Hang Chen, Ping Xu, Jia Hu, Hong Li, Yuan Yan, Yu Cai
{"title":"Individualized Nutritional Support Improves Cardiac Function and Nutritional Status of Elderly Heart Failure Patients.","authors":"Hang Chen, Ping Xu, Jia Hu, Hong Li, Yuan Yan, Yu Cai","doi":"10.18087/cardio.2025.2.n2764","DOIUrl":null,"url":null,"abstract":"<p><p>Background The quality of life of the patient is diminished by chronic heart failure (CHF), which also costs the healthcare system. This study examined the benefits of individualized nutritional support provided by a specialized nursing team on the nutritional status and cardiac function of elderly patients with CHF.Material and methods This study included 102 elderly, hospitalized CHF patients. The patients were randomly assigned to two groups of 51 each. During the study protocol, the control group received regular nursing care, while the experimental group received individualized nutritional support by a specialized nursing team. Nutritional-related and cardiac function indicators, inflammatory factors, and life quality scores measured before and after the protocol were compared.Results There was a significant increase in total albumin, hemoglobin, and protein in both groups during the protocol, but the final concentrations were significantly higher in the experimental group (p<0.05). In both groups, the left ventricular ejection fraction was increased after the protocol, while the left ventricular end-systolic dimension and the left ventricular end-diastolic dimension significantly decreased. The improvements in these variables were greater in the experimental group (p<0.05). The experimental group also exhibited significantly reduced tumor necrosis factor-α, interleukin-6, and high sensitivity C-reactive protein (p<0.05), and the experimental group reported higher quality of life (p<0.05) and nursing satisfaction (p<0.05).Conclusion Nutritional support of elderly CHF patients administered by a specialized nursing team improved nutrition, cardiac function, inflammatory status, and quality of life compared to standard nutrition and regular nursing care.</p>","PeriodicalId":54750,"journal":{"name":"Kardiologiya","volume":"65 2","pages":"48-56"},"PeriodicalIF":0.5000,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kardiologiya","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18087/cardio.2025.2.n2764","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Background The quality of life of the patient is diminished by chronic heart failure (CHF), which also costs the healthcare system. This study examined the benefits of individualized nutritional support provided by a specialized nursing team on the nutritional status and cardiac function of elderly patients with CHF.Material and methods This study included 102 elderly, hospitalized CHF patients. The patients were randomly assigned to two groups of 51 each. During the study protocol, the control group received regular nursing care, while the experimental group received individualized nutritional support by a specialized nursing team. Nutritional-related and cardiac function indicators, inflammatory factors, and life quality scores measured before and after the protocol were compared.Results There was a significant increase in total albumin, hemoglobin, and protein in both groups during the protocol, but the final concentrations were significantly higher in the experimental group (p<0.05). In both groups, the left ventricular ejection fraction was increased after the protocol, while the left ventricular end-systolic dimension and the left ventricular end-diastolic dimension significantly decreased. The improvements in these variables were greater in the experimental group (p<0.05). The experimental group also exhibited significantly reduced tumor necrosis factor-α, interleukin-6, and high sensitivity C-reactive protein (p<0.05), and the experimental group reported higher quality of life (p<0.05) and nursing satisfaction (p<0.05).Conclusion Nutritional support of elderly CHF patients administered by a specialized nursing team improved nutrition, cardiac function, inflammatory status, and quality of life compared to standard nutrition and regular nursing care.
期刊介绍:
“Kardiologiya” (Cardiology) is a monthly scientific, peer-reviewed journal committed to both basic cardiovascular medicine and practical aspects of cardiology.
As the leader in its field, “Kardiologiya” provides original coverage of recent progress in cardiovascular medicine. We publish state-of-the-art articles integrating clinical and research activities in the fields of basic cardiovascular science and clinical cardiology, with a focus on emerging issues in cardiovascular disease. Our target audience spans a diversity of health care professionals and medical researchers working in cardiovascular medicine and related fields.
The principal language of the Journal is Russian, an additional language – English (title, authors’ information, abstract, keywords).
“Kardiologiya” is a peer-reviewed scientific journal. All articles are reviewed by scientists, who gained high international prestige in cardiovascular science and clinical cardiology. The Journal is currently cited and indexed in major Abstracting & Indexing databases: Web of Science, Medline and Scopus.
The Journal''s primary objectives
Contribute to raising the professional level of medical researchers, physicians and academic teachers.
Present the results of current research and clinical observations, explore the effectiveness of drug and non-drug treatments of heart disease, inform about new diagnostic techniques; discuss current trends and new advancements in clinical cardiology, contribute to continuing medical education, inform readers about results of Russian and international scientific forums;
Further improve the general quality of reviewing and editing of manuscripts submitted for publication;
Provide the widest possible dissemination of the published articles, among the global scientific community;
Extend distribution and indexing of scientific publications in major Abstracting & Indexing databases.