基于循证理念的营养管理在老年慢性阻塞性肺疾病急性加重期住院患者的应用分析

Application analysis of nutrition management model based on evidence-based theory in hospitalized elderly patients with acute exacerbation of chronic obstructive pulmonary disease

中文关键词: 老年  慢性阻塞性肺疾病急性加重期  循证理论  营养管理  营养指标

英文关键词: elderly  acute exacerbation of chronic obstructive pulmonary disease  evidence-based theory  nutrition man-agement  nutritional indicator

中文摘要:

      目的 探究基于循证理念的营养管理在老年慢性阻塞性肺疾病急性加重期(AECOPD)住院患者的应用效果.方法 遴选2020年3月-2022年10月于四川大学华西医院收治的老年AECOPD患者148例,随机分为观察组(n=74)与对照组(n=74).2组在相同治疗的基础上,观察组实施基于循证理论的营养管理模式,对照组实施常规护理.对比2组临床改善情况[营养风险筛查(NRS2002)评分、呼吸困难评分(mMRC)及住院时间];比较2组应用前后自我护理水平(ESCA评分)、营养因子相关指标值、疲乏情况(RPFS评分)、生活质量(CAT评分)、护理效果.结果 应用后,2组的NRS2002评分、mMRC评分及RPFS评分均显著低于同组应用前(P＜0.05),且观察组显著低于对照组(P＜0.05);观察组住院时间显著少于对照组(P＜0.05);2组ESCA评分、营养指标及CAT评分均显著高于同组应用前(P＜0.05),且观察组显著高于对照组(P＜0.05).结论 基于循证理论的营养管理计划模式可显著改善老年AECOPD患者的临床症状,具有一定的临床应用价值.

英文摘要:

      Objective To explore the application effects of the nutrition management model based on evidence-based theory in hospitalized elderly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 148 elderly AECOPD patients admitted to West China Hospital of Sichuan University from March 2020 to October 2022 were selected and randomly divided into observation group(n=74)and control group(n=74).On the basis of the same treatment,the observation group implemented the nutrition management plan model based on evidence-based theory,and the control group implemented routine nursing.The clinical improvement[Nutritional Risk Screening(NRS2002)score,dyspnea score(mMRC)and length of hospital stay]was compared between the two groups.The self-care level(ESCA score),nutritional factor related index value,fatigue status(RPFS score),quality of life(CAT score)and nursing effect were compared between the two groups before and after application.Results After application,the NRS2002 score,mMRC score and RPFS score of both groups were significantly lower than those of the same group before application(P＜0.05),and the observation group was significantly lower than the control group(P＜0.05);the hospitalization time of the observation group was significantly shorter than that of the control group(P＜0.05);the ESCA score,nutritional indicator values,and CAT score of both groups were significantly higher than those of the same group before application(P＜0.05),and the observation group was significantly higher than the control group(P＜0.05).Conclusion The nutrition management plan model based on evidence-based theory can significantly improve the clinical symptoms of elderly AECOPD patients,and has certain clinical ap-plication value.