部湖滨带芦苇湿地水体属于磷限制型,限制磷元素的输入可有效控制湖滨带苇区水体富营养化的程度。

盐碱水池塘不同饵料投喂条件下拟穴青蟹生长、营养及血清生化指标的比较

为探究盐碱水池塘养殖条件下投喂不同饵料对池塘水质及拟穴青蟹生长、营养品质及血清生化指标的影响,实验设置青柳蛤、矛尾复虾虎鱼、鹰爪虾3种生物饵料组和1种人工配合饲料组,各组设置3个重复,实验周期4个月,分析各组池塘水质变化,并采用单因素方差分析(One-Way ANOVA)方法比较各组蟹的生长、营养及血清生化指标。结果显示,各组水温、盐度与pH差异较小,而溶解氧、氨氮、亚硝酸盐氮差异较大,其中,矛尾复虾虎鱼组溶解氧从11.5降至9.2 mg/L,而氨氮、亚硝酸盐氮分别从养殖初期0.44、0.022 mg/L上升到养殖末期的0.89、0.050 mg/L。青柳蛤组的体重(334 g)、增重率(332.7%)和特定生长率(0.076%/d)显著高于其他组,人工配合饲料组存活率最高,达到66.67%,矛尾复虾虎鱼组的肥满度(0.221 g/cm^(3))显著高于其他组;青柳蛤组的肌肉必需氨基酸中的缬氨酸、蛋氨酸、异亮氨酸、苯丙氨酸含量及肝胰腺呈味氨基酸总量和鲜味氨基酸总量在各组中最高,人工配合饲料组肝胰腺必需氨基酸中的苏氨酸、亮氨酸、赖氨酸、组氨酸含量在各组中最高,鹰爪虾组的肌肉呈味氨基酸总量和鲜味氨基酸总量在各组中最高,青柳蛤组的肌肉与肝胰腺饱和脂肪酸、多不饱和脂肪酸、脂肪酸含量均为最高;青柳蛤组的总蛋白含量显著高于其他组,矛尾复虾虎鱼组的总胆固醇显著高于其他组,人工配合饲料组的谷草转氨酶、甘油三酯、葡萄糖显著高于其他组,相关性分析显示青柳蛤等生物饵料常规营养与拟穴青蟹各生长指标存在显著正相关。研究表明,青柳蛤组拟穴青蟹在生长、营养及血清蛋白质指标上具有显著优势,可以作为盐碱水池塘养殖拟穴青蟹的适口饵料。本研究将为拟穴青蟹北方盐碱水池塘养殖和推广提供数据参考。

城市园林景观对河道水污染的防治效果研究

针对城市水污染日益严重的问题,提出城市园林景观对河道水污染的防治效果研究。采集滨河公园河道各采样点水体样本,以理化指标、重金属和类金属含量及对应WQI和TLI评估上、下游水质。分析后可知,园林景观对河道水污染防治作用明显,且部分指标间存在关联作用,进一步分析植被过滤带、台地式石笼护岸、河岸斜坡式缓冲带和生态浮岛中各种植类型的净化效果,实验分析得出各种植类型均具备防治效果,其中乔灌木群落栽植效果最佳,因地制宜地结合各种植类型能够有效防治河道水污染。

互动干预模式对喉癌手术患者营养指标、心理状态及生活质量的影响

目的探讨互动干预模式对喉癌手术患者营养指标、心理状态及生活质量的影响。方法根据干预方式的不同将114例喉癌手术患者分为对照组(n=57)和观察组(n=57),对照组患者采取常规干预,观察组患者在对照组的基础上采取互动干预模式。比较两组患者的营养指标[血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PAB)]、心理状态[症状自评量表(SCL-90)]、生活质量[华盛顿大学生存质量量表(UW-QOL)]及满意度。结果干预后,两组患者Hb、ALB、PAB水平均高于本组干预前,观察组患者Hb、ALB、PAB水平均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者躯体化、抑郁、焦虑评分均低于本组干预前,观察组患者躯体化、抑郁、焦虑评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者UW-QOL各维度评分及总分均高于本组干预前,观察组患者UW-QOL各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的总满意度为98.25%,明显高于对照组患者的80.70%(P﹤0.01)。结论互动干预模式应用于喉癌手术患者,可改善患者的营养状况、心理状态及生活质量,提高患者满意度。

3种复合益生菌发酵对玉米-豆粕型饲料的品质及营养指标的影响

试验旨在研究玉米-豆粕型饲料在不同复合益生菌发酵后品质、营养指标及微生物含量变化,筛选适合玉米-豆粕型饲料发酵最优复合益生菌发酵菌剂。复合益生菌由枯草芽孢杆菌、地衣芽孢杆菌、乳酸杆菌、酵母菌按照不同菌种、剂量复配,复合益生菌接种量为5%,含水量55%。以不添加复合益生菌剂自然发酵的饲料为对照组,以厌氧发酵21 d的饲料为试验组。试验组分为发酵组A(枯草芽孢杆菌∶地衣芽孢杆菌∶酿酒酵母=2∶2∶1)、发酵组B(枯草芽孢杆菌∶地衣芽孢杆菌∶酵母JM3=2∶2∶1)、发酵组C(枯草芽孢杆菌∶乳酸杆菌∶酿酒酵母=2∶2∶1)。测定发酵后的饲料品质、营养指标、益生菌含量等指标。结果显示,益生菌发酵组饲料颜色差异不大,均为金黄色,气味呈酒香或醇香味。对照组呈黄褐色,玉米面粉味。与对照组相比,益生菌发酵组饲料益生菌数量显著提高(P<0.05),pH值显著降低(P<0.05),其中发酵组C最低,为3.90。与对照组相比,益生菌发酵组饲料的中性洗涤纤维、酸性洗涤纤维含量均降低,粗蛋白、粗灰分、脂肪、淀粉含量均升高,各项指标均以发酵组C最好。与对照组相比,发酵组C磷含量显著升高(P<0.05),代谢能、净能、增重净能和维持净能均显著升高(P<0.05)。与对照组相比,益生菌发酵组饲料总脂肪酸含量显著升高(P<0.05),发酵组C饲料亚油酸和棕榈酸含量显著提高(P<0.05)。研究表明,复合益生菌发酵玉米-豆粕型饲料感官性状、营养指标、钙、磷、代谢能、脂肪酸各项指标均有所改善,枯草芽孢杆菌、乳酸杆菌、酿酒酵母按照2∶2∶1发酵玉米-豆粕型饲料效果最好。

结直肠癌围手术期患者营养护理质量评价指标体系的构建

目的:结直肠癌围手术期患者的营养状况直接影响其手术效果和预后,合理的营养护理能够有效降低并发症发生率、提高患者的生活质量。但营养护理质量评价尚缺乏统一、科学的标准。本研究旨在通过构建结直肠癌围手术期患者营养护理质量评价指标体系为患者的营养护理提供科学的依据。方法:基于理论指导、循证结果及课题组前期研究基础,形成包括4个结构指标、3个过程指标和2个结果指标的结直肠癌围手术期患者营养护理质量评价指标体系的初稿,纳入22名中国6个省市的三级甲等医院长期从事结直肠癌营养相关专家进行函询,收集专家意见后以重要性赋值均数>3.50、变异系数<0.25作为指标筛选标准进行指标的修订和完善。结果:共进行2轮专家函询,2轮函询问卷有效率及回收率均为100%;专家权威程度系数为0.93,权威程度较高;2轮函询的总体指标的肯德尔和谐系数为0.23和0.32(P<0.01),专家意见趋于一致。经过2轮专家函询,初步构建了结直肠癌围手术期患者营养护理质量评价指标体系的条目池,包括3个一级指标、9个二级指标和56个三级指标评价体系。结论:结直肠癌围手术期患者营养护理质量评价指标体系的构建具有重要性、科学性及实用性,可指导临床结直肠癌围手术期营养专科护理的质量评价及持续改进。

早产儿肠外营养护理质量评价指标体系的构建

目的:构建早产儿肠外营养护理质量评价指标体系,为早产儿肠外营养护理质量评价与监测提供理论依据。方法:以“三维质量结构”模式为理论基础,采用文献分析法、德尔菲专家函询法及层次分析法,确定早产儿肠外营养护理质量评价指标体系的内容及指标权重。结果:两轮专家函询问卷有效回收率分别为94.44%、100.00%,专家权威系数分别为0.858,0.911,肯德尔和谐系数分别为0.106,0.220。最终构建的早产儿肠外营养护理质量评价指标体系,包括一级指标3项、二级指标10项、三级指标41项。结论:本研究构建的早产儿肠外营养护理质量评价指标体系科学合理、内容全面、专科性强,可为评价早产儿肠外营养护理质量提供依据。

基于风险预测的干预模式在重症监护室肝癌合并再喂养综合征患者中的应用效果

目的探讨基于风险预测的干预模式在重症监护室(ICU)肝癌合并再喂养综合征(RFS)患者中的应用效果。方法根据干预方式的不同将96例ICU肝癌合并RFS患者分为常规组(n=47,常规营养支持干预)和风险预测组(n=49,基于风险预测的干预模式)。比较两组患者的电解质指标(磷离子、钾离子、镁离子)、营养指标[血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PAB)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]及并发症发生情况。结果干预后第5天,两组患者磷离子、钾离子、镁离子、Hb、ALB、PAB水平均高于本组干预前,风险预测组患者磷离子、钾离子、镁离子、Hb、ALB、PAB水平均高于常规组,差异均有统计学意义(P﹤0.05)。干预后1个月,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,风险预测组患者EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。风险预测组患者并发症总发生率明显低于常规组(P﹤0.01)。结论基于风险预测的干预模式在ICU肝癌合并RFS患者中的应用效果显著,可改善电解质水平及营养状态,提高生活质量,降低并发症发生率。

基于护理质量评价指标构建快速康复护理方案及对肠癌患者腹腔镜术后康复情况的影响

目的:探讨基于护理质量评价指标构建的快速康复护理方案对肠癌患者腹腔镜术后康复情况的影响。方法:选取2019年5月—2021年5月河南省某三甲专科医院普外科某病区收治的92例肠癌患者作为研究对象,按纳入时间进行分组。对比对照组(n=46,常规康复护理)和研究组(n=46,基于护理质量评价指标构建的快速康复护理)的术后恢复指标、营养指标、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、疼痛评分、并发症发生情况。结果:与对照组护理后比较,研究组的肛门首次排气时间、首次排便时间、首次进食时间、下床活动时间、住院时间均更短,研究组的白蛋白(Alb)、前白蛋白(PA)、转铁蛋白(Tf)水平更高,研究组的SAS评分、SDS评分更低,研究组术后的疼痛程度减轻程度更优,差异有统计学意义(t=22.028、8.444、21.556、9.191、6.424、3.490、7.151、6.865、4.635、3.990、6.663、6.508、3.161,P<0.05);研究组的并发症发生率更低,差异有统计学意义(χ^(2)=4.440,P<0.05)。结论:应用基于护理质量评价指标构建的快速康复护理能够促进肠癌患者术后早日康复,并改善患者的疼痛程度、心理情绪及营养状态,减少术后并发症的发生。

早期胃肠内营养支持护理对大面积烧伤患者营养指标及创面愈合的影响

目的观察分析早期胃肠内营养支持护理对大面积烧伤患者营养指标及创面愈合的影响。方法筛选2020年1月至2023年12月医院收治的80例大面积烧伤患者,根据护理方式不同分为两组。对照组采取胃肠外营养支持,研究组采取早期胃肠内营养支持护理。对比两组营养指标、康复效果与生活质量。结果研究组干预后Alb、Hb与TRF均高于对照组,差异有统计学意义(P<0.05)。研究组创面渗液评分低于对照组,创面愈合时间、正氮平衡时间及住院时间均短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。研究组干预后物质功能、社会功能、日常生活与心理功能评分均高于对照组,差异有统计学意义(P<0.05)。结论早期胃肠内营养支持护理可有效改善大面积烧伤患者营养状况,促进创面愈合及康复,减少相关并发症,提高患者生活质量。

营养序贯护理干预在慢性阻塞性肺疾病患者中的应用效果

目的:营养序贯护理干预在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法:选取2021年7月—2023年2月钦州市浦北县人民医院收治的COPD患者70例作为研究对象,按抽签法分为对照组、试验组,各35例。对照组给予常规护理,试验组给予营养序贯护理干预。比较两组营养指标、并发症发生率、生活质量。结果:干预后,两组血红蛋白、前白蛋白、血清白蛋白水平均升高,试验组高于对照组,差异有统计学意义(P<0.05);试验组并发症发生率低于对照组,差异有统计学意义(P=0.012);干预后,两组生理功能、心理状态、社会适应能力、症状控制、精神状态、饮食、睡眠、综合评估评分均升高,试验组高于对照组,差异有统计学意义(P<0.05)。结论:营养序贯护理干预应用于COPD患者中,可有效改善患者的营养状态,减少并发症,提高生活质量。