Tình trạng dinh dưỡng trên bệnh nhân phẫu thuật tại Khoa Ngoại tổng hợp Bệnh viện Đa khoa thành phố Cần Thơ

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Hồng Nguyên Nguyễn, Thị Mai Duyên Nguyễn, Ngọc Thuỷ Phan, Trúc Linh Trần, Hồ Khánh Uyên Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu khoa học và Phát triển kinh tế, 2023

Mô tả vật lý: tr.286

Bộ sưu tập: Metadata

ID: 341189

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Nghiên cứu nhằm đánh giá tình trạng dinh dưỡng trước và sau phẫu thuật của bệnh nhân theo phương pháp Body Mass Index (BMI) và Subjective Global Assessment (SGA)
đồng thời khảo sát chế độ nuôi dưỡng bệnh nhân 5 ngày sau phẫu thuật đường tiêu hóa tại Khoa Ngoại Tổng hợp Bệnh viện Đa khoa thành phố Cần Thơ. Nghiên cứu sử dụng phương pháp mô tả cắt ngang trên 105 bệnh nhân từ tháng 1 đến tháng 6 năm 2022. Kết quả cho thấy, trước phẫu thuật tỷ lệ bệnh nhân suy dinh dưỡng theo BMI là 29,5%
theo SGA 40% (SGA - B 35,2%, có 4,8% SGA - C)
albumin máu (<
35g/L) là 29,5%, Protein (<
60 g/L) là 15,2%, Hồng cầu giảm là 21,9%
Hemoglobin giảm là 63,8%. Sau phẫu thuật tỷ lệ bệnh nhân suy dinh dưỡng (SDD) theo BMI 35,2%, theo SGA là 80%. Ngày thứ nhất sau phẫu thuật tổng năng lượng đạt giá trị thấp nhất 920,79±295,38 Kcal
ngày thứ 5 năng lượng trung bình cao nhất 1293,81±482,05 Kcal. Giá trị năng lượng thực tế thấp hơn nhiều so với nhu cầu khuyến nghị. Cần tăng cường công tác tư vấn dinh dưỡng cho bệnh nhân trước phẫu thuật giúp hiểu được tầm quan trọng để có chế độ dinh dưỡng phù hợp của dinh dưỡng với bệnh phân có phẫu thuật để ngăn ngừa các biến chứng do suy dinh dưỡng gây nên.The aim of the study was to assess the nutritional status of patients before and after surgery based on Body Mass Index (BMI) and Subjective Global Assessment (SGA) methods, surveying the patient's feeding 5 days after surgery at the General Surgery Department of Can Tho City General Hospital in 2022. A cross-sectional study was implemented among 105 patients in the General Surgery Department – Can Tho Hospital from January to June 2022 to identify the nutritional status of patients. The results showed that according to BMI, the rate of malnutrition at hospital admission was 29,5%, SGA 40%, Albumin (<
35g/L) 29,5%, Protein (<
60 g/L) 15,2%, RBC 21,9% and Hemoglobin 63,8% before surgery. After surgery, the prevalence of malnutrition by BMI was 35,2%, the prevalence of malnutrition by SGA increased to 80%. On the first day after surgery, total energy reached the lowest value of 920,79 ± 295,38 Kcal, and on the 5th day, the highest average energy was 1293,81 ± 482.05 Kcal. This energy value is lower than recommended. Research showed that there is a need to increase nutrition counseling before surgery so that patients understand the importance of nutrition with surgical fecal disease to prevent complications caused by malnutrition.

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