营养支持链式管理在胃癌围术期患者中的应用  

Application of nutritional support chain management in perioperative period of patients with gastric cancer

作　　者：周晓梅[1] 陈赛华[2] 王鼎[3] 肖婷[2] 刘雷[2] ZHOU Xiaomei;CHEN Saihua;WANG Ding;XIAO Ting;LIU Lei(Department of Surgery,Nantong Tumor Hospital in Jiangsu Province,Nantong,Jiangsu,226361;Department of Thoracic Surgery,Nantong Tumor Hospital in Jiangsu Province,Nantong,Jiangsu,226361;Department of Gastrointestinal Surgery,Nantong Tumor Hospital in Jiangsu Province,Nantong,Jiangsu,226361)

机构地区：[1]江苏省南通市肿瘤医院外科,江苏南通226361 [2]江苏省南通市肿瘤医院胸外科,江苏南通226361 [3]江苏省南通市肿瘤医院胃肠外科,江苏南通226361

出　　处：《实用临床医药杂志》2024年第12期61-65,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省南通市卫生健康委员会基金资助项目(MSZ2023037)。

摘　　要：目的探讨围术期营养支持链式管理对胃癌患者术后营养状况及营养知信行水平的影响。方法将胃癌患者162例按住院时间分为对照组82例(2021年6—12月入院)、干预组80例(2022年1—6月入院)。对照组实施常规围术期营养管理,干预组实施营养支持链式管理,术后1个月比较2组患者的营养状况及营养知识知信行水平。结果干预组术后1个月总蛋白<60 g/L占比为5.00%,低于对照组的14.63%;干预组术后1个月白蛋白<35 g/L占比为3.75%,低于对照组的13.41%;干预组术后1个月体质量指数(BMI)正常范围者占比83.75%,高于对照组的59.75%,差异有统计学意义(P<0.05)。干预组术后1个月营养知识、支持态度、支持行为维度得分以及营养知信行总分均高于对照组,差异有统计学意义(P<0.05)。结论围术期实施营养支持链式管理能有效增加患者营养摄取量,改善胃癌患者术后营养状况,提升患者营养知信行水平和生活质量。Objective To explore the effect of perioperative nutritional support chain management on the postoperative nutritional status and nutrition knowledge-attitude-practice level of patients with gastric cancer.Methods A total of 162 gastric cancer patients were divided into control group with 82 cases(admitted from June to December 2021)and intervention group with 80 cases(admitted from January to June 2022)according to their admission time.The control group received routine perioperative nutritional management,while the intervention group received nutritional support chain management.The nutritional status and nutrition knowledge-attitude-practice level were compared between the two groups at one month after surgery.Results The proportion of patients with total protein<60 g/L in the intervention group at one month after surgery was 5.00%,which was lower than 14.63%in the control group;the proportion of patients with albumin<35 g/L in the intervention group at one month after surgery was 3.75%,which was lower than 13.41%in the control group;the proportion of patients with normal body mass index(BMI)in the intervention group at one month after surgery was 83.75%,which was significantly higher than 59.75%in the control group(P<0.05).The scores of nutrition knowledge,support attitude and support behavior as well as the total nutrition knowledge-attitude-practice score in the intervention group at one month after surgery were significantly higher than those in the control group(P<0.05).Conclusion Implementation of perioperative nutritional support chain management can effectively increase the patient′s nutrition intake,improve the postoperative nutritional status of gastric cancer patients,and enhance their nutrition knowledge-attitude-practice level and quality of life.

关 键 词：围术期 营养支持 链式管理 胃癌 护理 知信行模式 

分 类 号：R735.2[医药卫生—肿瘤] R656.6[医药卫生—临床医学] R473.73