Clinical Effect of Comprehensive Intervention of Structural Nutrition on Perioperative Cochlear Implant Patients

Na LIAO; Lei-ji LI; Jing FEI; Fang WANG; Min WANG; Hai-yan WAN

doi:10.12259/j.issn.2095-610X.S20210729

Volume 42 Issue 7

Jul. 2021

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2021 > 42(7): 170-175

Na LIAO, Lei-ji LI, Jing FEI, Fang WANG, Min WANG, Hai-yan WAN. Clinical Effect of Comprehensive Intervention of Structural Nutrition on Perioperative Cochlear Implant Patients[J]. Journal of Kunming Medical University, 2021, 42(7): 170-175. doi: 10.12259/j.issn.2095-610X.S20210729

Citation:

Na LIAO, Lei-ji LI, Jing FEI, Fang WANG, Min WANG, Hai-yan WAN. Clinical Effect of Comprehensive Intervention of Structural Nutrition on Perioperative Cochlear Implant Patients[J]. Journal of Kunming Medical University, 2021, 42(7): 170-175. doi: 10.12259/j.issn.2095-610X.S20210729

Citation:

Na LIAO, Lei-ji LI, Jing FEI, Fang WANG, Min WANG, Hai-yan WAN. Clinical Effect of Comprehensive Intervention of Structural Nutrition on Perioperative Cochlear Implant Patients[J]. Journal of Kunming Medical University, 2021, 42(7): 170-175. doi: 10.12259/j.issn.2095-610X.S20210729

PDF( 668 KB)

Clinical Effect of Comprehensive Intervention of Structural Nutrition on Perioperative Cochlear Implant Patients

doi: 10.12259/j.issn.2095-610X.S20210729

1.
Dept. of Otolaryngology Head and Neck Surgery，The Affiliated Hospital of Southwest Medical University 646000，Lu-zhou Sichuan
2.
Dept. of Clinical Nutrition/Cardiovascular and Metabolic Diseases Key Laboratory of Luzhou，The Affiliated Hospital of Southwest Medical University
3.
Dept. of General practice，The Chengdu Fifth People’s Hospital，Chengdu Sichuan 611130，China

Received Date: 2021-05-25
Available Online: 2021-07-19
Publish Date: 2021-07-21

Abstract

Abstract

Objective To understand the influence of perioperative comprehensive structural nutrition intervention for cochlear implant patients on the complications, medical costs and satisfaction of cochlear implant patients, so as to provide reference for exploring the management mode of cochlear implant patients. Methods Self-assessment questionnaires were used to investigate the subjects from January1 2018 to November 30 2020. The comprehensive structural nutrition intervention mode was used in the intervention group, and the traditional conventional mode was used in the control group. The information such as auditory behavior classification, speech intelligibility classification, complications, medical expenses and satisfaction degree of the patients under the unmanaged mode from January 1 2018 to November 30 2020. Results The difference between the intervention group and the control group was not statistically significant in the auditory behavior grading and speech intelligibility grading at admission, 3 months and 6 months after operation （P > 0.05）. There was statistically significant differences in the complications （χ² = 4.406, P = 0.036）, medical expenses （t = -17.131, P < 0.001）, satisfaction score （t = 3.489, P = 0.007） between the intervention group and the control group. The multivariate analysis showed that patients with comprehensive nutrition intervention, increased body mass index, and improved satisfaction were less likely to have postoperative complications. Conclusions Comprehensive intervention of structural nutrition can effectively improve the clinical outcome of cochlear implant patients, reduce medical costs of the patients, and improve the satisfaction on the patients family members. Therefore, it is necessary to implement the comprehensive intervention management model of structural nutrition in cochlear implant patients.
- Perioperation,
- Nutrition,
- Cochlear implants,
- Clinical effect

FullText(HTML)

References(21)

References

[1]	Kaplan D M,Puterman M. Pediatric cochlear implants in prelingual deafness:medium and long-term outcomes[J]. Isr Med Assoc J,2010,12(2):107-109.
[2]	金伟,宁丽丽,刘燕京,等. 人工耳蜗植入围手术期的心理护理探讨[J]. 中华耳科学杂志,2013,11(1):118-120.
[3]	Marlowe A L,Chinnici J E,Rivas A,et al. Revision cochlear implant surgery in children:the Johns Hopkins experience.[J]. Otology & Neurotology,2010,31(1):74-82.
[4]	Hendry P O,Hausel J,Nygren J,et al. Determinants of outcome after colorectal resection within an enhanced recovery programme.[J]. British Journal of Surgery,2009,96(2):197-205. doi: 10.1002/bjs.6445
[5]	Drescher T,Singler K,Ulrich A,et al. Comparison of two malnutrition risk screening methods(MNA and NRS 2002)and their association with markers of protein malnutrition in geriatric hospitalized patients[J]. Eur J Clin Nutr,2010,64(8):887-893. doi: 10.1038/ejcn.2010.64
[6]	Schwegler I,von Holzen A,Gutzwiller J P,et al. Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer.[J]. British Journal of Surgery,2010,97(1):92-97.
[7]	刘勇智. 低龄幼儿人工耳蜗植入后听觉能力发展的初步分析[J]. 内蒙古医学杂志,2010,42(4):429-431. doi: 10.3969/j.issn.1004-0951.2010.04.018
[8]	叶惠莲,赖爱如,李小志. 家庭语训在小儿人工耳蜗植入术后中的应用[J]. 齐鲁护理杂志,2013,19(20):40-41. doi: 10.3969/j.issn.1006-7256.2013.20.019
[9]	何润莲,沙凤,梁艳平,等. MNA-SF、NRS 2002、GNRI在老年住院患者营养筛查中的应用[J]. 昆明医科大学学报,2019,40(09):18-22.
[10]	贾欢,陈颖,张治华,等. 人工听觉脑干植入在先天性耳聋低龄儿童中的应用探索[J]. 上海交通大学学报(医学版),2020,40(10):1324-1329. doi: 10.3969/j.issn.1674-8115.2020.10.004
[11]	郭思荃,李华伟,陈兵,等. 语后聋患者人工耳蜗植入后听觉行为及言语可懂度分级的相关因素分析[J]. 临床耳鼻咽喉头颈外科杂志,2014,28(13):955-957+960.
[12]	Di Lella F,Bacciu A,Falcioni M,et al. Long-term clinical outcomes of cochlear implantation in children with symptomatic epilepsy[J]. Int J Pediatr Otorhinolaryngol,2016,82(1):23-27.
[13]	Cortés Fuentes I A,Videhult Pierre P,Engmér Berglin C. Improving clinical outcomes in cochlear implantation using glucocorticoid therapy:a review.[J]. Ear Hear,2020,41(1):17-24. doi: 10.1097/AUD.0000000000000740
[14]	Svirsky M A,Chin S B,Jester A. The effects of age at implantation on speech intelligibility in pediatric cochlear implant users:Clinical outcomes and sensitive periods[J]. Audiological Medicine,2007,5(4):293-306. doi: 10.1080/16513860701727847
[15]	杨鑫,崔红元,陈伟,等. 普通外科病人住院期间营养风险和营养不良动态变化的多中心横断面调查[J]. 肠外与肠内营养,2020,27(5):270-273+279.
[16]	郭艳慧. 心脏手术患者围手术期口服营养补充与临床结局的关系[D]. 石家庄: 河北医科大学硕士论文, 2019.
[17]	李响,李志远,廖中凯,等. 术前营养风险指数对心脏移植手术后患者结局的预测作用[J]. 中华胸心血管外科杂志,2019,35(1):49-51. doi: 10.3760/cma.j.issn.1001-4497.2019.01.012
[18]	卢艳萍. 住院患儿入院时的营养状况调查[D]. 福州: 福建医科大学硕士论文, 2017.
[19]	平雅. 回顾性调查分析医院感染患者营养状况和营养支持效果[D]. 石家庄: 河北医科大学硕士论文, 2018.
[20]	徐萍,邹卫珍. 舒适护理在低龄语前聋患儿人工耳蜗植入术中的应用[J]. 皖南医学院学报,2015,34(6):603-605. doi: 10.3969/j.issn.1002-0217.2015.06.028
[21]	董丽艳,张亚萍,尤莹莹,等. 加速康复外科护理在低龄人工耳蜗植入患儿围手术期的应用[J]. 实用临床护理学电子杂志,2020,5(11):67+92.

Relative Articles(20)

Relative Articles

[1]	Guang-jiao YI, Li ZHANG, Yu DING, Hua LIU, Yun-ting PANG, Yong CHEN. Analysis of Perioperative Psychological Needs of Parents of Children with Cleft lip and Palate During Perioperative Period. Journal of Kunming Medical University, 2021, 42(12): 117-122. doi: 10.12259/j.issn.2095-610X.S20211230
[2]	Xiao-rong CHEN, Wei YUAN, Sheng-li GUO, Ting ZHU, Wei-na LIN, Xu XIAO. The Practice and Evaluation of Day Surgery Overall Nursing Management for Patients with Endoscopic Intestinal Polypectomy. Journal of Kunming Medical University, 2021, 42(4): 176-180. doi: 10.12259/j.issn.2095-610X.S20210434
[3]	Cai Li Ping , Xiang Jian Wen , Wang Yin Jia , Li Min , Xu Li Ping , Meng Xu . . Journal of Kunming Medical University, 2020, 41(05): 167-173.
[4]	Hong LI, Wen-yan YANG, Yu-zhen HU, Song-yuan TANG, Bin ZHU. Characterization of Human Body Composition in 10 913 Pregnant Women in Longyang District, Baoshan City. Journal of Kunming Medical University, 2020, 41(12): 6-10. doi: 10.12259/j.issn.2095-610X.S20201207
[5]	Wang Han . Comparison of Paraffin-embedded Cell Block and Smear in the Differential Diagnosis of Benign and Malignant Pleural Effusion. Journal of Kunming Medical University,
[6]	Dong Ming Chun . The Clinical Effect of Ultrasound Guided Minimally Invasive Rotary Cutting on Breast Benign Lesions. Journal of Kunming Medical University,
[7]	Li Ming . Surgical Management of Sylvian Lateral Fissure Approach in the Treatment of Patients with Hypertensive Intracerebral Hemorrhage on Basal Ganglia. Journal of Kunming Medical University,
[8]	Tai Xiang . Clinical Analysis of 25 Cases of Esophageal Cancer Resection under Thoracoscope. Journal of Kunming Medical University,
[9]	Wen Jin Ya . . Journal of Kunming Medical University,
[10]	Long Xue Feng . . Journal of Kunming Medical University,
[11]	Zhou Ya Ni . . Journal of Kunming Medical University,
[12]	Zeng Can . . Journal of Kunming Medical University,
[13]	Zhang Li Gang . . Journal of Kunming Medical University,
[14]	Yang Hui . . Journal of Kunming Medical University,
[15]	Yang Hui . . Journal of Kunming Medical University,
[16]	. . Journal of Kunming Medical University,
[17]	. . Journal of Kunming Medical University,
[18]	. . Journal of Kunming Medical University,
[19]	Zhao Guang Qiang . . Journal of Kunming Medical University,
[20]	Yang Ming Ying . . Journal of Kunming Medical University,