Chen Hang, Xu Ping, Hu Jia, Li Hong, Yan Yuan, Cai Yu
Fengxian District Central Hospital, Department of Nursing.
The Affiliated Suzhou Hospital of Nanjing University Medical School Suzhou Science & Technology Towns Hospital, Suzhou.
Kardiologiia. 2025 Feb 28;65(2):48-56. doi: 10.18087/cardio.2025.2.n2764.
Background The quality of life of the patient is diminished by chronic heart failure (CHF), which also costs the healthcare system. This study examined the benefits of individualized nutritional support provided by a specialized nursing team on the nutritional status and cardiac function of elderly patients with CHF.Material and methods This study included 102 elderly, hospitalized CHF patients. The patients were randomly assigned to two groups of 51 each. During the study protocol, the control group received regular nursing care, while the experimental group received individualized nutritional support by a specialized nursing team. Nutritional-related and cardiac function indicators, inflammatory factors, and life quality scores measured before and after the protocol were compared.Results There was a significant increase in total albumin, hemoglobin, and protein in both groups during the protocol, but the final concentrations were significantly higher in the experimental group (p<0.05). In both groups, the left ventricular ejection fraction was increased after the protocol, while the left ventricular end-systolic dimension and the left ventricular end-diastolic dimension significantly decreased. The improvements in these variables were greater in the experimental group (p<0.05). The experimental group also exhibited significantly reduced tumor necrosis factor-α, interleukin-6, and high sensitivity C-reactive protein (p<0.05), and the experimental group reported higher quality of life (p<0.05) and nursing satisfaction (p<0.05).Conclusion Nutritional support of elderly CHF patients administered by a specialized nursing team improved nutrition, cardiac function, inflammatory status, and quality of life compared to standard nutrition and regular nursing care.
背景
慢性心力衰竭（CHF）会降低患者的生活质量，同时也给医疗系统带来成本负担。本研究探讨了由专业护理团队提供的个性化营养支持对老年CHF患者营养状况和心脏功能的益处。
材料与方法
本研究纳入了102例老年住院CHF患者。患者被随机分为两组，每组51例。在研究方案实施期间，对照组接受常规护理，而实验组接受专业护理团队提供的个性化营养支持。比较了方案实施前后测量的营养相关指标、心脏功能指标、炎症因子和生活质量评分。
结果
在方案实施期间，两组患者的总白蛋白、血红蛋白和蛋白质均显著增加，但实验组的最终浓度显著更高（p<0.05）。两组患者在方案实施后左心室射血分数均增加，而左心室收缩末期内径和左心室舒张末期内径显著减小。实验组这些变量的改善更大（p<0.05）。实验组的肿瘤坏死因子-α、白细胞介素-6和高敏C反应蛋白也显著降低（p<0.05），且实验组报告的生活质量更高（p<0.05），护理满意度也更高（p<0.05）。
结论
与标准营养和常规护理相比，由专业护理团队对老年CHF患者进行营养支持可改善营养状况、心脏功能、炎症状态和生活质量。
