肝胆外科住院肿瘤患者营养知信行现状及影响因素  

Investigation and Influencing Factors on Nutritional Knowledge,Attitude and Practice of Patients Undergoing Hepatobiliary Surgery

作　　者：宋红霞 郭迎迎 王琳娜 陈培培 李宁宁 杨婷婷 杨阳 裴永菊 罗晓 黄静 蒋秋焕 SONG Hongxia;GUO Yingying;WANG Linna;CHEN Peipei;LI Ningning;YANG Tingting;YANG Yang;PEI Yongju;LUO Xiao;HUANG Jing;JIANG Qiuhuan(Department of Hepatobiliary Pancreatic Surgery,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China;Nutritional Department,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China;Department of Respiratory and Critical Care Medicine,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China;International Medical Center,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China;Surgery Department of Hemangioma,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China;Quality Management Department of Nursing Department/Key Laboratory of Nursing Medicine of Henan Province,Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院/郑州大学人民医院肝胆胰腺外科,河南郑州450003 [2]河南省人民医院/郑州大学人民医院营养科,河南郑州450003 [3]河南省人民医院/郑州大学人民医院呼吸与危重症医学科,河南郑州450003 [4]河南省人民医院/郑州大学人民医院国际医疗中心,河南郑州450003 [5]河南省人民医院/郑州大学人民医院血管瘤外科,河南郑州450003 [6]河南省人民医院/郑州大学人民医院护理部质量管理科/河南省护理医学重点实验室,河南郑州450003

出　　处：《河南医学研究》2025年第5期789-794,共6页Henan Medical Research

基　　金：河南省医学教育研究项目(Wjlx2022012)。

摘　　要：目的调查肝胆外科住院肿瘤患者营养知识、态度、行为情况,并分析其影响因素,为改善肝胆外科住院患者的营养状况,针对性开展营养干预提供参考。方法采用便利抽样的方法,选取2020年7—12月在河南省人民医院肝胆外科住院的肿瘤患者为研究对象,采用一般情况和营养知信行调查问卷进行调查,采用回归分析探讨影响营养知信行的影响因素。结果共调查352例患者,营养知识得分为(10.70±2.47)分,营养态度得分为(17.53±3.62)分,营养行为得分为(20.98±4.08)分。营养相关知识得分的影响因素为受教育程度(β=0.530)、户籍(β=-0.958)、就业类型(β=-0.565);营养相关态度得分的影响因素为性别(β=0.819)、是否有高血压(β=1.151)、体育锻炼(β=1.151)和知识得分(β=0.409);营养相关行为的影响因素为性别(β=1.354)、体育锻炼(β=2.059)、知识得分(β=0.375)和态度得分(β=0.181)。结论肝胆外科住院患者对营养知识了解有所欠缺,营养行为仍有改善。可针对性对患者进行营养知识教育,以提高患者的依从性,改善围手术期营养状况。Objective To investigate the nutritional knowledge,attitude and practice of hepatobiliary surgery patients,and analyze its influencing factors,so as to provide reference for improving the nutritional status of patients undergoing hepatobiliary surgery and carrying out nutritional intervention.Methods The tumor patients hospitalized in the Hepatobiliary Surgery Department of Henan Provincial People’s Hospital from July to December 2020 were selected as the study objects by convenient sampling method.The general situation and nutritional knowledge,attitude and practice questionnaire were used to investigate,and the influencing factors were explored by using regression analysis.Results A total of 352 inpatients were investigated.The average scores of nutritional knowledge,attitude and behavior were(10.70±2.47),(17.53±3.62)and(20.98±4.08)points respectively.The factors influencing the score of nutrition related knowledge were educational level(β=0.530),registered residence(β=-0.958),and employment type(β=-0.565).The influencing factors of nutrition related attitude scores were gender(β=0.819),hypertension(β=1.151),physical exercise(β=1.151)and knowledge score(β=0.409).The influencing factors of nutrition related behavior were gender(β=1.354),physical exercise(β=2.059),knowledge score(β=0.375)and attitude score(β=0.181).Conclusion Patients undergoing hepatobiliary surgery have a lack of understanding of nutritional knowledge,and their nutritional behavior is still improved.Nutritional knowledge education can be targeted to patients to improve their compliance and perioperative nutritional status.

关 键 词：肝胆外科 肿瘤 营养 知信行 

分 类 号：R473.6[医药卫生—护理学]