摘要
目的 探究移植物抗宿主病(GVHD)患者发生营养不良的影响因素,为血液科护理干预策略的制订提供依据。方法 选取2018年9月至2023年2月江苏省淮安市第二人民医院血液科接收的128例GVHD患者作为观察对象,根据营养状态评估标准将其分为正常组(90例)和营养不良组(38例)。使用一般资料调查问卷、主观整体评估定量表、饮食健康知识问卷、心理评估量表等调查工具,对其进行单因素分析、logistic多因素分析。结果 两组饮食健康教育、口腔溃疡、心理状态比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,口腔溃疡、饮食健康教育、心理状态为GVHD患者发生营养不良的影响因素(OR=2.487、2.378、3.281,P<0.05)。结论 影响GVHD发生营养不良的因素颇多,血液科护理人员需加强口腔清洁干预,树立正确健康饮食知识观念,缓解不良心理情绪等干预,预防营养不良风险发生。
Objective To explore the influencing factors for malnutrition in patients with graft versus-host disease(GVHD),and to provide basis for formulation of nursing intervention strategies in hematology departments.Methods A total of 128GVHD patients admitted to the Department of Hematology,Huaian Second People's Hospital,Jiangsu Province from September 2018 to February 2023 were selected as the observation objects,and they were divided into normal group(90cases) and malnourished group(38 cases) according to the nutritional status assessment criteria.General data questionnaire,patient-generated subjective global assessment,diet health knowledge questionnaire,psychological assessment scale,and other investigation tools were used to carry out univariate analysis and logistic multivariate analysis.Results There were significant differences in diet health education,oral ulcer,and psychological state between the two groups(P<0.05).logistic regression analysis showed that oral ulcer,diet health eduation,and psychological states were the influentce factors for malnutrition in GVHD patients(OR=2.487,2.378,3.281,P <0.05).Conclusion There are many factors affecting the occurrence of malnutrition in GVHD.Nursing staff should strengthen the intervention of oral cleaning,establish the correct concept of healthy diet,alleviate bad psychological emotions and other intervention,and prevent the risk of malnutrition.
作者
严凤
司叶俊
张彦明
于友欢
YAN Feng;SI Yejun;ZHANG Yanming;YU Youhuan(Department of Hematology,Huaian Second People’s Hospital,Jiangsu Province,Huaian 223001,China)
出处
《中国医药导报》
CAS
2024年第12期54-57,共4页
China Medical Herald
基金
江苏省卫生健康委员会科研项目(M2020058)。
关键词
移植物抗宿主病
营养不良
相关因素
Graft versus-host disease
Malnutrition
Associated factors
