肺移植营养不良患者多学科营养管理方案的构建与应用
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女,本科,护师

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无锡市卫生健康委青年科研项目(Q201921);南京医科大学科技发展基金一般项目(NMUB2019293)


Construction and application of multidisciplinary nutrition management scheme for malnourished patients undergoing lung transplantation
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    目的 构建肺移植营养不良患者多学科营养管理方案,探讨该方案对术前营养不良患者肺移植术后营养状态及康复效果的影响。方法 按照住院时间将肺移植前营养不良患者分为对照组49例和干预组50例。对照组采用常规营养管理方案,干预组构建并实施包括运动处方、营养处方、药物治疗、心理管理等方面的多学科营养管理方案。结果 移植后1个月,干预组患者总白蛋白、白蛋白、竖脊肌横截面积、6分钟步行距离、呼吸困难评分显著优于对照组,术后住院时间显著短于对照组(P<0.05,P<0.01)。结论 多学科营养管理有利于改善术前营养不良肺移植患者的术后营养状态,促进康复。

    Abstract:

    Objective To construct a multidisciplinary nutrition management scheme for malnourished patients undergoing lung transplantation, and to explore its application effect on nutritional status and rehabilitation after transplantation for preoperative malnourished patients. Methods The malnourished patients before lung transplantation were divided into a control group (n=49) and an intervention group (n=50) chronologically.The control group was given routine nutrition management,while the intervention group received multidisciplinary nutrition management scheme including exercise prescription, nutrition prescription, drug therapy, psychological management, etc. Results One month after the lung transplantation, the total albumin, albumin, erector spinal muscle cross-sectional area, 6-Minute Walk Distance and modified Medical Research Council score of the intervention group were significantly better than those of the control group, and its postoperative hospital stay was significantly shorter than that of the control group (P<0.05,P<0.01). Conclusion Multidisciplinary nutrition management is conducive to improving the nutritional status after lung transplantation for preoperative malnourished patients, and promoting their rehabilitation.

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丁思妍,周海琴,史晓芬,黄珂瑶,裴友,是子豪,李文锐.肺移植营养不良患者多学科营养管理方案的构建与应用[J].护理学杂志,2021,36(16):1-5

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  • 收稿日期:2021-04-07
  • 最后修改日期:2021-05-27
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  • 在线发布日期: 2022-09-16