家庭赋权模式下围术期新型饮食管理方案对脑胶质瘤患者手术耐受度的影响  

Influence of new perioperative diet management regimen under family empowerment model on surgical tolerance in patients with glioma

作　　者：张林聪 白冰[1] 薛亚珂 ZHANG Lincong;BAI Bing;XUE Yake(Department of Neurosurgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州大学第一附属医院神经外科,河南郑州450000

出　　处：《中华神经外科疾病研究杂志》2025年第1期86-90,共5页Chinese Journal of Neurosurgical Disease Research

基　　金：河南省重点研发与推广专项(科技种类)(232102310172)。

摘　　要：目的探究家庭赋权模式下围术期新型饮食管理方案对脑胶质瘤患者手术耐受度的影响。方法选取2022年3月至2024年3月期间郑州大学第一附属医院收治的97例脑胶质瘤患者作为研究对象,随机分组为干预组50例,常规组47例,干预组行家庭赋权模式下围术期新型饮食管理方案,常规组行围术期常规饮食管理。比较两组干预前后营养状态[自评-主观全面营养评定量表(PG-SGA)]、心理状态[医院焦虑抑郁量表(HADS)]、应激情况(收缩压、舒张压以及脉率)、术前不适反应(口渴、饥饿、低血糖)及术后恢复情况(术后恢复进食时间、首次下床活动时间、尿管拔除时间、术后住院时间)。结果干预前,两组营养状态A、B、C级占比比较差异无统计学意义(P>0.05);干预后,干预组营养状况A级占比高于常规组,B级占比低于常规组,差异有统计学意义(P<0.05)。干预前,两组HADS量表各维度得分比较差异无统计学意义(P>0.05);干预后,干预组HADS量表各维度得分低于常规组,差异有统计学意义(P<0.05)。干预前,两组收缩压、舒张压、脉率比较差异无统计学意义(P>0.05);干预后,干预组干预后的收缩压、舒张压、脉率均低于常规组,差异有统计学意义(P<0.05)。干预组患者术前不适情况总发生率低于常规组,差异有统计学意义(P<0.05)。干预组患者术后恢复进食时间、首次下床活动时间、尿管拔除时间、术后住院时间均短于常规组,差异有统计学意义(P<0.05)。结论家庭赋权模式下围术期新型饮食管理方案能够有效改善脑胶质瘤患者营养状态,缓解患者焦虑、抑郁情绪,减轻患者应激情况及术前不适感受,提高手术耐受度,促进患者恢复。Objective To explore the influence of new perioperative diet management regimen under family empowerment model on surgical tolerance in patients with glioma.Methods 97 patients with glioma admitted to the First Affiliated Hospital of Zhengzhou University from March 2022 to March 2024 were selected as the study subjects,randomized into intervention group(50 cases)and conventional group(47 cases).The intervention group received new perioperative diet management regimen under family empowerment model,while the conventional group adopted conventional perioperative diet management.The nutritional status[Patient-Generated-Subjective Global Assessment(PG-SGA)],psychological status[Hospital Anxiety and Depression Scale(HADS)],stress status(systolic blood pressure,diastolic blood pressure and pulse rate),preoperative discomfort reactions(thirst,hunger,hypoglycemia)and postoperative recovery status(postoperative feeding recovery time,first ambulation time,urinary catheter removal time,postoperative hospital stay)were compared between these two groups before and after the intervention.Results Before intervention,there were no statistical differences in the proportions of grade A,B and C nutritional status between groups(P>0.05).After intervention,the proportion of grade A nutritional status in intervention group was higher than that in conventional group while the proportion of grade B nutritional status was lower than that in conventional group(P<0.05).There were no statistically significant differences in HADS scores between groups before intervention(P>0.05).The scores of dimensions of HADS in intervention group after intervention were lower than those in conventional group(P<0.05).Before intervention,no statistical differences were shown in systolic blood pressure,diastolic blood pressure and pulse rate between both groups(P>0.05).The systolic blood pressure,diastolic blood pressure and pulse rate in intervention group after intervention were lower than those in conventional group(P<0.05).The total incidence rate of pre

关 键 词：家庭赋权模式 围术期 饮食管理 脑胶质瘤 手术耐受度 

分 类 号：R739.45[医药卫生—肿瘤]