胃癌术后患者参与饮食管理对其营养状况影响的研究  

Effects of patient participation-based dietary intervention on nutritional status for patients with gastrectomy

作　　者：汪丹丹[1] 郑蔚[2] 乔婷婷[3] 陈丹丹[3] 

机构地区：[1]郑州大学第二附属医院肿瘤科,郑州市450014 [2]郑州大学第二附属医院院长办公室,郑州市450014 [3]郑州大学第二附属医院护理部,郑州市450014

出　　处：《中华护理杂志》2017年第4期389-394,共6页Chinese Journal of Nursing

基　　金：河南省科技攻关项目(172102310088)

摘　　要：目的探讨患者参与饮食管理对胃癌术后患者营养状况的影响。方法将符合纳入标准的52例胃癌术后患者随机分为试验组和对照组,每组各26例。对照组接受一般饮食指导,试验组在接受一般饮食指导的同时,还接受患者参与式饮食管理。在干预前、干预后2周、干预后12周进行体重和BMI的测定,采用患者整体营养主观评估量表、饮食相关症状量表、饮食依从性量表及"3日饮食日记"进行调查。结果干预后12周与干预前相比,试验组的体重、BMI无明显变化,对照组逐渐降低;两组的整体营养主观评估量表得分的时间效应差异具有统计学意义(P<0.05);两组的饮食相关症状、饮食摄入量及饮食依从性的组间效应差异具有统计学意义(P<0.05)。结论患者参与饮食管理能够改善胃癌术后患者的营养状况。Objective To explore the effects of patient participation-based dietary intervention on nutritional status for patients with gastrectomy. Methods Fifty-two patients with gastreetomy were randomly assigned to the intervention group（n=26） and the control group（n=26）. All patients were given general dietary guidance,and patients in the intervention group were provided patient participation-based dietary intervention（PPDI） as well. Height,body weight and body mass index（BMI） were recorded at baseline,2 weeks and 12 weeks after intervention,using Patient- Generated Subjective Global Assessment（PG-SGA）,Diet-Related Symptom Scale,Adherence to Dietary Scale and a ＂3- day food diary＂. Results There was no obvious change in body weight and BMI before and after 12-week inter- vention,while outcomes in the control group gradually decreased. For time effect,there was significant difference in PG-SGA between two groups（P〈0.05）. For between-group effect,there were significant differences in diet-related symptoms（P〈0.05）, dietary intake （P〈0.05） and adherence to dietary （P〈0.05） between two groups. Conclusion Patient participation-based dietary intervention can improve nutritional status for patients with gastrectomy.

关 键 词：营养疗法 胃肿瘤 营养评价 

分 类 号：R473.73[医药卫生—护理学]