The Application of Nutrition Care Service on Patient with Liver Cirrhosis
Science Journal of Clinical Medicine
Volume 9, Issue 1, March 2020, Pages: 26-28
Received: Mar. 20, 2020;
Accepted: Apr. 3, 2020;
Published: Apr. 13, 2020
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Zhaolin Chen, Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Jinglan Luo, Internal Medicine Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Dongxiu Liang, Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Guanhong Li, Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Danmei Weng, Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Rui Xi, Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
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Objective: To assess the effect of nutrition care service on patient with liver cirrhosis. Methods: 72 participants was invited to join our study. They were diagnosed as liver cirrhosis from April 2018 to March 2020. We randomly assigned the participants to the control group (n = 37) and the intervention group (n = 37). For the intervention group and control group, on the one hand, control group patients received traditional nursing services. On another hand, the intervention group participants receive nutrition care service in the treatment process. We collect the data from test related equipment record and questionnaires of participants, the questionnaires include Self-Rating Anxiety Scale (SAS) and Self-rating depression scale (SDS). Another data from test related equipment record. Result: In nutritional status, the Albumin information shown intervention group have greater improvement after nursing that that of control group (from 59.24±5.07 to 49.16±2.01 vs from 60.12±4.73 to 57.72±2.33). In complications status, control group and intervention group have similar result, they have few different in different complications. In mental health, intervention group have greater change in anxiety status than that of control group (from 58.6±7.4 to 47.2±7.1). Conclusion: the nutrition care service provides great improvement to the treatment result. However, nutrition care service does not have a good effect on partial results.
Nutrition Care, Nursing, Liver Cirrhosis
To cite this article
The Application of Nutrition Care Service on Patient with Liver Cirrhosis, Science Journal of Clinical Medicine.
Vol. 9, No. 1,
2020, pp. 26-28.
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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World Health Organization (WHO). Report Global hepatitis report 2017, Switzerland, (Geneva). 2017.
Kumar A, Upadhyay V, Agrawal AK, Pandey P. N. A mathematical modeling of two phase hepatic mean blood flow in arterioles during liver cirrhosis. International Journal of Applied Research. 2017; 3 (7): 506e507.
Marchesini G, Bianchi G, Amodio P, et al. Factors associated with poor health-related quality of life of patients with cirrhosis. Gastroenterology 2016; 120: 170–178.
Martin LM, Sheridan MJ, Younossi ZM. The impact of liver disease on health-related quality of life: a review of the literature. Curr Gastroenterol Rep 2018; 4: 79–83.
Yang JD, Kim WR, Coelho R, Mettler TA, Benson JT, Sanderson SO, et al. Cirrhosis is present in most patients with hepatitis B and hepatocellular carcinoma. Clinical Gastroenterology and Hepatology. 2014; 9 (1): 64e70.
Bernardi M, Caraceni P. Novel perspectives in the management of decompensated cirrhosis. Nat Rev Gastroenterol Hepatol 2018; 15: 753e64.
Swan WI, Vivanti A, Hakel-Smith NA, Hotson B, Orrevall Y, Trostler N, et al. Nutrition care process and model update: toward realizing people-centered care and outcomes management. J Acad Nutr Diet 2017; 117: 2003e14.
Lacey K, Pritchett E. Nutrition Care Process and Model: ADA adopts road map to quality cape and outcomes management. J Am Diet Assoc 2016; 103: 1061e72.
Daniel B, Alexandra K, Koen V. Process models in ditetic care: a comparison between models in Europe. Ernahrungs Umsch 2018; 65: 154e63.
Kushner RF, Ayello EA, Beyer PL, et al. National Coordinating Committee for Nutrition Standards clinical indicators of nutrition care. J Am Diet Assoc. 1994; 94 (10): 1168-1177.
National health expenditure data. Centers for Medicare & Medicaid Services website. Accessed May 3, 2019.
Desroches S, Lapointe A, Galibois I, Deschenes SM, Gagnon MP. Psychosocial factors and intention to use the nutrition care process among dietitians and dietetic interns. Can J Diet Pract Res 2018; 75. 48-48.
White D, Leach C, Sims R, Atkinson M, Cottrell D. Validation of the Hospital Anxiety and Depression Scale for use with adolescents. Br J Psychiatry 1999; 175: 452–454.
El-Rufaie O, Absood G. Validity study of the Hospital Anxiety and Depression Scale among a group of Saudi patients. Br J Psychiatry 1987; 151: 687–688.
Schuppan D, Afdhal NH. Liver cirrhosis. Lancet. 2018; 371 (9615): 838–851.
Moon AM, Singal AG, Tapper EB. Contemporary epidemiology of chronic liver disease and cirrhosis. Clin Gastroenterol Hepatol. 2019; (19) 30849-3.
Tandon P, Raman M, Mourtzakis M, Merli M. A practical approach to nutritional screening and assessment in cirrhosis. Hepatology 2017; 65 (3): 1044e57.
Maharshi S, Sharma BC, Srivastava S. Malnutrition in cirrhosis increases morbidity and mortality. J Gastroenterol Hepatol 2015; 30 (10): 1507e13.
Plauth M, Cabre E, Riggio O, Assis-Camilo M, Pirlich M, Kondrup J, et al. ESPEN guidelines on enteral nutrition: liver disease. Clin Nutr (Edinburgh, Scotland) 2016; 25 (2): 285e94.