摘要
目的探讨牛奶蛋白过敏(CMPA)患儿饮食回避的依从性及其与营养风险的相关性。方法采用便利抽样方法,选取2017年5月—2019年5月郑州大学附属儿童医院收治的牛奶蛋白过敏患儿94例,均给予饮食回避与营养干预治疗6个月后,根据饮食回避依从性差异,将94例CMPA患儿分为依从组(36例,6个月内坚持完成饮食回避)与未依从组(58例,6个月内未能坚持饮食回避),比较两组患儿一般资料、营养相关临床指标、营养风险。结果干预前,两组患儿血清前白蛋白(PA)、血清铁蛋白(SF)、血红蛋白(Hb)、血清白蛋白(ALB)水平比较,差异无统计学意义(P>0.05);干预后,依从组PA、SF、Hb、ALB水平均高于未依从组,差异有统计学意义(P<0.05)。依从组营养风险低于未依从组,差异有统计学意义(P<0.05)。结论提高患儿依从性有利于降低其营养风险的发生,护理专业人员应明晰二者关系,使患儿家长明确饮食回避重要性,并给予帮助及指导,提高患儿依从性,进而改善CMPA患儿预后。
Objective To explore the dietary avoidance compliance of children with cow's milk protein allergy(CMPA)and its correlation with the nutritional risk.Methods From May 2017 to May 2019,convenience sampling was used to select 94 children with CMPA admitted to the Children's Hospital Affiliated of Zhengzhou University.After 6 months of dietary avoidance and nutritional intervention,94 children with CMPA were divided into compliance group(36 cases,completing dietary avoidance within 6 months)and non-compliant group(58 cases,failing to adhere to the diet within 6 months)according to the difference in dietary avoidance compliance.We compared the general data,as well as nutrition-related clinical indicators,nutritional risk.Results There were no statistically significant differences in the levels of PA,SF,Hb and ALB between the two groups before intervention(P>0.05).After intervention,the levels of PA,SF,Hb and ALB in compliance group were significantly higher than those in non-compliant group,and the differences were statistically significant(P<0.05).The nutritional risk of the compliance group is lower than that of the non-compliant group,the difference was statistically significant(P<0.05).Conclusions High compliance can effectively reduce the incidence of nutritional risks,dietary avoidance has clinical application value.Nursing professionals should clarify the relationship between them,make parents of children clarify the importance of dietary avoidance,and provide help and guidance to improve children's compliance so as to improve the prognosis of children with CMPA.
作者
郝丽
黄永幸
岳凌清
李小芹
Hao Li;Huang Yongxing;Yue Lingqing;Li Xiaoqin(Department of Gastroenterology,Children's Hospital Affiliated of Zhengzhou University,Zhengzhou 450018,China)
出处
《中华现代护理杂志》
2020年第33期4653-4656,共4页
Chinese Journal of Modern Nursing
基金
河南省科技攻关项目(2018020618)。
关键词
儿童
牛奶蛋白过敏
饮食回避
依从性
营养风险
营养干预
Child
Cow's milk protein allergy
Diet avoidance
Compliance
Nutritional risk
Nutritional intervention
