The impact of case nursing for nutritional risk screening on elderly patients with heart failure and arrhythmia
营养风险筛查的个案护理对老年心衰合并心律失常患者的影响

摘要

目的 分析探究营养风险筛查的个案护理在老年心衰合并心律失常患者中的临床效果，同时围绕患者心功能、营养指标、生活质量数据作详细论述。方法 筛选样本均来自于2022年12月至2023年12月期间，涉及人数共计100例，根据入院先后顺序作为分组考量，以前50例作为对照组实施常规护理，剩余部分作为观察组实施营养风险筛查的个案护理措施，对过程中相关数据进行统计记录，引用统计学系统实施对比分析，验证营养风险筛查的个案护理应用价值。结果 相比对照组，观察组心功能各项指标：LVEF（51.74±.39）、LVEDD（52.20±6.32）、LVESD（41.29±6.10）、LAD（42.64±4.20）均显优，营养指标数据：TP（58.97±5.10）、AIb（33.86±4.28）、PA（282.06±50.12）呈现较高优势，并且生活质量数据：心理功能（89.25±8.14）、社会功能（86.56±8.07）、物质生活（87.64±8.13）、生理功能（86.23±8.28）体现较高数值，组间分析对比P值﹤0.05，实现统计学意义。结论 老年心衰合并心律失常患者实施营养风险筛查的个案护理有利于提高患者营养状况，促进心功能恢复，改善其预后生活质量，整体应用效果更佳，适合在临床中广泛推广。

Abstract

Objective To analyze and explore the clinical effect of nutritional risk screening in elderly patients with heart failure with arrhythmia, and discuss the data of cardiac function, nutritional index and quality of life.
Methods The screening samples were from December 2022 to December 2023, involving a total of 100 cases. According to the order of admission, 50 cases were used as the control group, and the rest was used as case nursing measures for nutritional risk screening. Record relevant data in the process and analyze the statistical system to verify the application value of case nursing for nutritional risk screening.
Results Compared with the control group, the indicators of cardiac function in the observation group: LVEF (51.74±.39), LVEDD (52.20±6.32), LVESD (41.29±6.10), LAD (42.64±4.20) all superior, Nutrition index data: TP (58.97±5.10), AIb (33.86±4.28), PA (282.06±50.12) showed high advantages, And the quality of life data: psychological function (89.25±8.14), social function (86.56±8.07), material life (87.64±8.13), physiological function (86.23±8.28) reflect the higher value, P value of 0.05, To achieve statistical significance.
Conclusion   The case care of nutritional risk screening in elderly patients with heart failure and arrhythmia is conducive to improving the nutritional status of patients, promoting the recovery of cardiac function, and improving their prognosis quality of life. The overall application effect is better, which is suitable for widely promoted in clinical practice.