炎症性肠病患者营养认知行为调查与营养不良分析

孙晋洁; 孙永强

doi:10.7619/jcmp.202002024

炎症性肠病患者营养认知行为调查与营养不良分析

南通大学第二附属医院胃肠外科, 江苏南通, 226001

基金项目:

江苏省南通市卫生和计划生育委员会科研课题立项项目(MB2019006)

详细信息

中图分类号: R574
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出版历程
- 收稿日期: 2019-10-14
- 网络出版日期: 2020-08-26
- 发布日期: 2020-08-26

Investigation on nutritional cognitive behavior of patients with inflammatory bowel disease and malnutrition analysis

Department of Gastrointestinal Surgery, Second Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001

摘要

摘要: 目的调查炎症性肠病(IBD)患者营养认知行为及需求的现况以及营养不良发生的情况。方法采用便利抽样的方法,选取南通大学第二附属医院门诊或住院就诊的IBD患者135例,收集患者的一般资料、疾病活动指数、体质量指数(BMI)、营养状况等数据,进行IBD营养认知与行为调查,了解患者营养需求,分析营养不良与患者营养认知行为的关系。结果 135例患者中,病人整体营养状况评估表(PG-SGA)>4分者共11例,发生率8.1%; BMI<18.5 kg/m²者共7例,发生率5.2%。相关性分析提示, IBD患者营养不良与有效的饮食宣教呈显著负相关(r=-0.512, P<0.05), 与疾病种类(r=0.506, P<0.05)、因IBD腹部手术史(r=0.517, P<0.05)、自我饮食限制(r= 0.532, P<0.05)、疾病活动(r=0.558, P<0.05)呈显著正相关。结论 IBD患者的饮食营养认知行为正确性及合理性不高,营养不良发生率显著增高,患者对医务人员提供合理的营养指导的需求突出,应引起临床工作者的关注。
- 炎症性肠病 /
- 营养不良 /
- 体质量指数 /
- 认知行为 /
- 病人整体营养状况评估表
Abstract: Objective To investigate the status of nutritional cognitive behavior and demand, and the occurrence of malnutrition in patients with inflammatory bowel disease(IBD). Methods A total of 135 patients with inflammatory bowel disease in Inpatient or Outpatient Departments of Second Affiliated Hospital of Nantong University were selected as research objects by convenience sampling method. The data of general data, disease activity index, body mass index(BMI)and nutritional status were collected. The nutritional cognition and behavior of IBD were investigated to understand the nutritional needs. The relationship between malnutrition and nutritional cognitive behavior was analyzed. Results Out of 135 patients, there were 11 patients(8.1%)with Patient-generated Subjective Global Assessment(PG-SGA)>4 points, and 7(5.2%)with BMI<18.5 kg/m². The correlation analysis showed that malnutrition was negatively correlated with effective dietary education in patients with IBD and was negatively correlated with the type of disease(r=0.506, P<0.05), abdominal surgery for IBO(r=0.517, P< 0.05), self-dietary restriction(r=0.532, P<0.05)and disease activity(r=0.558, P<0.05). Conclusion The cognitive behavior of dietary nutrition in patients with inflammatory bowel disease is not correct and reasonable, and the incidence of malnutrition is significantly increased. The patients have a high demand for nutritional guidance of medical staff, which should be paid attention to by clinical workers.
- inflammatory bowel disease /
- malnutrition /
- body mass index /
- cognitive behavior /
- Patient-generated Subjective Global Assessment

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参考文献(12)

APDW Chinese IBD Working Group. Retrospective analysis of 515 cases of Crohn's disease hospitalization in China: nationwide study from 1990 to 2003[J]. J Gastroenterol Hepatol, 2006, 21(6): 1009-1015.

Kaplan G G. The global burden of IBD: from 2015 to 2025[J]. Nat Rev Gastroenterol Hepatol, 2015, 12(12): 720-727.

孙晋洁, 翟晓峰. 心理社会因素与炎症性肠病患者生存质量的关系[J]. 世界华人消化杂志, 2014, 22(30): 4695-4700.

孙晋洁, 孙永强. 简体中文版炎症性肠病生存质量量表的信度及效度研究[J]. 护理研究, 2015, 29(21): 2581-2584.

卜凡莉, 黄骞, 黄迎春, 等. 炎症性肠病护理研究结果的可视化分析[J]. 护理管理杂志, 2018, 18(8): 533-537.

中华医学会消化病学分会. 炎症性肠病诊断与治疗的共识意见(2012年·广州)[J]. 胃肠病学, 2012, 17(12): 763-781.

孙晋洁, 孙永强. 基于德尔菲法和分层研究法的胃肠外科专科护理敏感监测指标的构建[J]. 护理学报, 2018, 25(18): 30-33.

朱维铭, 胡品津, 龚剑峰. 炎症性肠病营养支持治疗专家共识(2013·深圳)[J]. 胃肠病学, 2015, 20(2): 97-105.

魏天桐, 王卉, 高媛, 等. 北京大学第一医院消化内科2015年住院患者营养风险筛查和营养支持调查[J]. 实用预防医学, 2017, 24(4): 419-422.

曹磊, 朱维铭, 李毅, 等. 克罗恩病住院病人的营养风险筛查[J]. 肠外与肠内营养, 2013, 20(2): 78-80.

卞秋桂, 林征, 罗丹, 等. 炎症性肠病患者健康教育现状综述[J]. 实用临床医药杂志, 2018, 22(6): 129-132.

周云仙, 陈焰. 炎症性肠病患者饮食调查与分析[J]. 中华护理杂志, 2013, 48(10): 914-916.