摘要
Abstract
Objective To observe the effect of systematic diet adjustment in children with cerebral palsy(CP)and malnutrition.Methods A total of 80 CP children with malnutrition treated in our hospital(from January 2015 to January 2022)were divided into two groups by random number table method.Control group received routine nursing guidance and study group received systematic diet adjustment nursing.The biochemical indexes(albumin,hemoglobin,creatinine,low-density lipoprotein levels),physical indexes(weight,height,body mass index,abdominal subcutaneous fat thickness),the dosage of enteral nutritional suspension and the score of dietary behavior ability were compared between the two groups before and after the intervention.The satisfaction rate of the children's families with the intervention was evaluated.Results After the intervention,the biochemical indexes of the two groups showed significant changes.Compared with the control group,the indexes of albumin,hemoglobin and creatinine in the study group increased more and more stably,while the index of low-density lipoprotein in the study group decreased more and more stably(P＜0.01).After the intervention,the physical indexes of the two groups showed significant changes.Compared with the control group,the weight,body mass index and abdominal subcutaneous fat thickness of the study group increased more and more stably than before the intervention,while the low-density lipoprotein study group decreased more and more stably(P＜0.01).After the intervention,the dosage of enteral nutritional suspension and the score of dietary behavior ability in the two groups showed significant changes compared with those before the intervention.Compared with the control group,the immune indexes in the study group increased more and more stably,while the dosage of enteral nutritional suspension and the score of dietary behavior ability in the study group decreased more and more stably(P＜0.05).The satisfaction rate of family members in the study group was higher than that in the control group(P＜0.05).Conclusions In children with CP and malnutrition,carrying out effective systematic diet adjustment intervention can significantly improve the biochemical indexes of children,improve various physical indexes,improve immune ability,reduce the dosage of enteral nutritional suspension,improve dietary behavior,and obtain the recognition of children's family members,which has ideal effects.关键词
脑性瘫痪/伴营养不良/系统性/饮食调整/营养指标/饮食行为能力Key words
cerebral palsy/with malnutrition/systematic/diet adjustment/nutritional indicators/eating behavior ability
