综合护理干预对脊柱结核患者血清前白蛋白的影响

Effect of comprehensive nursing intervention on serum prealbumin in patients with spinal tuberculosis

关键词:  综合护理  脊柱结核  营养  血清前白蛋白

Key words:  Comprehensive nursing intervention  spinal tuberculosis  nutrition  serum prealbumin

摘要:

[目的] 综合护理干预措施对脊柱结核患者的血清前白蛋白的影响。[方法] 选取天津市海河医院2017年1月—2020年1月收治的脊柱结核患者82例，按随机数字表法随机分为观察组和对照组，每组41例。对照组患者接受常规护理干预，观察组给予综合护理干预措施。统计患者医嘱遵从率及满意度，动态观察两组患者入院时和手术前的血清前白蛋白水平变化，以及主观综合性营养评估（SGA）评分变化。[结果] 观察组患者对营养方案依从性为92.68%，高于对照组的73.17.%，两组比较差异有统计学意义（P<0.05）。观察组对于住院期间的护理满意度为97.56%，显著高于对照组的80.49%，差异有统计学意义（P<0.05）。两组患者手术前的平均血清前白蛋白值均高于入院时，但观察组血清前白蛋白水平升高幅度大于对照组，差异有统计学意义（P<0.05）。两组患者手术前的SGA评分均高于入院时，但观察组改善情况优于对照组，差异有统计学意义（P<0.05）。[结论] 对脊柱结核患者进行综合护理干预措施，可有效提高血清前白蛋白水平和营养状况评分，对减少脊柱结核患者术后并发症具有积极影响。

Abstract:

[Objective] To explore the clinical value and curative effect of nursing intervention measures for patients with spinal tuberculosis during perioperative period on the changes of serum prealbumin level. [Methods] 82 patients with spinal tuberculosis admitted to our hospital from January 2017 to January 2020 were selected. Patients were divided into observation group and control group according to the random number method,each including 41 patients. Patients in the control group received routine nursing intervention,while patients in the observation group received comprehensive nursing intervention. The compliance rate and satisfaction of patients with medical orders were counted,and the changes of serum prealbumin level and SGA score at admission and before operation were dynamically observed. [Results] The compliance of patients in the observation group to the nutrition scheme was 92.68%,which was higher than 73.17% in the control group (P<0.05). The nursing satisfaction of the observation group during hospitalization was 97.56%,significantly higher than 80.49% of the control group (P<0.05). The average value of serum prealbumin before operation in the two groups was higher than that at admission,but the increase of serum prealbumin level in the observation group was greater than that in the control group (P<0.05). The SGA scores of the two groups before operation were higher than those at admission,but the improvement of the observation group was better than that of the control group (P<0.05). [Conclusion] Comprehensive nursing intervention for patients with spinal tuberculosis can effectively improve the level of serum prealbumin and nutritional status score and has a positive impact on reducing postoperative complications in patients with spinal tuberculosis.