摘要
目的探讨联合营养团队的“H2H”管理模式在炎症性肠病(IBD)患者中的应用效果,为IBD患者从医院至家庭的连续性营养治疗提供实践依据。方法采用便利抽样法,选择2017年1月—2018年12月在杭州市第三人民医院消化内科住院治疗的IBD患者122例,根据随机数字表法分为对照组和观察组各61例。对照组采用常规管理模式,观察组在对照组基础上进行联合营养团队的“H2H”管理模式,为期6个月。比较两组血红蛋白(Hb)、血清前白蛋白(PA)、血清白蛋白(Alb)、体重、BMI等营养指标,以及炎症性肠病问卷(IBDQ)得分和再次入院率的差异。结果观察组干预后的Hb、PA、Alb及体重较干预前升高且较对照组干预后高,差异有统计学差异(P<0.05);观察组干预后的IBDQ各项得分及总分较干预前升高,差异有统计学差异(P<0.05);除社交能力得分外,观察组干预后的IBDQ各项得分及总分较对照组干预后高,差异有统计学差异(P<0.01)。6个月干预期内观察组和对照组再次入院率分别为7.65%(28/366)、14.75%(54/366),观察组低于对照组,差异有统计学差异(χ2=9.284,P=0.002)。结论联合营养团队的“H2H”管理模式可以有效改善IBD患者营养状态、生活质量,降低再次入院率,值得临床推广。
Objective To explore the effect of"H2H"management model combined with nutrition team in patients with inflammatory bowel disease(IBD)to provide a practical basis for continuous nutritional treatment of IBD patients from hospital to home.Methods From January 2017 to December 2018,a total of 122 IBD patients who were hospitalized in Department of Gastroenterology of the Third People's Hospital of Hangzhou were selected by the convenient sampling method.Based on a random number table,they were divided into the control group and the observation group,with 61 cases in each group.The control group adopted the conventional management mode while the observation group carried out the"H2H"management mode combined with nutrition team on the basis of the control group.The intervention lasted for 6 months.The differences in hemoglobin(Hb),serum prealbumin(PA),serum albumin(Alb),body weight,BMI,Inflammatory Bowel Disease Questionnaire(IBDQ)scores and readmission rates between the two groups were compared.Results After intervention,Hb,PA,Alb and body weight in the observation group were higher than those before intervention and higher than those after intervention in the control group,and the differences were statistically significant(P<0.05).The scores of all dimensions and total score of IBDQ in the observation group after intervention were higher than those before the intervention,and the differences were statistically significant(P<0.05).Except for social ability scores,the scores of all dimensions and total score of IBDQ of the observation group after intervention were higher than those of the control group after intervention,and the differences were statistically significant(P<0.01).The re-admission rates of the observation group and the control group during the 6-month intervention period were 7.65%(28/366)and 14.75%(54/366),respectively.The readmission rate of the observation group was lower than that of the control group,and the difference was statistically significant(χ2=9.284,P=0.002).Conclusions The"H2H"management mode combined with nutrition team can effectively improve the nutritional status and quality of life of IBD patients and reduce the readmission rate,which is worthy of clinical promotion.
作者
吴雯莉
董丽丽
Wu Wenli;Dong Lili(Department of Gastroenterology,the Third People's Hospital of Hangzhou,Hangzhou 310000,China)
出处
《中华现代护理杂志》
2020年第21期2909-2914,共6页
Chinese Journal of Modern Nursing
关键词
生活质量
炎症性肠病
H2H
营养
再次入院率
Quality of life
Inflammatory bowel disease
Hospital to home
Nutrition
Readmission rate
