基于“互联网 +”的延续性护理在提高小儿肝移植营养健康水平中的应用

Application of "Internet+"-Based Continuous Nursing to Improve the Nutrition-Health Level of Pediatric Liver Transplant.

作者信息

Zhang Weiwei, Fu Li, Ren Yanwei, Yang Lina, Zhong Lixia

机构信息

Department of Critical Care Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

出版信息

Nurs Health Sci. 2025 Sep;27(3):e70193. doi: 10.1111/nhs.70193.

Abstract

To evaluate the effects of "Internet+"-based continuous nursing interventions in patients with pediatric liver transplantation. Seventy-six patients admitted between April 2019 and January 2021 were randomly divided into two groups (n = 38) using a random number table. The control group received conventional continuous nursing, whereas the observation group received "Internet+"-based continuous nursing strategies in addition to conventional care. After 4 weeks, the observation group had a lower nutritional risk rate (21.06%) than the control group (42.11%). Scores on the Caregiver Stress Index (3.65 ± 1.29) and Self-Rating Depression Scale (38.25 ± 4.32) in the observation group were substantially lower than those in the control group (7.84 ± 1.35 and 52.68 ± 4.15, respectively). The levels of albumin, prealbumin, total protein, and hemoglobin in the observation group were higher. Full adherence rates were also higher in the observation group (94.74%) than in the control group (73.68%). Postoperative complication rates were lower in the observation group (5.26%) compared with the control group (21.06%). "Internet+"-based continuous nursing improves nutritional status, reduces caregiver stress and negative emotions, enhances family adherence, and lowers postoperative complication rates in patients with pediatric liver transplantation. This approach warrants further promotion and application.

摘要

评估基于“互联网 +”的延续性护理干预对小儿肝移植患者的影响。选取2019年4月至2021年1月收治的76例患者,采用随机数字表法将其随机分为两组(n = 38)。对照组接受常规延续性护理,观察组在常规护理的基础上接受基于“互联网 +”的延续性护理策略。4周后,观察组的营养风险率(21.06%)低于对照组(42.11%)。观察组照顾者压力指数得分(3.65±1.29)和自评抑郁量表得分(38.25±4.32)显著低于对照组(分别为7.84±1.35和52.68±4.15)。观察组白蛋白、前白蛋白、总蛋白和血红蛋白水平更高。观察组的完全依从率(94.74%)也高于对照组(73.68%)。观察组术后并发症发生率(5.26%)低于对照组(21.06%)。基于“互联网 +”的延续性护理可改善小儿肝移植患者的营养状况,减轻照顾者压力和负面情绪,提高家庭依从性,并降低术后并发症发生率。这种方法值得进一步推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43ae/12350206/1cc3e6c7b807/NHS-27-e70193-g002.jpg

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