CAJ | 학술논문

目的：通过应用简易营养评价精法( MNA-SF)对老年心血管疾病患者营养状况进行评估,对存在营养不良的患者进行护理干预,降低患者营养不良风险改善患者的营养状况。方法对入院的老年心血管疾病患者用 MNS-SF 评估营养状况,对评估有营养不良的患者再进行简易营养评价法( MNA)评估,对有营养不良和潜在营养不良的患者,在其住院期间进行护理干预。结果护理干预前后MNA-SF量表与MNA量表分值均有高度一致性(r值分别为0.773,0.805；P<0.01)。护理干预后,患者的MNA-SF评分、MNA评分分别为(12.48±0.65),(25.34±1.29)分,均比入院时提高,差异有统计学意义(t值分别为12.377,15.120；P<0.01)。护理干预后患者的淋巴细胞(1.44±0.66)×109/L、红细胞(3.90±0.52)×1012/L、血红蛋白(120.26±15.93) g/L、血细胞比容(0.36±0.05)、白蛋白(36.27±3.78)g/L、球蛋白(29.92±7.44)g/L,均比护理干预前提高,差异有统计学意义(t 值分别为2.529,4.937,5.726,3.947,5.547,2.125；P <0.05)。护理干预后患者的血脂水平(3.93±0.90) mmol/L, TG(1.02±0.53)mmol/L,LDL-C(1.09±0.29)mmol/L和HDL-C(2.08±0.58)mmol/L,比护理干预前也有改善,差异均有统计学意义(t值分别为2.875,3.633,3.557,5.727；P<0.01)。结论用MNA-SF法结合MNA法,能简便、有效地筛选出具有营养不良风险的患者,通过护理干预能降低老年心血管疾病患者营养不良风险,改善患者的营养状况。
목적：통과응용간역영양평개정법( MNA-SF)대노년심혈관질병환자영양상황진행평고,대존재영양불량적환자진행호리간예,강저환자영양불량풍험개선환자적영양상황。방법대입원적노년심혈관질병환자용 MNS-SF 평고영양상황,대평고유영양불량적환자재진행간역영양평개법( MNA)평고,대유영양불량화잠재영양불량적환자,재기주원기간진행호리간예。결과호리간예전후MNA-SF량표여MNA량표분치균유고도일치성(r치분별위0.773,0.805；P<0.01)。호리간예후,환자적MNA-SF평분、MNA평분분별위(12.48±0.65),(25.34±1.29)분,균비입원시제고,차이유통계학의의(t치분별위12.377,15.120；P<0.01)。호리간예후환자적림파세포(1.44±0.66)×109/L、홍세포(3.90±0.52)×1012/L、혈홍단백(120.26±15.93) g/L、혈세포비용(0.36±0.05)、백단백(36.27±3.78)g/L、구단백(29.92±7.44)g/L,균비호리간예전제고,차이유통계학의의(t 치분별위2.529,4.937,5.726,3.947,5.547,2.125；P <0.05)。호리간예후환자적혈지수평(3.93±0.90) mmol/L, TG(1.02±0.53)mmol/L,LDL-C(1.09±0.29)mmol/L화HDL-C(2.08±0.58)mmol/L,비호리간예전야유개선,차이균유통계학의의(t치분별위2.875,3.633,3.557,5.727；P<0.01)。결론용MNA-SF법결합MNA법,능간편、유효지사선출구유영양불량풍험적환자,통과호리간예능강저노년심혈관질병환자영양불량풍험,개선환자적영양상황。
Objective To evaluate the nutritional status of elderly patients with cardiovascular by short-form mini-nutritional assessment ( MNA-SF ) , implement nursing interventions for malnourished patients, in order to reduce their risk of malnutrition and to improve their nutritional status. Methods The MNS-SF was used to evaluate the nutritional level of hospitalized patients, and mini-nutritional assessment ( MNA ) was utilized for malnutrition patients. The nursing interventions were implemented among malnutrition or malnutrition potential patients. Results Comparing before and after nursing interventions, the scores of MNA-SF and MNA had high uniformity (r=0. 773,0. 805;P<0. 01). After interventions, the scores of MNA-SF and MNA were (12.48 ±0.65) and (25.34 ±1.29) higher than the scores when admitted (t=12.377,15.120;P<0.01). After nursing interventions, the leukomonocyte was (1. 44 ± 0. 66) × 109/L, red cell (3. 90 ± 0. 52) × 1012/L, hemoglobin (120. 26 ± 15. 93) g/L, hematocrit (0. 360 ± 0. 055), albumin (36. 27 ± 3. 78) g/L, globin (29. 92 ± 7. 44)g/L, which were all higher than those before interventions (t=2. 529, 4. 937, 5. 726, 3. 947, 5. 547, 2. 125;P<0. 05);the patients′blood lipid level was (3. 93 ± 0. 90) mmol/L, TG (1. 02 ± 0. 53) mmol/L, LDL-C (1. 09 ± 0. 29) mmol/L and HDL-C (2. 08 ± 0. 58) mmol/L better than those before interventions (t=2. 875, 3. 633, 3. 557, 5. 727;P<0. 01). Conclusions The utilization of MNA-SF and MNA can simple, effective screen out malnutrition risk patients, and then the nursing interventions can reduce the risk of malnutrition in elderly patients with cardiovascular and improve the nutritional status of the patients.