Abstract：【Objective】To explore the effects of implementing MNA (mini nutritional assessment) concept 4I (identify,intervene,inspect,improve) nutritional support nursing in elderly heart failure patients.【Methods】A total of 96 elderly heart failure patients were randomly divided into a control group and an observation group, with 48 patients in each group. The control group received routine nursing care, while the observation group received MNA concept 4I nutritional support nursing. The relevant indicators (including white blood cell level, urine pH, Na+ level, blood glucose, total cholesterol, and weight) were compared before and after the intervention, along with nutritional support status [measured by the Patient-generated Subjective Global Assessment (PG-SGA) score] and cardiac function [left ventricular ejection fraction (LVEF), brain natriuretic peptide (BNP), and N-terminal pro B type natriuretic peptide (NT-proBNP)].【Results】After the intervention, the observation group showed higher level of white blood cell, urine pH, and Na+ , and lower level of blood glucose, total cholesterol, and weight compared to the control group (P<0.05). The PG-SGA score and LVEF level in the observation group were higher, while BNP and NT-proBNP levels were lower than those in the control group (P<0.05).【Conclusion】Implementing MNA concept 4I nutritional support nursing in elderly heart failure patients can improve the patients' physical condition and nutritional support effectiveness.
[1] 刘杨,张娟,胡莹,等. 芪苈强心胶囊联合左西孟旦注射液治疗老年急性心肌梗死合并左心衰竭患者临床观察[J].疑难病杂志,2023,22(4):350-355. [2] 侯培培,于倩,矫妮,等. 老年冠心病慢性心衰患者血清miR-214、galectin-3表达及其预后相关性研究[J].河北医学,2021,27(1):45-50. [3] 王显斌,王小蓉,李玉梅,等. 血清巨噬细胞炎性蛋白-1α和CD40配体的表达对老年左心衰竭合并肺部感染患者的诊断价值分析[J].中国心血管病研究,2021,19(12):1072-1077. [4] WANG C C, WU C K, TSAI M L,et al. 2019 focused update of the guidelines of the taiwan society of cardiology for the diagnosis and treatment of heart failure[J].Acta Cardiol Sin,2019,35(3):244-283. [5] 祝芸,张淑丹. PG-SGA与NRS2002评估筛查下营养支持方案改良促进老年急性胰腺炎临床预后效果分析[J].当代护士(下旬刊),2022,29(2):58-61. [6] HANON O, BELMIN J, BENETOS A,et al. Consensus of experts from the french society of geriatrics and gerontology on the management of heart failure in very old subjects[J].Arch Cardiovasc Dis,2021,114(3):246-259. [7] 吴静,曹晓红,徐林芳. 效果递进式营养支持护理在尿毒症血液透析患者中的应用[J].齐鲁护理杂志,2023,29(1):86-89. [8] 汤会. 老年慢性心衰患者的流行病学特点及影响其预后的危险因素分析[J].中外医疗,2017,36(23):71-73. [9] 徐晓华,刘睿艳,林颖,等. 国内首批经导管三尖瓣环缩术治疗重度三尖瓣反流的围手术期护理[J].复旦学报(医学版),2023,50(2):231-236. [10] 张辰,杨浩杰,张哲,等. 晚期心力衰竭患者安宁疗护准入评估指标的构建[J].中华护理杂志,2023,58(13):1544-1551. [11] 乔悦,黄霞,贾培培,等. 老年慢性心力衰竭患者居家容量管理体验的质性研究[J].护理学杂志,2023,38(4):108-111. [12] 张绍果,王雅洁,石美霞,等. Nutric量表在危重症病人营养不良风险评估中的应用[J].循证护理,2019,5(5):440-444. [13] 梁晶,汤莉. 多元化护理干预在老年慢性心衰伴营养不良患者中的应用[J].国际护理学杂志,2024,43(9):1592-1596. [14] 邢艳春,王春芳. 呼吸训练结合舒适护理在老年慢性心衰护理中的观察与体会[J].生命科学仪器,2023,21(z1):418. [15] 丁玉芝,刘瑞娟. 互动达标理论主导的综合护理在急性重症左心衰竭患者中的应用效果[J].中国急救复苏与灾害医学杂志,2023,18(5):665-668.
2024, Vol. 41 
