Effect of nutrition nursing on immune function in patients with severe myocardial infarction
营养护理对重症心梗患者免疫功能的影响

摘要

目的 分析营养护理对重症心梗患者免疫功能的影响。方法 研究时间选取2019年1月~2020年12月，研究对象为在我院收治的重症心梗患者84例，将接受常规护理的患者设置为对照组（42例），将联合营养护理的患者设置为观察组（42例）。通过主观综合营养评估量表（SGA），免疫功能指标[CD3+、CD4+、CD8+、CD4+/CD8+]评价护理效果。结果 观察组在护理5d、7d、9d后的SGA评分低于对照组（P＜0.05）；观察组的CD3+、CD4+、CD4+/CD8+高于对照组，而CD8+低于对照组（P＜0.05）；观察组对护理工作的满意度高于对照组（P＜0.05）。结论 在重症心梗患者的临床护理中加强营养护理，可显著改善患者的机体营养状态，提高免疫能力，实现护理满意度的提高，值得推广。

Abstract

Objective To analyze the effect of nutritional nursing on immune function of patients with severe myocardial infarction.
Methods From January 2019 to December 2020, 84 patients with severe myocardial infarction admitted to our hospital were selected as the research objects. Patients receiving routine nursing were set as the control group (n = 42), and patients receiving combined nutritional nursing were set as the observation group (n = 42). Subjective Comprehensive Nutrition Assessment Scale (SGA) and immune function indicators [CD3+, CD4+, CD8+, CD4+/CD8+] were used to evaluate the nursing effect.
Results The SGA score of the observation group was lower than that of the control group after 5d, 7d and 9d of nursing (P < 0.05). The levels of CD3+, CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group, while CD8+ was lower than that in the control group (P < 0.05). The satisfaction of nursing work in the observation group was higher than that in the control group (P < 0.05).
Conclusion   Strengthening nutritional nursing in the clinical nursing of patients with severe myocardial infarction can significantly improve the nutritional status of patients, improve immune ability, and improve nursing satisfaction, which is worthy of promotion.