摘要
目的探讨"医生-营养师-护士"三位一体围术期营养干预在喉部分切除术喉癌患者中的应用效果。方法以2018年1月至2022年3月在兰州大学第一医院择期行喉部分切除术的喉癌患者72例为研究对象,按照入院先后顺序分为对照组34例和观察组38例。对照组应用常规围术期营养管理,观察组接受"医生-营养师-护士"三位一体围术期营养干预。运用血清总蛋白(TP)、白蛋白(ALB)、体质指数(BMI)、术后胃肠道不良反应发生率和术后平均住院时间等指标分析三位一体围术期营养干预的应用效果。结果入院24 h内,两组的TP、ALB和BMI比较差异均无统计学意义(均P>0.05),出院前1 d,观察组的ALB、TP、BMI等指标改善优于对照组,差异均有统计学意义(均P<0.05);观察组术后胃肠道不良反应发生率及术后平均住院时间均低于对照组,差异均有统计学意义(均P<0.05)。结论 "医生-营养师-护士"三位一体围术期营养干预能够有效改善喉癌喉部分除术患者的营养状况,促进术后胃肠功能恢复,加速患者康复,缩短术后住院时间。
Objective To explore the application effect of"doctor-nutritionist-nurse"trinity perioperative nutrition intervention in patients with laryngeal cancer after partial laryngectomy.Methods A total of 72 patients with laryngeal cancer who underwent partial laryngectomy in this hospital from January 2018 to March 2022 were selected as the study objects,and were divided into control group(34 cases)and observation group(38 cases)according to the order of admission.The control group received conventional perioperative nutrition management,and the observation group received the trinity perioperative nutrition intervention of"doctor-nutritionist-nurse".Total protein(TP),albumin(ALB),body mass index(BMI),the incidence of postoperative gastrointestinal adverse reactions and the average length of postoperative hospital stay were used to analyze the application effect of the trinity nutrition intervention.Results Within 24 hours after admission,there were no statistically significant differences in TP,ALB and BMI between the two groups(P>0.05).One day before discharge,the indexes of ALB,TP and BMI in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative gastrointestinal adverse reactions and the average length of hospital stay in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The trinity perioperative nutrition intervention of"doctor-nutritionist-nurse"can effectively improve the nutritional status of patients with laryngeal cancer undergoing partial laryngeal resection,promote postoperative gastrointestinal function recovery,accelerate patient recovery,and shorten postoperative hospital stay.
作者
高文芳
张莉
朱香君
何爱琴
张洁
孙有惠
Gao Wenfang;Zhang Li;Zhu Xiangjun;He Aiqin;Zhang Jie;Sun Youhui(Department of Otolaryngology Head and Neck Surgery,the First Hospital of Lanzhou University,Lanzhou 730000,China;Department of Orthopaedics,the First Hospital of Lanzhou University,Lanzhou 730000,China;Department of Infectious Disease,the First Hospital of Lanzhou University,Lanzhou 730000,China)
出处
《国际护理学杂志》
2024年第1期46-51,共6页
international journal of nursing
基金
甘肃省自然科学基金(21JR7RA363)
兰州大学第一医院院内基金(ldyyyn2021-25)。
