定期家庭随访对胸腔镜食管癌术后饮食恢复功能的影响  

Effect of regular home follow-up on dietary recovery function after thoracoscopic esophageal cancer surgery

作　　者：高建平[1] 王辉[1] 王淑萍[2] Gao jianping;Wang Hui;Wang Shuping(Department of Thoracic Surgery,Beijing Daxing District People's Hospital,Beijing 102600,China;Intensive Care Unit,Beijing Daxing District People's Hospital,Beijing 102600,China)

机构地区：[1]北京市大兴区人民医院胸外科,102600 [2]北京市大兴区人民医院重症监护室,102600

出　　处：《中华消化病与影像杂志（电子版）》2024年第2期188-192,共5页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

基　　金：首都卫生发展科研专项项目(2020-3-7122)。

摘　　要：目的探讨基于互联网、电话支持和定期家庭随访对食管癌术后胃肠道功能恢复效果的影响。方法前瞻性纳入于2019年1月至2022年1月北京市大兴区人民医院接受胸腔镜食管癌根治术的患者120例,随机将患者分为对照组和观察组,每组各60例。对照组在术后采用常规随访方式,出院时由责任医师和护士告知饮食添加原则、食物选择和门诊随访时间。观察组患者在接受常规随访的基础上,出院后由医生和护士组成随访小组,定期进行一对一电话指导生活方式和饮食注意事项,并每月进行家庭随访一次;责任医师和护士在微信群里定期进行食管癌术后健康知识宣教,指导患者恢复和饮食注意事项,并定时回答患者提出的术后康复问题。6个月后门诊随访两组患者焦虑自评量表评分(SAS)和抑郁自评量表评分(SDS)、血清前白蛋白、转铁蛋白及白蛋白水平、简明膳食自评工具评分(SDSAT)、生活质量评分(EORTC QLQ-C30)、癌症疲乏评分(CFS)和对医护的满意度。结果两组均完成术后6个月的干预和随访。随访后评估结果显示,观察组患者SDS及SAS评分明显低于对照组(P<0.01),SDSAT评分明显高于对照组(P<0.05),血清前白蛋白、转铁蛋白及白蛋白水平明显高于对照组(P<0.05),EORCT QLQ-C30评分明显高于对照组(P<0.05),CFS评分明显高于对照组(P<0.01)。观察组患者对医护满意度显著高于对照组(P<0.01)。结论基于电话、互联网和定期家庭随访可改善食管癌患者术后饮食功能和生活质量,并可减轻患者焦虑抑郁水平。Objective To explore the effects of internet,telephone support and regular family follow-up on the recovery of gastrointestinal function after esophageal cancer surgery.Methods A total of 120 patients with esophageal cancer undergoing thoracoscopic radical resection in Beijing Daxing District People's Hospital from January 2019 to January 2022 were prospectively enrolled.Patients were randomly divided into the control group and the observation group,with 60 cases in each group.In the control group,routine follow-up was used after operation,and the principle of diet addition,food choice and outpatient follow-up time were informed by responsible doctors and nurses.On the basis of routine follow-up,the patients in the observation group were followed up by doctors and nurses after discharge.One-to-one telephone guidance on lifestyle and dietary matters needing attention was conducted regularly,and family follow-up was conducted once a month.In the wechat group,responsible doctors and nurses regularly educated patients on postoperative health knowledge of esophageal cancer,guided patients on recovery and diet matters needing attention,and answered patients'postoperative rehabilitation questions regularly.Self-Rating Anxiety Scale(SAS)and Self-rating depression scale(SDS)scores,serum prealbumin,transferrin,and albumin levels,Simplified dietary self-assessment tool score(SDSAT),quality of life questionnaire(EORCT QLQ-C30),cancer fatigue score(CFS),and satisfaction with care were evaluated at outpatient follow-up after 6 months in both groups.Results Both groups completed the intervention and follow-up 6 months after surgery.The evaluation results after follow-up showed that the SDS and SAS scores of the observation group were significantly lower than those of the control group(P<0.01).The SDSAT score of the observation group was significantly higher than that of the control group(P<0.05).The levels of serum prealbumin,transferrin and albumin in the observation group were significantly higher than those in the control gr

关 键 词：食管癌 定期家庭随访 饮食恢复 生活质量 

分 类 号：R473.73[医药卫生—护理学]