Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support
Background: This study aimed to evaluate the effects of nutritional support combined with stratified nursing under delirium risk assessment on immune function and postoperative delirium in elderly hip fracture patients. Methods: A total of 112 elderly hip fracture patients were divided into two grou...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Society of Medical Biochemists of Serbia, Belgrade
2025-01-01
|
| Series: | Journal of Medical Biochemistry |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582504822J.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850081886973460480 |
|---|---|
| author | Jin Fangqin Zhang Qin Weng Jiangping Pan Xuting Dong Qinyan Zhao Yuping |
| author_facet | Jin Fangqin Zhang Qin Weng Jiangping Pan Xuting Dong Qinyan Zhao Yuping |
| author_sort | Jin Fangqin |
| collection | DOAJ |
| description | Background: This study aimed to evaluate the effects of nutritional support combined with stratified nursing under delirium risk assessment on immune function and postoperative delirium in elderly hip fracture patients. Methods: A total of 112 elderly hip fracture patients were divided into two groups: the study group (SG), which received stratified nursing and enteral nutrition, and the control group (CG), which received routine nursing with a normal diet. Key parameters were evaluated and compared, including serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB), postoperative delirium incidence, nutritional status, recovery time, and overall patient outcomes. Results: Compared to the CG, the SG demonstrated significant improvements in immune function, with increased IgA, IgG, and IgM levels, as well as higher haemoglobin, albumin, and total protein levels. The SG also experienced shorter hospital stays, earlier postoperative mobility, reduced postoperative delirium rates (1.79% vs. 14.29%), lower anxiety and depression scores, better sleep quality, and lower pain scores. Additionally, nursing satisfaction was significantly higher in the SG. Conclusions: Nutritional support combined with stratified nursing under delirium risk assessment effectively enhances immune function, reduces postoperative delirium, and accelerates recovery in elderly hip fracture patients. This approach may serve as a valuable strategy in postoperative management to improve patient outcomes. |
| format | Article |
| id | doaj-art-c0fda3abb5e24b1db353477a8af773f6 |
| institution | DOAJ |
| issn | 1452-8258 1452-8266 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Society of Medical Biochemists of Serbia, Belgrade |
| record_format | Article |
| series | Journal of Medical Biochemistry |
| spelling | doaj-art-c0fda3abb5e24b1db353477a8af773f62025-08-20T02:44:38ZengSociety of Medical Biochemists of Serbia, BelgradeJournal of Medical Biochemistry1452-82581452-82662025-01-0144482283010.5937/jomb0-554341452-82582504822JSerum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional supportJin Fangqin0Zhang Qin1Weng Jiangping2Pan Xuting3Dong Qinyan4Zhao Yuping5The Second Hospital of Jiaxing, Department of Orthopedics, Jiaxing, Zhejiang, ChinaThe Second Hospital of Jiaxing, Department of Orthopedics, Jiaxing, Zhejiang, ChinaThe Second Hospital of Jiaxing, Department of Orthopedics, Jiaxing, Zhejiang, ChinaThe Second Hospital of Jiaxing, Department of Orthopedics, Jiaxing, Zhejiang, ChinaThe Second Hospital of Jiaxing, Department of Orthopedics, Jiaxing, Zhejiang, ChinaThe Second Hospital of Jiaxing, Department of Orthopedics, Jiaxing, Zhejiang, ChinaBackground: This study aimed to evaluate the effects of nutritional support combined with stratified nursing under delirium risk assessment on immune function and postoperative delirium in elderly hip fracture patients. Methods: A total of 112 elderly hip fracture patients were divided into two groups: the study group (SG), which received stratified nursing and enteral nutrition, and the control group (CG), which received routine nursing with a normal diet. Key parameters were evaluated and compared, including serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB), postoperative delirium incidence, nutritional status, recovery time, and overall patient outcomes. Results: Compared to the CG, the SG demonstrated significant improvements in immune function, with increased IgA, IgG, and IgM levels, as well as higher haemoglobin, albumin, and total protein levels. The SG also experienced shorter hospital stays, earlier postoperative mobility, reduced postoperative delirium rates (1.79% vs. 14.29%), lower anxiety and depression scores, better sleep quality, and lower pain scores. Additionally, nursing satisfaction was significantly higher in the SG. Conclusions: Nutritional support combined with stratified nursing under delirium risk assessment effectively enhances immune function, reduces postoperative delirium, and accelerates recovery in elderly hip fracture patients. This approach may serve as a valuable strategy in postoperative management to improve patient outcomes.https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582504822J.pdfnutritional supportstratified nursingdelirium risk assessmentelderly hip fractureimmune functionpostoperative deliriumserum igaiggigmtotal proteinalbumin |
| spellingShingle | Jin Fangqin Zhang Qin Weng Jiangping Pan Xuting Dong Qinyan Zhao Yuping Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support Journal of Medical Biochemistry nutritional support stratified nursing delirium risk assessment elderly hip fracture immune function postoperative delirium serum iga igg igm total protein albumin |
| title | Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support |
| title_full | Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support |
| title_fullStr | Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support |
| title_full_unstemmed | Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support |
| title_short | Serum IgA, IgG, IgM levels, total protein (TP), albumin (ALB) changes in elderly hip fracture patients after surgery and nutritional support |
| title_sort | serum iga igg igm levels total protein tp albumin alb changes in elderly hip fracture patients after surgery and nutritional support |
| topic | nutritional support stratified nursing delirium risk assessment elderly hip fracture immune function postoperative delirium serum iga igg igm total protein albumin |
| url | https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582504822J.pdf |
| work_keys_str_mv | AT jinfangqin serumigaiggigmlevelstotalproteintpalbuminalbchangesinelderlyhipfracturepatientsaftersurgeryandnutritionalsupport AT zhangqin serumigaiggigmlevelstotalproteintpalbuminalbchangesinelderlyhipfracturepatientsaftersurgeryandnutritionalsupport AT wengjiangping serumigaiggigmlevelstotalproteintpalbuminalbchangesinelderlyhipfracturepatientsaftersurgeryandnutritionalsupport AT panxuting serumigaiggigmlevelstotalproteintpalbuminalbchangesinelderlyhipfracturepatientsaftersurgeryandnutritionalsupport AT dongqinyan serumigaiggigmlevelstotalproteintpalbuminalbchangesinelderlyhipfracturepatientsaftersurgeryandnutritionalsupport AT zhaoyuping serumigaiggigmlevelstotalproteintpalbuminalbchangesinelderlyhipfracturepatientsaftersurgeryandnutritionalsupport |