肝癌患者术后出院饮食依从性研究  

A Study of Compliance with Postoperative Discharge Diet for Hepatocellular Carcinoma

作　　者：张依珍[1] 钟富秀[1] 周璐 ZHANG Yizhen;ZHONG Fuxiu;ZHOU Lu(Department of Hepatobiliary Surgery,Fujian Medical University Union Hospital,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属协和医院肝胆外科,福州350000

出　　处：《中国医药指南》2024年第17期120-122,126,共4页Guide of China Medicine

摘　　要：目的调查肝癌患者术后出院饮食依从性的现状,并分析其相关影响因素。方法采用方便抽样的方法,选取2021年11月—2022年3月福州市某三甲医院的肝癌术后的患者作为研究对象,收集一般资料于术后出院一个月随访并填写饮食依从性量表,进行数据分析。结果肝癌患者术后饮食依从性总分为(31.30±3.34)分,饮食依从性在年龄、文化程度、居住地、家庭人均月收入方面上存在差异,即年龄≤60岁、学历在大专以上、居住在城镇、家庭人均月收入>5000元的研究对象饮食依从性得分较高(均P<0.05)。Pearson相关性分析显示,研究对象饮食依从性与年龄和居住地之间呈负相关,饮食依从性与文化程度和收入之间呈正相关。结论肝癌患者术后出院饮食依从性总体较好,在临床护理中,应加强对年龄大于60岁、文化程度较低、家庭人均月收入较低人群的关注,开展个体化的健康教育将能提高患者的饮食依从性,从而促进机体的恢复。Objective To investigate the current status of postoperative dietary compliance of patients with hepatocellular carcinoma and to further analyze the relevant influencing factors.Methods Using a convenience sampling method,patients with postoperative hepatocellular carcinoma in a tertiary care hospital in Fuzhou City from November 2021 to March 2022 were selected as the study subjects,and the general data were collected and followed up one month after discharge from the hospital and the dietary adherence scale was completed for data analysis.Results The total score of dietary compliance of patients with liver cancer after operation based on the concept of rapid rehabilitation surgery was(31.30±3.34).There were significant differences in age,educational level,residence and family per capita monthly income(P<0.05).Pearson correlation analysis showed that there was a positive correlation between the subjects'education level,per capita monthly household income and dietary compliance behavior,and a negative correlation between age and dietary compliance behavior.There was a negative correlation between age and dietary compliance behavior.Conclusions In clinical care,we should pay more attention to those who are older than 60 years old,have lower education level and lower per capita monthly household income,and carry out individualized health education to improve patients'dietary compliance and thus promote the recovery of the organism.

关 键 词：肝癌 加速康复外科 术后 饮食依从性 

分 类 号：R735.7[医药卫生—肿瘤]