通讯作者: 赵家云, xingli533991@163.com

DOI：10.12201/bmr.202503.00018

The impact of evidence-based nutritional care on disease outcomes in patients with severe heart failure

• 摘要：目的 分析基于循证的营养护理在重症心力衰竭患者中的应用价值及对患者疾病转归的影响。方法 选取2022年1月-2023年6月就诊的100例重症心力衰竭患者,分为行常规营养护理的常规营养组50例,行基于循证的营养护理的循证营养组50例,两组均连续护理1个月。在护理前后根据血清营养指标水平、MNA-HF量表综合评价患者机体营养状态,比较两组机体营养状态指标差异、运动耐力、疾病转归情况及满意度。结果 与常规营养组比较,循证营养组白蛋白(ALB)38.92±3.42(g/L) vs. 32.34±2.80(g/L)、前白蛋白(PAB)345.65±57.76(g/L) vs. 311.23±64.39(g/L)、转铁蛋白(TRF)4.56±0.63(g/L) vs. 2.59±0.43(g/L)、MNA-HF评分25.34±1.98(分) vs. 20.19±1.13(分)均升高(t=10.530、2.814、18.260、15.970,P＜0.05)。与常规营养组比较,循证营养组运动耐力423.32±46.58(m) vs. 400.09±41.24(m)提高(t=2.640,P＜0.05)。与常规营养组比较,循证营养组疾病转归优良率显著提高70.00(%) vs. 50.00(%)(x2=4.167,P＜0.05)。与常规营养组比较,循证营养组满意度显著提高NSNS评分：86.79±4.34(分) vs. 79.90±3.67(分)(t=8.572,P＜0.05)。结论 基于循证的营养护理干预可显著改善重症心力衰竭患者营养状态,增强运动耐力,有利于疾病转归,值得在临床推广应用。

  关键词： 循证; 营养护理; 重症心力衰竭; 疾病转归

   

  Abstract: Objective To analyze the application value of evidence-based nutritional care in patients with severe heart failure and its impact on patients disease outcome. Methods A total of 100 severe heart failure patients from January 2022 to June 2023 were divided into 50 patients in the routine nutrition group and 50 patients in the evidence-based nutrition group with evidence-based nutrition care. Both groups were continuously for one month. Before and after nursing, the nutritional status of patients was comprehensively evaluated according to the serum nutritional index level and MNA-HF scale, and the difference in the nutritional status index, exercise endurance, disease outcome and satisfaction of the two groups were compared. Results Compared with the conventional nutrition group, Evidence-based nutrition albumin (ALB) (38.92 ± 3.42 (g / L) vs. 32.34 ± 2.80 (g / L), proalbumin (PAB) 345.65 ± 57.76 (g / L) vs. 311.23 ± 64.39 (g / L), transferrin (TRF) 4.56 ± 0.63 (g / L) vs. 2.59 ± 0.43 (g / L), MNA-HF score 25.34 ± 1.98 (points) vs. 20.19 ± 1.13 (points) (t=10. 530,2.814,18.260,15.970, P<0.05). Compared with the conventional nutrition group, exercise endurance 423.32 ± 46.58 (m) vs. 400.09 ± 41.24 (m) was improved in the evidence-based nutrition group (t=2.640, P <0.05). Compared with the conventional nutrition group, the rate of disease outcome in the evidence-based nutrition group was significantly improved 70.00 (%) vs. 50.00 (%) (x2=4.167, P <0.05). Compared with the conventional nutrition group, the evidence-based nutrition group was significantly more satisfied NSNS score: 86.79 ± 4.34 (points) vs. 79.90 ± 3.67 (points) (t=8.572, P <0.05). Conclusion Evidence-based nutrition nursing intervention can significantly improve the nutritional status of patients with severe heart failure, enhance exercise endurance, and is beneficial to the outcome of the disease, and is worthy of clinical application.

  Key words: Be evidence-based; Nutrition care; Severe heart failure; Disease outcom

  提交时间：2025-03-06

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• 序号	提交日期	编号	操作
  1	2025-01-22	bmr.202503.00018V1	下载

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