胰腺肿瘤患者术前预康复方案的构建及应用  

Construction and application of a preoperative prehabilitation program for panc-reatic tumor patients

作　　者：张林[1] 王静[1] 张灿[2] 盛秋[1] 张星星 Zhang Lin;Wang Jing;Zhang Can;Sheng Qiu;Zhang Xingxing(Hepatobiliary and Pancreatic Center,The Northern Jiangsu People′s Hospital,Yangzhou 225001,China)

机构地区：[1]江苏省苏北人民医院胆胰中心,江苏扬州225001 [2]江苏省苏北人民医院后勤保障处,江苏扬州225001

出　　处：《护理学杂志》2025年第5期6-10,共5页Journal of Nursing Science

基　　金：江苏省苏北人民医院管理课题项目(YYGL202116)。

摘　　要：目的构建基于干预映射理论的胰腺肿瘤切除术患者术前预康复方案,并探讨其应用效果。方法将2022年1-12月60例胰腺肿瘤切除术患者设为对照组,2023年1-12月60例胰腺肿瘤切除术患者设为观察组。对照组接受常规术前护理干预,观察组接受基于干预映射理论的术前预康复干预。结果观察组首次下床时间、排气时间及住院时间显著短于对照组(均P<0.05);两组并发症发生率比较,差异无统计学意义(均P>0.05)。干预后,观察组营养指标和运动指标显著优于对照组,焦虑抑郁和希望水平评分与对照组比较,差异有统计学意义(均P<0.05)。结论基于干预映射理论的胰腺肿瘤切除术患者术前预康复方案具有较高的科学性、适用性,有利于为胰腺肿瘤切除术患者术前预康复提供指导,并能有效提高患者术前营养状态、运动能力,改善患者不良心理状态。Objective To construct a preoperative prehabilitation program for patients undergoing pancreatic tumor resection based on intervention mapping theory and to explore its application effects.Methods A total of 60 pancreatic tumor resection patients from January to December 2022 were set as the control group,and 60 pancreatic tumor resection patients from January to December 2023 were set as the observation group.The patients in the control group received traditional preoperative interventions,and the patients in the observation group received preoperative prehabilitation program interventions based on intervention mapping theory.Results The observation group′s first time out of bed,exhaust time and hospitalization time were significantly shorter than that of the control group(all P<0.05);there was no statistical significance in the incidence of complications between the two groups(all P>0.05).After the intervention,the nutritional and exercise indexes of the observation group were significantly better than those of the control group,and there was a statistically significant difference in anxiety,depression,and hope level scores compared to the control group(all P<0.05).Conclusion The preoperative prehabilitation program for pancreatic tumor resection patients based on intervention mapping theory has high scientific and applicability,which is helpful to provide guidance for preoperative prehabilitation of pancreatic tumor resection patients,and can effectively improve the preoperative nutritional status and exercise ability of the patients,and improve the adverse psychological status of the patients.

关 键 词：胰腺肿瘤 术前预康复 干预映射理论 营养 康复运动 焦虑 抑郁 希望 

分 类 号：R473.6[医药卫生—护理学]