实用老年医学 ›› 2023, Vol. 37 ›› Issue (1): 92-95.doi: 10.3969/j.issn.1003-9198.2023.01.023

• 护理园地 • 上一篇    下一篇

基于老年综合评估的多学科营养管理模式在老年病房中的应用研究

黄兆晶, 刘红, 何兴月, 蒙张敏, 谢冬梅   

  1. 610041 四川省成都市,四川大学华西医院老年医学中心
  • 收稿日期:2022-01-14 出版日期:2023-01-20 发布日期:2023-01-18
  • 通讯作者: 谢冬梅,Email:xie85421836@163.com
  • 基金资助:
    四川省干部保健科研课题(川干研2021-108)

Study on the application of multidisciplinary nutrition management model based on comprehensive geriatrics assessment in the geriatric ward

HUANG Zhao-jing, LIU Hong, HE Xing-yue, MENG Zhang-min, XIE Dong-mei   

  1. Geriatric Center, West China Hospital, Sichuan University, Chengdu 610041, China
  • Received:2022-01-14 Online:2023-01-20 Published:2023-01-18
  • Contact: XIE Dong-mei, Email: xie85421836@163.com

摘要: 目的 探讨基于老年综合评估(CGA)的多学科营养管理模式在老年病房中的应用效果。方法 按照住院时间将207例有营养不良风险及营养不良的老年病人分为2组,其中,2021年4~7月住院的105例病人为对照组,采用常规营养干预;2021年8~11月住院的102例病人为干预组,在对照组的基础上组建多学科团队,实施基于CGA的多学科营养管理。结果 治疗后,干预组血红蛋白、血清白蛋白、前白蛋白、握力、日常生活活动能力评分显著优于对照组,住院时间显著短于对照组(P<0.05)。结论 基于CGA的多学科营养管理模式有利于改善老年病人营养状态,提高日常生活能力,缩短住院时间,促进疾病的快速康复。

关键词: 老年综合评估, 营养不良, 营养管理

Abstract: Objective To explore the effect of a multidisciplinary nutrition management model based on comprehensive geriatric assessment(CGA) applied in the geriatric ward. Methods A total of 207 elderly patients with malnutrition risk and malnutrition were enrolled in this study. The 105 patients admitted in our hospital from April to July in 2021 were divided into the control group, and received routine nutritional intervention; the 102 inpatients from August to November in 2021 were divided into the intervention group, and received multidisciplinary nutrition management based on CGA. Results After treatment, the levels of hemoglobin, serum albumin, prealbumin, grip strength, and activities of daily living score in the intervention group were significantly better than those in the control group, and the length of hospital stay was significantly shorter than that in the control group(P<0.05). Conclusions The multidisciplinary nutrition management model based on CGA is beneficial in improving the nutritional status of the elderly patients, improving activities of daily living, shortening hospital stay, and promoting the rapid recovery of the disease.

Key words: comprehensive geriatric assessment, malnutrition, nutrition management

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