摘要
目的探讨应用营养风险筛查评分简表2002(NRS2002)对肺结核合并糖尿病患者进行营养风险筛查、评估及后续干预的效果。方法选取2015年1月~2018年12月我院收治的118例肺结核合并糖尿病患者作为研究对象。应用NRS2002量表进行风险筛查,并根据筛查结果将患者分为无风险组(n=54)和风险组(n=64)。将风险组患者按照护理方案的不同再分为对照组(n=32)和研究组(n=32)。对照组患者接受常规降糖、抗痨护理,研究组患者则在常规降糖与抗痨护理基础上加用营养支持。比较风险组与无风险组患者的营养不良发生率,比较研究组和对照组患者的营养学指标和免疫功能指标水平。结果风险组患者的营养不良发生率高于无风险组,差异有统计学意义(P<0.05);研究组患者护理后的血清清蛋白、免疫球蛋白M水平均高于对照组,差异有统计学意义(P<0.05)。结论肺结核合并糖尿病患者应用规范的NRS2002量表进行营养风险筛查,有助于评估患者的营养风险程度,从而采取相关营养支持,改善患者的营养状态、免疫功能,预防营养不良的发生,值得推广应用。
Objective To investigate the effect of the nutritional risk screening scale 2002(NRS2002) on nutrition risk screening, evaluation and follow-up nursing in patients with pulmonary tuberculosis complicated with diabetes mellitus(DM). Methods A total of 118 patients with pulmonary tuberculosis and DM admitted to our hospital from January2015 to December 2018 were enrolled as subjects in the study. Risk screening was conducted using the NRS2002 scale and patients were classified into risk-free group(n=54) and risk group(n=64) according to the screening results. Patients in the risk group were further redivided into the control group(n=32) and the study group(n=32) according to different nursing plans. Patients in the control group received routine hypoglycemic and anti-tuberculosis nursing, while study group received nutritional support besides the routine hypoglycemic and anti-tuberculosis nursing. The incidence of malnutrition was compared between the risk group and the risk-free group. The nutritional and immune function indexes of the study group and the control group were compared. Results The incidence of malnutrition in the risk group was higher than that in the risk-free group, the difference was statistically significant(P<0.05). The serum albumin and immunoglobulin M levels in the study group were higher than those in the control group, the differences were statistically significant(P<0.05). Conclusion The application of the standardized NRS2002 scale for pulmonary tuberculosis patients with DM is helpful for assessing the nutritional risk of patients, conducive to adopt relevant nutritional support,improve the nutritional status and immunity of patients, and prevent malnutrition, which is worthy of promotion.
作者
高星
欧阳松
严玉英
GAO Xing;OUYANG Song;YAN Yu-ying(Department of Infectious Diseases,People′s Hospital of Yudu County,Jiangxi Province,Yudu 342300,China)
出处
《中国当代医药》
2019年第35期45-48,共4页
China Modern Medicine
基金
江西省赣州市指导性科技计划项目(GZ2018ZSF594)
关键词
营养风险筛查评分简表2002
肺结核
糖尿病
营养风险
筛查
评估
营养支持
免疫功能
Nutritional risk screening scale 2002
Pulmonary tuberculosis
Diabetes mellitus
Nutritional risk
Screening
Assessment
Nutritional support
Immunologic function
