| Object：1. Through intervent the diet of patients with liver cirrhosis, we in order to promote thepatients take their own nutritional condition seriously, make them learn scientific dietmethod, and avoid or reduce the deadly complications associated with diet.2.Detect the nutritional problem of patients with liver cirrhosis in early time, and givethem individual diet guidance, correct the patients’ state of malnutrition, improve the clinicaloutcome of the patients.3.Observe the influence of individualized dietary interventions on human bodymeasurement indexes, blood tests results, NRS2002scores, the length of stay in hospital andthe number of hospitalizations discharged from hospital in six months with liver cirrhosis.Methods：The liver cirrhosis patients who have nutritional risk, received nutritional riskassessment with NRS2002standard,67cases were randomly divided into intervention group(33cases) and controlled group (34cases).The patients in controlled group received routine nursing care and bioelectricalimpedance measurement with Body Fat Measurement Instrument BC-571(Produced ByDongguan Bailida healthy equipment limited company) on the morning of the second andeighth day after be hospitalized, with an empty belly, respectively. The indicators contentsbody weight, the height,the rate of body water and body fat,muscle mass, basal metabolism,bone mass and visceral fat, and calculate the BMI. At the same time, the patients receivedthe nutritional assessment with NRS2002, and test related blood indicators. All indexes wererecorded. We followed up all the patients,recored the clinical outcome and the number ofhospitalizations discharged from hospital until six months after discharged.The patients in Intervention group received individualized dietary guidance combinedwith anthropometric indicators, nutritional risk assessment, laboratory markers and eatinghabits on the basis of the controlled group, and payment of health education and publicityinformation. In addition, we supervised the patients with diet through telephone in thefollow-up period. We processed the data with SAS9.0statistical software, the measurement data usedt-test or the rank sum test,the count data used the chi-square test, two-sided test, P <0.05forthe difference has statistically significant.Results：There were no statistically significant between group a and group b in all indicators inthe second day of the assessment. There were statistically significant between the second dayand the eighth day of group a in BMI (P=0.01<0.05), lean muscle mas（sP=0.02<0.05）bonemass (P=0.036<0.05), prealbumin (P=0.020<0.05) and albumin（P=0.002<0.05）; and therewere no statistically significant in the other indicators. There were statistically significantbetween the second day and the eighth day of group b in body weight（P=0.002<0.05）,BMI(P=0.001<0.05), body moisture rate (P=0.005<0.05), bone mass (P=0.037<0.05),hemoglobin(P=0.02<0.05), prealbumin (P=0.005<0.05), albumin(P=0.03<0.05), andNRS2002score (P=0.02<0.05); and there were no statistically significant in the otherindicators. There were statistically significant between group a and b in HB (P=0.03<0.05),prealbumin (P=0.01<0.05), NRS2002score(P=0.01<0.05) and the number of half a year inhospital (P=0.007<0.05) in the eighth day of the assessment; and there were no statisticallysignificant in the other indicators.Conclusion：1. The individual dietary intervention measures can effectively lower NRS2002scoresof liver cirrhosis patients who have nutritional risk.2. The short-time effect of individual dietary intervention on the anthropometricindicators and blood biochemical indices in patients with liver cirrhosis of nutritional riskcan improve the concentration of hemoglobin and serum prealbumin, control patients withedema effectively；The performance of long-time effect of individual dietary interventioncan reduce the number of re-hospitalization with six months and mortality of liver cirrhosispatients who have nutritional risk.3. The individual dietary intervention is better than the usual care, and liver cirrhosispatients who have nutritional risk require individualized dietary guidance. |
PDF Full Text Request