幸福疗法联合阶梯式膳食管理对白血病患者化疗后胃肠道症状及心理状况的影响  

Effect of happiness therapy combined with stepwise dietary management model on gastrointestinal symptoms and psychological status of leukemia patients after chemotherapy

作　　者：胡玥 刘蕾 HU Yue;LIU Lei(Department of Hematology,the First Affiliated Hospital with Nanjing Medical University(Jiangsu Province Hospital),Jiangsu,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院(江苏省人民医院)血液科,南京市210029

出　　处：《河北医药》2025年第1期47-50,共4页Hebei Medical Journal

基　　金：国家自然科学基金青年科学基金项目(编号:81300379)。

摘　　要：目的 研究幸福疗法联合阶梯式膳食管理方案对白血病患者化疗后胃肠道症状及心理状况的影响。方法 选择2022年1月至2023年6月收治的白血病化疗患者84例,随机数表法分为对照组和观察组,每组42例。对照组采用常规护理,观察组在对照组基础上采用幸福疗法联合阶梯式膳食管理方法,每组42例。比较2组患者的营养状况、胃肠道症状、心理状况、主观幸福感及希望水平情况。结果 观察组血清白蛋白(ALB)水平高于对照组,主观整体营养评估量表(PG-SGA)评分以及恶心、呕吐程度低于对照组(P<0.05);观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,主观幸福感指数(IWB)、Herth希望量表评分高于对照组(P<0.05)。结论 幸福疗法联合阶梯式膳食管理方案能够有效改善白血病化疗患者的营养状况、胃肠道症状及心理状况,提高患者的主观幸福感和希望水平。Objective To study the effect of happiness therapy combined with stepwise dietary management model on gastrointestinal symptoms and psychological status of leukemia patients after chemotherapy.Methods A total of 84 leukemia patients treated with chemotherapy in our hospital from January 2022 to June 2023 were randomly divided into the control group(receiving routine care)and observation group(receiving happiness therapy combined with stepwise dietary management model on the basis of routine care),with 42 cases in each group.The nutritional status,gastrointestinal symptoms,psychological status,inner well-being,and hope level of the two groups were compared.Results After intervention,the albumin(ALB)level in the observation group was significantly higher than that of the control group.The Patient-Generated Subjective Global Assessment(PG-SGA)score,and degree of nausea and vomiting were significantly lower in the observation group than those of the control group(P<0.05).After intervention,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the observation group were significantly lower than those of the control group,while the inner well-being(IWB)and Herth Hope Scale scores were significantly higher than those of the control group(P<0.05).Conclusion The combination of happiness therapy and stepwise dietary management model can effectively improve the nutritional status,gastrointestinal symptoms,and psychological status of leukemia patients after chemotherapy,and increase their inner well-being and hope level.

关 键 词：幸福疗法 阶梯式膳食管理 白血病化疗 胃肠道症状 心理状况 

分 类 号：R733.7[医药卫生—肿瘤]