Comprehensive nursing combined with home care enteral nutrition on improving nutritional status and quality of life of patients with inflammatory bowel disease

This study aimed to explore the role of comprehensive nursing on the nutritional status and quality of life (QOL) of patients with inflammatory bowel disease (IBD) treated with home care enteral nutrition (HEN). Altogether, 84 patients with IBD who were treated in our hospital from February 2018 to February 2019 were selected as research participants. Among them, 42 patients were selected as the observation group (OG) to receive comprehensive nursing combined with HEN intervention, while 42 patients were included in the control group (CG) to receive routine nursing intervention. The nutritional status of the two groups of patients after the intervention, the nutritional indexes before and after the intervention, the SAS and SDS scores before and after the intervention, the compliance behaviors of the two groups of patients, the QOL of patients after the intervention, and the nursing satisfaction of the two groups were compared. The nutritional status of the patients in grade A of the OG was evidently higher than that of the CG (P<0.001), while the number of patients in the OG with grade B and grade C was evidently lower than that of the CG (P<0.05). BMI, ALB and PA in the OG were significantly different than those in the CG (P<0.01). SAS and SDS scores in the OG were clearly lower than that of the CG (P<0.001). The total compliance rate of the OG was higher than that of the CG (P<0.05). After intervention, IBDQ scores in the OG were higher than that of the CG (P<0.001), and the total satisfaction of nursing in the OG was higher than that of the CG (P<0.05). Comprehensive nursing combined with HEN can significantly improve the nutritional status and the QOL of IBD patients, which is helpful for clinical treatment.