大肠癌快速康复术后患者自我管理效能与整体营养状况的相关性分析  

Correlation between Self-management Efficacy and Nutritional Status in Colorectal Cancer Patients after Fast Track Surgery

作　　者：刘丽杰[1] 李淑霞[1] 卫建宁[1] 

机构地区：[1]广州市第一人民医院外科,广东广州510000

出　　处：《护理学报》2018年第2期70-73,共4页Journal of Nursing（China）

摘　　要：目的分析大肠癌快速康复术后患者自我管理效能与整体营养状况的相关性。方法采用方便取样的方法,选取70例大肠癌快速康复术后患者,采用一般调查问卷、癌症自我管理效能感量表、患者整体营养状况主观评估量表进行调查。患者自我管理效能与整体营养状况相关性采用Pearson相关分析。结果 70例大肠癌快速康复术后患者自我管理效能总分为(80.55±19.47)分,得分指标63.96%;有2%的患者不需进行营养干预,29%的患者需要营养支持,需要控制营养相关症状和营养支持高达69%。大肠癌快速康复术后患者自我管理效能总分与整体营养状况总分呈密切负相关(r=-0.797,P=0.003)。结论大肠癌快速康复术后患者自我管理效能处于中等水平,整体营养状况水平较低。需提高大肠癌快速康复术后患者自我管理效能水平,有助于调动其疾病治疗积极性,改善自身行为,提高营养水平,促进术后康复。Objective To explore the correlation between self-management efficiency and nutritional status in colorectal cancer patients after fast track surgery（FTS）. Methods Seventy colorectal cancer patients were chosen with convenient sampling, and surveyed by using general information questionnaire, strategies used by people to promote health（SUPPH） and patient-generated subjective global assessment（PG-SGA）. Pearson correlation analysis was used to examine the correlation between patient self-management efficacy and overall nutritional status. Results The total score of SUPPH in colorectal cancer patients after surgery was80.55±19.47, with a scoring rate of 63.96%. 2% of patients don＇t need nutritional intervention, 29% require nutritional support and in this part patients who need to control nutritional-related symptoms and nutritional support was up to 69 %. The score of self-management efficiency had closely negative correlation with the nutritional status in colorectal cancer patients after FTS（ r=-0.797,P=0.003）. Conclusion The self-management efficiency of colorectal cancer patients is in a moderate level and they have poor of nutritional status in general. The improvement of self-management and nutritional status will benefit promoting patients ＇ recovery and quality of life.

关 键 词：大肠癌 快速康复外科 自我管理效能 整体营养状况 

分 类 号：R473.6[医药卫生—护理学]