Haimei Ren, Liang Jiang, Yibin Zhou, Xiaohui Qi, Jingjie Cui
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Moreover, nutritional status, immune function, wound healing and nursing satisfaction were compared between the two groups.</p><p><strong>Results: </strong>There was no significant difference in nutritional status or immune function between the observation group and the control group before the operation, while obvious improvements in nutritional status and immune function were observed in both groups at discharge (<i>p</i>< 0.05). In addition, significantly higher levels of nutritional indicators (Hb, Alb, PA, TF and RBC) and immunoglobulin (IgG, IgA and IgM) were found in the observation group when compared with the control group (all <i>p</i>< 0.05); and the incidences of wound dehiscence and local skin necrosis in the observation group were remarkably lower than those in the control group (all <i>p</i>< 0.05). In terms of the nursing satisfaction, the observation group presented significantly-higher patient satisfaction on nursing than the control group (95.00% vs. 80.00%).</p><p><strong>Conclusion: </strong>Nutrition management combined with specialized nursing may achieve significant improvements in nutritional status, immune function, wound healing and nursing satisfaction of patients after joint replacement.</p>","PeriodicalId":19958,"journal":{"name":"Pakistan Journal of Medical Sciences","volume":"41 4","pages":"1110-1115"},"PeriodicalIF":1.2000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022579/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing after joint replacement.\",\"authors\":\"Haimei Ren, Liang Jiang, Yibin Zhou, Xiaohui Qi, Jingjie Cui\",\"doi\":\"10.12669/pjms.41.4.10524\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore the effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing of patients after joint replacement.</p><p><strong>Methods: </strong>Medical data of patients who underwent hip/knee replacement (n= 80) in Affiliated Hospital of Hebei University from June 2021 to December 2023 were collected for retrospective analysis. 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引用次数: 0
摘要
目的：探讨营养管理结合专科护理对关节置换术后患者营养状况、免疫功能及创面愈合的影响。方法：收集2021年6月至2023年12月河北大学附属医院行髋关节/膝关节置换术患者80例的医疗资料进行回顾性分析。将入选患者按不同的营养管理方式分为观察组（特殊营养管理+专科护理）和对照组（常规营养指导+专科护理），每组n=40。比较两组患者的营养状况、免疫功能、创面愈合及护理满意度。结果：观察组患者术前营养状况及免疫功能与对照组比较差异无统计学意义，出院时两组患者营养状况及免疫功能均有明显改善（p< 0.05）。观察组营养指标（Hb、Alb、PA、TF、RBC）和免疫球蛋白（IgG、IgA、IgM）水平均显著高于对照组（p< 0.05）；观察组创面开裂、局部皮肤坏死发生率显著低于对照组（均p< 0.05）。在护理满意度方面，观察组患者对护理的满意度显著高于对照组（95.00% vs. 80.00%）。结论：营养管理结合专科护理可显著改善关节置换术后患者的营养状况、免疫功能、创面愈合及护理满意度。
Effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing after joint replacement.
Objective: To explore the effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing of patients after joint replacement.
Methods: Medical data of patients who underwent hip/knee replacement (n= 80) in Affiliated Hospital of Hebei University from June 2021 to December 2023 were collected for retrospective analysis. The included patients were divided into an observation group (special nutrition management + specialized nursing) and a control group (routine nutrition guidance + specialized nursing) according to different nutrition managements, n=40 each group. Moreover, nutritional status, immune function, wound healing and nursing satisfaction were compared between the two groups.
Results: There was no significant difference in nutritional status or immune function between the observation group and the control group before the operation, while obvious improvements in nutritional status and immune function were observed in both groups at discharge (p< 0.05). In addition, significantly higher levels of nutritional indicators (Hb, Alb, PA, TF and RBC) and immunoglobulin (IgG, IgA and IgM) were found in the observation group when compared with the control group (all p< 0.05); and the incidences of wound dehiscence and local skin necrosis in the observation group were remarkably lower than those in the control group (all p< 0.05). In terms of the nursing satisfaction, the observation group presented significantly-higher patient satisfaction on nursing than the control group (95.00% vs. 80.00%).
Conclusion: Nutrition management combined with specialized nursing may achieve significant improvements in nutritional status, immune function, wound healing and nursing satisfaction of patients after joint replacement.
期刊介绍：
It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad.
Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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