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当前位置: 首页 > 文章 > 肠内营养支持和综合护理应用于慢性阻塞性肺疾病患者对营养水平、肺功能和生活质量的影响 中国食物与营养 2019 (7) 72-74
Position: Home > Articles > 肠内营养支持和综合护理应用于慢性阻塞性肺疾病患者对营养水平、肺功能和生活质量的影响 Food and Nutrition in China 2019 (7) 72-74

肠内营养支持和综合护理应用于慢性阻塞性肺疾病患者对营养水平、肺功能和生活质量的影响

作  者：
杨宗艳;张剑虹;贺晓雪
单  位：
成都医学院第二附属医院/核工业四一六医院
关键词：
慢性阻塞性肺疾病;肠内营养支持;肺功能;生活质量
摘  要：
目的:观察和分析肠内营养支持和综合护理干预对慢性阻塞性肺疾病(COPD)患者肺功能、营养水平和生活质量的影响.方法:选取成都医学院第二附属医院2015年2月-2017年2月收治的COPD患者160例为研究对象,根据营养方案和护理措施分为观察组82例和对照组78例,对照组患者行常规营养和护理,观察组患者给予肠内营养支持,并在对照组常规护理基础上给予综合护理干预.比较两组患者营养和护理前后营养水平和肺功能变化,统计和对比两组患者出院后6个月的生活质量情况.结果:观察组患者营养支持和护理后用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1占预计值百分比(FEV1%)等肺功能指标和体重、血清总蛋白(TP)、白蛋白(ALB)等营养指标明显优于对照组(P<0. 05或P<0. 01),出院后6个月观察组社会功能、生活能力、角色实现、心理状态和生理职能等生活质量指标评分明显高于对照组(P<0. 05或P<0. 01).结论:对COPD患者行肠内营养支持和综合护理干预能明显改善肺功能和营养水平,提高患者的生活质量,值得在临床上推广和使用.
作  者：
YANG Zong-yan;ZHANG Jian-hong;HE Xiao-xue;The Second Affiliated Hospital of Chengdu Medical College/Nuclear Industry 416 Hospital;
单  位：
YANG Zong-yan%ZHANG Jian-hong%HE Xiao-xue%The Second Affiliated Hospital of Chengdu Medical College/Nuclear Industry 416 Hospital
关键词：
chronic obstructive pulmonary disease (COPD);;enteral nutrition support;;lung function;;quality of life
摘  要：
Objective To observe and analyze the effects of enteral nutrition support and comprehensive nursing intervention on pulmonary function,nutrition level and quality of life of chronic obstructive pulmonary disease( COPD). Method We selected 160 cases of COPD patients admitted in our hospital from February 2015 to February 2017 as the study subjects. According to the nutrition program and nursing measures,there were 82 in observation groups and 78 in control groups,the patients in the control group were treated with routine nutrition and nursing,and the patients in the observation group were given the nutrition support in the intestine,and the comprehensive nursing intervention was given on the basis of routine nursing in the control group. The nutritional level and lung function changes of the two groups were compared before and after nutrition and nursing,and the quality of life of the two groups in the six months after discharge was compared. Result Lung function index including forced vital capacity( FVC),forced expiratory volume in first second( FEV1),FEV1 percentage of expected value( FEV1%) and so on and nutrition index including body weight,serum total protein( TP),and albumin( ALB) in observation group of patients after nutrition support and nursing were better than those in the control group( P<0. 05 or P<0. 01). In the six months after discharge,the social function,life ability,role realization,psychological state and physiological function of the observation group were significantly higher than that of the control group( P<0. 05 or P<0. 01). Conclusion It is worthwhile to popularize and use the patients with COPD to improve the quality of life and improve the quality of life.

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