Caregiver-involved nutritional support and mindfulness training for patients with gastrointestinal cancer: Effects on malnutrition risk and mood  

作　　者：Yan Rong Yan Liu Shu-Yin Tang Xian-Jing Ju Hui Li 

机构地区：[1]Department of General Practice,Affiliated Hospital of Jiangnan University,Wuxi 214000,Jiangsu Province,China [2]Department of Medical Oncology,Affiliated Hospital of Jiangnan University,Wuxi 214000,Jiangsu Province,China [3]Department of Gastrointestinal Surgery,Affiliated Hospital of Jiangnan University,Wuxi 214000,Jiangsu Province,China [4]Division of Infection Management,The First Affiliated Hospital of Soochow University,Suzhou 225000,Jiangsu Province,China

出　　处：《World Journal of Gastrointestinal Oncology》2025年第4期193-200,共8页世界胃肠肿瘤学杂志(英文)

摘　　要：BACKGROUND The participation of caregivers,who play a crucial role in the recovery of patients with gastrointestinal tumors,in family nutrition support decisions can help tailor nutrition plans to meet the specific needs and lifestyle habits of the patient,thereby enhancing the effectiveness of nutritional intake.AIM To assess the impact of caregiver-shared decision-making in family nutritional support with mindfulness-based behavioral therapy on the risk of malnutrition and mood states in patients with gastrointestinal tumors.METHODS Patients with gastrointestinal tumors(n=118)treated at the Jiangnan University Affiliated Hospital between December 2021 and March 2024 were assigned to the observation(n=59)and control(n=59)groups using the random number table method.In addition to the standard treatment and basic nursing measures im-plemented in the control group,the integrated approach was implemented in the observation group.The nutritional and mood state indicators,compliance,and satisfaction before and 6 months after implementing the intervention were com-pared between the groups.RESULTS The body mass index,serum albumin levels,and transferrin levels,as well as the scores for all seven dimensions of the Profile of Mood States questionnaire,in the observation were higher than those in the control group after the 6-month follow-up period(P<0.05).However,the Nutrition Risk Screening 2002 and Mindful Attention Awareness Scale scores were lower than those in the control group(P<0.05).The compliance and satisfaction rates were 94.92%and 98.31%,respectively,which were higher than those of the control group(79.66%and 88.14%,respectively;P<0.05).CONCLUSION The implementation of the integrated approach significantly reduced the risk of malnutrition and improved mood states in patients with gastrointestinal tumors.Moreover,the compliance and satisfaction rates were higher.

关 键 词：Caregiver-shared decision-making Family nutritional support Mindfulness-based behavioral therapy Gastrointestinal tumors Risk of malnutrition Mood state 

分 类 号：R73[医药卫生—肿瘤]