CAJ | 학술논문

目的：探讨护理干预对鼻饲患者营养状况的影响。方法对20例老年患者，按照《2002NRS营养风险筛查表》进行营养风险评估、膳食调查等，结合实验室检查，制定膳食餐单，进行健康教育，膳食管理等护理干预，确保每天摄入的热量和营养素能提供合理的膳食营养要求。比较干预前、后的营养状况和病情。结果干预后的淋巴细胞、血红蛋白、白蛋白、前白蛋白、转铁蛋白、体质指数等观察指标，得到明显改善，前后对比有统计学差异，P＜0.01，吸入性肺炎的发生率对比有统计学差异，P＜0.01，腹泻便秘无显著性意义，P＞0.05。结论护士对住院患者进行常规营养风险筛查，采用有针对性护理干预措施，改善鼻饲患者高患者营养状况，鼓励家属、陪护参与患者的膳食管理，可预防和降低患者并发症发生。
목적：탐토호리간예대비사환자영양상황적영향。방법대20례노년환자，안조《2002NRS영양풍험사사표》진행영양풍험평고、선식조사등，결합실험실검사，제정선식찬단，진행건강교육，선식관리등호리간예，학보매천섭입적열량화영양소능제공합리적선식영양요구。비교간예전、후적영양상황화병정。결과간예후적림파세포、혈홍단백、백단백、전백단백、전철단백、체질지수등관찰지표，득도명현개선，전후대비유통계학차이，P＜0.01，흡입성폐염적발생솔대비유통계학차이，P＜0.01，복사편비무현저성의의，P＞0.05。결론호사대주원환자진행상규영양풍험사사，채용유침대성호리간예조시，개선비사환자고환자영양상황，고려가속、배호삼여환자적선식관리，가예방화강저환자병발증발생。
Objective Investigate the effect of nursing intervention on the nutritional status of patients with nasal feeding. Methods According to 2002 NRS nutritional risk, 20 cases elder patients were evaluated nutritional risk, dietary, laboratory index, and then formulate the diet list to ensure the calories and nutritions a day. Compare the former with the last. Result After nursing intervention, the index such as:lymphocyte, hemoglobin, albumin, prealbumin, transferrin, BMI, were improved significantly, P<0.01. The incidence of aspiration pneumonia. The differences were significant, P<0.01, the difference between the incidence of constipation and diarrhea there was no significant difference, P>0.05. Conclusion Nutrition of hospitalized nasal feeding patients can be improved by nursing intervention. Encouraging the family and accompany to take part in the diet manage, the complication can be prevented and reduced.