基于延续性护理管理的针对性饮食指导对胃癌术后患者营养状况及预后的影响  

Effects of targeted diet guidance based on continuous nursing management on nutritional status and prognosis of patients after gastric cancer surgery

作　　者：刘楠[1] 孙云[1] 刘颖 Liu Nan;Sun Yun;Liu Ying(Department of Gastrointestinal Surgery,Subei People's Hospital of Jiangsu Province,Yangzhou 225000,China)

机构地区：[1]江苏省苏北人民医院胃肠外科,扬州225000

出　　处：《国际护理学杂志》2022年第15期2689-2693,共5页international journal of nursing

基　　金：国家自然科学基金面上项目(编号8197102014)。

摘　　要：目的探讨基于延续性护理管理的针对性饮食指导对胃癌术后患者营养状况及预后的影响。方法选取2019年4月至2020年4月在江苏省苏北人民医院实施手术的124例胃癌患者,采用简单随机分组将患者分为观察组和对照组,每组各62例。对照组采用常规护理干预,观察组采用基于延续性护理管理的针对性饮食指导干预,均持续干预1个月。观察两组患者首次排气时间、肠鸣音恢复时间及住院时间;在护理干预前后,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者焦虑和抑郁等不良情绪,观察两组患者的转铁蛋白量、白蛋白量、前蛋白量,并记录护理期间并发症的发生情况,在干预结束后1年进行随访,记录患者的预后情况。结果在干预1个月后,观察组患者的首次排气时间、肠鸣音恢复时间及住院时间均显著短于对照组(P<0.05);观察组患者的SAS、SDS评分均显著低于对照组(P<0.05);观察组患者转铁蛋白量、前蛋白量及白蛋白量均显著高于对照组(P<0.05);观察组患者的并发症发生率为6.45%,显著低于对照组的19.35%(P<0.05);观察组患者的生存率为90.33%,与对照组的83.87%相比差异无统计学意义(P>0.05)。结论基于延续性护理管理的针对性饮食指导可改善胃癌患者术后的营养状况,消除紧张情绪,有利于改善患者的预后。Objective To explore the effects of targeted diet guidance based on continuous nursing management on nutritional status and prognosis of patients after gastric cancer surgery.Methods A total of 124 patients with gastric cancer undergoing surgery in the hospital were enrolled between April 2019 and April 2020.According to simple random grouping method,they were divided into observation group and control group,62 cases in each group.The control group was given routine nursing,while observation group was given targeted diet guidance based on continuous nursing management.The intervention lasted for 1 month.The first exhaust time,recovery time of bowel sound and hospitalization time in both groups were observed.Before and after nursing intervention,unhealthy emotions such as anxiety and depression were assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The amount of transferrin,albumin,and preprotein in both groups were observed,and the occurrence of complications during care was recorded,and the prognosis of the patients was followed up 1 year after the end of the intervention.Results After 1 month of intervention,the first exhaust time,recovery time of bowel sound and hospitalization time in observation group were significantly shorter than those in control group,and the differences were statistically significant(P<0.05).SAS and SDS scores in observation group were significantly lower than those in control group,and the differences were statistically significant(P<0.05).The amount of transferrin,preprotein and albumin in observation group were significantly higher than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in observation group was significantly lower than that in control group(6.45%vs 19.35%),and the difference was statistically significant(P<0.05).The difference in survival rate between observation group and control group was not statistically significant(90.33%vs 83.87%)(P>0.05).Conclusions Targeted diet guidan

关 键 词：延续性护理管理 针对性饮食指导 胃癌 营养状况 预后 

分 类 号：R473.73[医药卫生—护理学]