摘要
目的 探讨一种以危重患儿为中心的多学科合作的营养护理团队为基础的个性化营养干预模式。分析以危重患儿为中心的个性化营养干预模式对营养不良发生率的影响，为提高危重患儿营养干预效果、降低营养不良发生率提供依据。方法 采用便利取样法，分别选择2020年10月至2022年10月期间在苏州市某三级综合医院住院的儿科危重症患儿为研究对象。130例危重患儿按时间先后顺序分组分为对照组和干预组，两组各65例。对照组按常规营养指导。干预组：建立一支包括医生、护士、营养师等多学科合作的营养护理团队进行指导。分析治疗前后白蛋白、血红蛋白、淋巴细胞计数、体格情况、营养不良发生率。结果 干预组白蛋白、血红蛋白、淋巴细胞计数、体格情况、营养不良发生率和对照组比较，存在显著差异，P＜0.05。结论 多学科合作的个性化营养干预对危重患儿效果确切，可进一步改善患儿的营养状况和减少营养不良的发生。
关键词： 多学科合作；个性化营养干预；危重患儿；营养不良发生率；影响
Abstract
Objective To explore a personalized nutrition intervention model based on a multidisciplinary cooperative nutrition nursing team centered on critically ill children. To analyze the impact of a personalized nutrition intervention model centered on critically ill children on the incidence of malnutrition, and to provide a basis for improving the effect of nutritional intervention in critically ill children and reducing the incidence of malnutrition. Methods The convenience sampling method was used to select the pediatric critically ill children hospitalized in a tertiary general hospital in Suzhou from October 2020 to October 2022 as the research subjects. 130 critically ill children were divided into control group and intervention group according to time sequence, with 65 cases in each group. The control group was given routine nutritional guidance. Intervention group: establish a multidisciplinary nutrition care team including doctors, nurses, dietitians, etc. for guidance. The albumin, hemoglobin, lymphocyte count, physical condition and the incidence of malnutrition before and after treatment were analyzed. Results Compared with the control group, the albumin, hemoglobin, lymphocyte count, physical condition and the incidence of malnutrition in the intervention group were significantly different, P<0.05. Conclusion The personalized nutrition intervention of multidisciplinary cooperation is effective in critically ill children, which can further improve the nutritional status of children and reduce the occurrence of malnutrition.
Key words： Multidisciplinary cooperation; Personalized nutrition intervention; Critically ill children; Incidence of malnutrition; Influence
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