盛丽 桑盛敏

【摘要】目的：研究将基于 MNA- HF评分多元化护理模式实施于老年慢性心衰（CHF）伴营养不良患者的治疗中的干预效果及价值。方法：选取104例老年CHF伴营养不良患者，随机分为两组各52例。对照组给予常规营养及疾病干预，观察组实施基于 MNA-HF评分多元化护理模式。比较两组、营养评价情况。结果：心血管事件发生率对比，观察组为3.85%，对照组为17.31%，明显观察组要低很多， P<0.05;而在 MNA-HF评分上，对照组提升幅度明显不如观察组， P<0.05，显示不同护理模式存在统计学差异。结论：在老年CHF伴营养不良患者中实施基于 MNA-HF评分多元化护理模式，具有非常良好的临床效果，值得临床推广。

【关键词】 MNA-HF评分;多元化护理模式;老年慢性心衰;营养不良

[中图分类号]R473.5[文献标识码]A[文章编号]2096-5249（2021）21-0153-02

Intervention Effect ofMultiple Nursing Model Based on Mna-hf score in Elderly Patients with Chronic Heart Failure and

SHENG Li，SANG Sheng-Min（Haian Peoples Hospital， Haian Jiangsu 226600， China）

[Abstract]Objective： To explore the intervention effect and value of diversified nursing model based on mna-hf score in the treatment of elderly patients with chronic heart failure （CHF） with malnutrition. Methods：104 elderly patients with CHF with malnutrition were randomly divided into two groups， 52 cases in each group. The control group was given routine nutrition and disease intervention， and the observation group was given diversified nursing mode based on mna-hf score. The and nutritional evaluation of the two groups were compared. Results： The incidence of cardiovascular events was 3.85% in the observation group and 17.31% in the control group， which was significantly lower in the observation group （P <0.05）; In mna-hf score， the improvement range of the control group was significantly lower than that of the observation group （P <0.05）， indicating that there were significant differences in different nursing modes. Conclusion： The application of diversified nursing model based on mna-hf score in elderly patients with CHF and malnutrition has significant clinical effect and is worthy of clinical promotion.

[Key words]mna-hf score;diversified nursing mode;elderly chronic heart failure;malnutrition

慢性心力衰竭（Chronic heart failure， CHF）在老年人中患病率極高， 是各种心脏疾病进展严重阶段，属于一种临床综合征。由于步入老年后，人们各项身体器官（包括心脏）衰老，其功能及结构出现退化现象，而慢性心力衰竭老年患者往往会患有多种合并症，这加大了临床治疗难度，使得风险事件屡屡发生[1-2]。本研究将基于MNA-HF 评分多元化护理模式实施于老年CHF 伴营养不良患者的护理工作中，研究分析其临床应用价值及效果。

1资料及方法

1.1临床资料选择病例筛选时间范围：2017.8-2019.7;选择研究对象：就诊于本院心内科的老年CHF 伴营养不良患者104 例，选择随机法为分组方式：将选定的104例患者均分为两组。其中观察组患者52例，统计其年龄分布，数值最小的为65岁，最大的有85岁，平均年龄范围（75.52±2.48）岁;对照组患者也是52例，统计其年龄分布，数值最小的为67岁，最大的有84岁，平均年龄范围（75.46±2.21）岁;按照纽约心脏病协会对心功能的分级，将患者按照心衰等级分类：观察组患者中，Ⅳ级12例，Ⅲ级24例，Ⅱ级16例;对照组患者中：Ⅳ级14例，Ⅲ级23例，Ⅱ级15例。……