摘要
Abstract
Objective To investigate the clinical intervention effect of micro-nutrition assessment (MNA) combined with multidisciplinary nutrition nursing in elderly patients with femoral trochanteric frac-tures.Methods A total of 100 elderly patients with trochanteric fracture of the femur undergoing elective sur-gery in our hospital were selected as the study objects,50 patients admitted from January 2022 to September 2022 were selected as the control group,50 patients admitted from October 2022 to June 2023 were selected as the intervention group.The control group was given routine diet nursing,and the intervention group was given MNA combined with multidisciplinary nutrition nursing.Intraoperative time and amount of blood loss were compared between the two groups.MNA nutritional status was used to evaluate the risk of malnutrition,body weight and body mass index.Blood biochemical indexes (hemoglobin and total albumin) were compared be-tween the two groups 1 day,2 weeks,1 month and 3 months after surgery.Assessment of rehabilitation effects (time out of bed and time to fracture healing) and European Quality of Life Scale.Results The changes in he-moglobin and albumin after 1 day and after 2 weeks,1 month,and 3 months of routine nursing or multidisci-plinary nursing were compared,and the improvement of the multidisciplinary nursing group was significantly higher than that of the conventional nursing group,the difference was statistically significant (P<0.05). Comparing the quality of life,physical condition,and nutritional status of the two groups before and after sur-gery,the quality of life of the control group had significant statistical significance (P<0.05).In contrast,the intervention group had no significant decline.Regarding postoperative efficacy,postoperative time of getting out of bed,and fracture healing,the intervention group had obvious advantages over the control group in heal-ing(P<0.05).Conclusion The application of micro-nutrition assessment combined with multidisciplinary nutrition nursing in elderly patients with femoral trochanteric fracture can improve the nutritional status,he-moglobin,and total protein and rehabilitation effect and improve patients'quality of life.关键词
微型营养评定法/老年股骨粗隆骨折/多学科营养护理/生活质量Key words
Micronutrition assessment/Trochanteric fracture of femur in the elderly/Multidisci-plinary nutrition nursing/Quality of life分类
医药卫生