医护一体化营养管理模式在全喉切除术后的应用

doi:10.6040/j.issn.1673-3770.1.2018.047

Abstract

Abstract: Objective

To explore the effects of the application of the integration of doctors′ and nurses′ nutrition management model after total laryngectomy, observe the recovery of patients, and improve nursing services.

Methods

From April 2017 to September 2018, 68 patients with laryngeal cancer undergoing total laryngectomy were randomly divided into nutrition management intervention and control groups. Each group included 34 patients. The nutrition management intervention group was attended by doctors and nurses. Nurses calculated the daily target nutrition according to the patients′ height, weight, and basal metabolic rate. According to the target nutrition, enteral nutrition preparation was administered daily through a nasogastric tube by an enteral nutrition pump, and nutrition management intervention was carried out throughout the course of quality control. The control group was offered routine nutritional intervention, and a syringe was used to administer normal fluids through a nasogastric tube. Changes in serum prealbumin, albumin, and body mass index (BMI) were observed one week after the surgery. Postoperative hospital stay, self-care ability, complications, and the incidence of adverse reactions were evaluated.

Results

The level of serum prealbumin, level of albumin, and BMI in the integration of doctors′ and nurses′ nutrition management intervention group were higher than those in the control group one week after the surgery, and the difference was statistically significant (P<0.05). Patients in the nutrition management intervention group had better self-care ability, shorter hospital stays, and a lower incidence of complications and adverse reactions compared with those in the control group, and the difference was statistically significant (P<0.05).

Conclusion

Application of the integration of doctors′ and nurses′ nutrition management intervention after total laryngectomy can significantly improve the nutritional status of patients, improve self-care ability, shorten hospital stay, and through careful nursing observation and treatment, can reduce complications and adverse reactions.

Key words: Laryngectomy, Integration of doctors and nurses, Nutritional support, Nursing assessment

CLC Number:

R473.76

Junfang GAO,Ping LIU. Application of the integration of doctors′ and nurses′ nutrition management model after total laryngectomy[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 143-146.

Figures/Tables 2

Table 1

Comparison of general conditions in two groups before operation"

指标	对照组	医护一体化营养管理干预组	t /χ²	P
男/女（n）	31/3	33/1	0.52	0.302
年龄（ $x ˉ ± s$ ，岁）	64±15	63±18	0.25	0.804
BMI（ $x ˉ ± s$ ）	21.8±2.7	20.9±2.2	1.51	0.137
血清前蛋白（ $x ˉ ± s$ ，g/L)	0.20±0.07	0.21±0.05	0.68	0.500
血清白蛋白（ $x ˉ ± s$ ，g/L)	37.1±3.8	36.7±4.7	0.39	0.701

Table 1

Table 2

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指标	对照组	医护一体化营养管理干预组	t	P
血清前蛋白（g/L）	0.19±0.04	0.22±0.05	2.73	0.008
血清白蛋白（g/L）	32.60±2.70	34.4±2.8	2.70	0.009
BMI	18.60±1.60	20.3±2.4	3.44	0.001

Application of the integration of doctors′ and nurses′ nutrition management model after total laryngectomy

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