在肝硬化患者的营养查中,不同营养查工具的比较:一个横截面的观察性研究
Runzhu Wang1, Lihua Huang1, Min Xu1
1Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Heliyon
|May 23, 2024
概括
与NRS2002.2相比,肝病营养不良查工具 (LDUST) 在检测肝硬化患者的营养不良方面更加敏感和可靠. 建议在这个人群中使用LDUST进行营养查.
科学领域:
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
- 营养学 营养学 营养学
背景情况:
- 肝硬化患者中普遍存在营养不良,影响预后和治疗.
- 准确的营养评估对于及时干预至关重要.
- 现有几种查工具,但它们在肝硬化患者中的有效性各不相同.
研究的目的:
- 为了比较三个营养查工具的有效性:皇家自由医院营养优先级工具 (RFH-NPT),肝病营养不足查工具 (LDUST) 和2002年营养风险查 (NRS2002).
- 评估这些工具的诊断准确性和可靠性,以确定住院肝硬化患者的营养不良.
主要方法:
- 护士在入院后48小时内向207名住院肝硬化患者注射了LDUST,RFH-NPT和NRS2002.
- 计算了关键绩效指标,包括灵敏度,特异性,曲线下的面积 (AUC) 和卡帕系数.
- 对查工具的有效性进行了比较分析.
主要成果:
- LDUST发现72.9%的患者营养不良,明显高于NRS2002 (23.7%).
- 与NRS2002 (30.0%) 相比,LDUST表现出更高的敏感性 (92.1%).
- LDUST显示了与RFH-NPT (卡帕=0.620) 的实质性协议,但与NRS2002 (卡帕=0.144) 的协议很差.
结论:
- 肝病营养不良查工具 (LDUST) 与NRS2002.2.相比,对于肝硬化患者的营养查,这是一个更敏感和可靠的工具.
- 建议使用LDUST作为首选的查工具来评估肝硬化患者的营养状况.
- 这些发现支持使用特定疾病的查工具,以改善患者的治疗结果.
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