Application of individualized nutrition intervention in elderly patients with cardiac dysfunction
10.3760/cma.j.issn.1674-2907.2017.26.003
- VernacularTitle:个体化营养干预在老年心功能不全患者中的应用
- Author:
Hanqun LIN
1
;
Hongxing WANG
;
Shanshan DING
;
Haofen XIE
;
Bo FENG
Author Information
1. 315010,浙江省宁波市第一医院心血管内科
- Keywords:
Elderly;
Cardiac dysfunction;
Nutritional risk;
Individualized nutrition intervention
- From:
Chinese Journal of Modern Nursing
2017;23(26):3324-3328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the nutritional risk of elderly patients with cardiac dysfunction by nutritional risk screening(NRS2002),and to explore the effectiveness of individualized nutritional intervention. Methods A total of 127 elderly patients with cardiac dysfunction in the Department of Cardiovascular Medicine in Ningbo First Hospital from January to November 2016 were screened for the nutritional risk using NRS2002. A number of 56 patients who may have nutritional risk were randomly divided into the control and observation groups,28 cases respectively. Patients in the control group were given routine nursing,while patients in the observation group received individualized nutritional interventions. Complications including lung congestion and pulmonary infection as well as heart function of patients at the admission and at 2 weeks after the intervention were compared between the two groups. Results There were 56 cases with nutritional risk who had scores more than 3 points among 127 elderly patients with cardiac dysfunction,with a nutritional risk rate of 44.1%. The differences of nutritional risk scores in patients with different heart function classification were statistically significant(P < 0.05). After the intervention,the incidences of complications including alveolar effusion,pleural effusion and pulmonary infection in the observation group were significantly lower than those in the control group(χ2=4.909,4.595,3.903;P<0.05);LVEF and BNP of patients in the observation group were(51.00±2.71)% and(420.68±143.71)pg/ml respectively,which were higher than those in the control group,with statistically significant differences between the two groups(P < 0.05). Conclusions Elderly patients with cardiac dysfunction have high nutritional risk. The individual nutritional intervention is effective on patients with nutritional risk,can improve their cardio-pulmonary function and promote their rehabilitation.
