| Background:Due to various complications after stroke,adequate nutrition intake is not available,and malnutrition further aggravates the condition of the patients.In fact,the impact of malnutrition on convalescent stroke patients is more prevalent.At present,how to effectively provide reasonable nutritional management for stroke patients during rehabilitation is still a problem to be solved.In this study,individualized nutritional management was developed to promote the recovery of neurological function and daily living of stroke patients during rehabilitation,to achieve the purpose of improving the overall health quality of patients。Objective:To observe the effect of individualized nutritional management on nutritional status and prognosis of stroke patients in convalescent stage。Methods:A total of 58 stroke rehabilitation patients admitted to the Hospital from July 2019 to January 2021 were selected as experimental subjects,and were divided into observation group and control group by random number table method,with 29 cases in each group.The two groups were given individualized nutritional management and empirical nutrition education.Compare the ALB,PA,and HB levels of the two groups before intervention,1 week,2 weeks,3 weeks,4 weeks and at discharge;NRS-2002 score,NIHSS score,and Barthel index of the two groups before intervention and at discharge;The incidence of respiratory tract infections,urinary tract infections,gastrointestinal reactions and pressure ulcers,length of stay,hospitalization expenses,etc.Results:1.Before the intervention,the basic hospitalization status,NRS-2002 score,NIHSS score,Barthel index,ALB,PA,HB were compared between groups,and the results showed no statistical difference(p>0.05).2.NRS-2002 score:The comparison between groups at discharge showed statistical differences(p<0.05).The observation group and the control group received 2 points and 4 points respectively.In the observation group,14 cases(48.3%)had an NRS-2002 score of<3 after nutritional intervention,indicating that there was no nutritional risk when they were discharged from the hospital.3.NIHSS score and Barthel index:Comparing between groups at discharge,the NIHSS score of the observation group was lower than that of the control group(p<0.05);the Barthel index of the observation group was higher than that of the control group(p<0.05).The two scores were compared within the group,and both were statistical difference(p<0.05).4.ALB,PA,HB levels:2 weeks after the intervention until discharge,the ALB and PA of the observation group were higher than those of the control group over the same period(p<0.05).Three weeks after the intervention until discharge,the HB of the observation group was higher than that of the control group(p<0.05).Comparing the three indicators within the group at discharge showed that the observation group was higher than before the intervention(p<0.05),while the control group was significantly lower than before the intervention(p<0.05).5.Complications,total length of hospitalization,and total hospitalization expenses:There was no statistical difference between the groups(p>0.05).Conclusions:1.After individualized nutritional management,it can improve the nutritional status of stroke patients during the rehabilitation period,promote improvement in mobility and neurological function,indicating that there is a clear clinical effect,which is beneficial to speed up the patient’s rehabilitation progress and improve the patient’s health quality integrally.2.Although patients are actively given individualized nutritional management,there is no significant difference between the two groups in terms of complications,length of stay and hospitalization costs,and even individual patients with complex conditions still have malnutrition at the time of discharge. |
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