Effect of individualized diet nursing intervention on prognosis, MNA and MNA-SF scores of elderly patients with chronic heart failure

Abstract

Objective To explore and analyze the effects of individualized dietary nursing intervention on prognosis and MNA (Mini Nutritional Score) and MNA-SF (Modified Mini Nutritional Score) score in elderly patients with chronic heart failure. Methods A total of 100 elderly patients with chronic heart failure admitted to our hospital from February 2016 to February 2017 were selected and divided into observation group and control group according to random number table, 50 cases in each group. Patients in the control group were given routine nursing intervention, patients in the observation group were given personalized diet nursing intervention on the basis of patients in the control group.Serum albumin and prealbumin, MNA-SF and MNA scores, hospitalization indexes and efficacy were observed and recorded in the two groups before and after intervention. Results There was no significant difference in serum albumin between the two groups before intervention (P>0.05). Serum albumin of the two groups was significantly higher after intervention than before intervention (P 0.05). Serum prealbumin was significantly higher in the two groups after intervention than before intervention (P 0.05). MNA-SF was significantly higher in the two groups after intervention than before intervention (P 0.05). MNA of the two groups was significantly higher after intervention than before intervention (P<0.05). However, MNA in the observation group was significantly higher than that in the control group (P<0.05). The length of stay, readmission rate and mortality in observation group were significantly lower than those in control group (P<0.05), while the readmission time was significantly higher than the control group (P<0.05). After rank-sum test, the difference between the two groups was statistically significant (U=9.438, P=0.000). The total effective rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant (χ2=5.761, P=0.007). Conclusion Individualized dietary nursing intervention can effectively improve nutritional status, prognosis, MNA and MNA-SF scores of elderly patients with chronic heart failure. Key words: Personalized care; Old age; Chronic heart failure; Nutrition