基于授权理论的居家营养管理策略在结直肠癌术后病人中的应用  

Application of home nutrition management strategy based on empowerment theory in postoperative patients with colorectal cancer

作　　者：刘瑶 刘娟[2] 木尼瓦尔·买买提 闫园园 葛玉红[2,3] LIU Yao;LIU Juan;MUNIWAER Maimaiti;YAN Yuanyuan;GE Yuhong(School of Nursing,Xinjiang Medical University,Xinjiang 830011 China;Affiliated Tumour Hospital of Xinjiang Medical University;Health Care Research Center for Xinjiang Regional Population)

机构地区：[1]新疆医科大学护理学院,新疆830011 [2]新疆医科大学附属肿瘤医院 [3]新疆区域人群疾病与健康照护研究中心

出　　处：《护理研究》2025年第8期1248-1255,共8页Chinese Nursing Research

基　　金：新疆维吾尔自治区自然科学基金面上项目,编号:2017D01C370。

摘　　要：目的:探讨基于授权理论的居家营养管理策略在结直肠癌术后病人中的应用效果。方法:采用方便抽样法,选取2023年9月—2024年1月在新疆医科大学附属肿瘤医院胃肠外科住院的结直肠癌术后病人114例作为研究对象,随机分为试验组和对照组,每组各57例。对照组接受常规营养护理,试验组在对照组的基础上接受基于授权理论的居家营养管理策略。比较两组病人体重、体质指数(BMI)、血清总蛋白(TP)、血清白蛋白(ALB)、血红蛋白(Hb)、外周血淋巴细胞计数(TLC)、小野寺预后营养指数(OPNI)、一般自我效能感量表(GSES)得分及癌症病人生活质量测评量表(EORTC QLQ-C30)评分。结果:两组各有53例病人完成随访。试验组病人出院后1个月TLC、OPNI水平及出院后3个月TP、ALB、Hb、TLC、OPNI、整体健康状况评分均高于对照组,试验组病人出院后1个月及3个月GSES评分均高于对照组,差异均有统计学意义(P<0.05)。重复测量方差分析结果显示,两组TP、ALB、OPNI、GSES评分及整体健康状况、躯体功能、角色功能、社会功能评分的时间效应、组间效应及交互效应均有统计学意义(P<0.05)。结论:基于授权理论的居家营养管理策略有助于改善结直肠癌术后病人的居家营养状况,提高病人自我效能感及生活质量。Objective:To explore the application effect of home nutrition management strategy based on empowerment theory in postoperative patients with colorectal cancer.Methods:A total of 114 postoperative patients with colorectal cancer in the department of gastrointestinal surgery,Affiliated Tumour Hospital of Xinjiang Medical University from September 2023 to January 2024,were selected as the study objects by convenient sampling method.They were randomly divided into experimental group and control group,57 cases each.The control group received routine nutrition care,and the experimental group received the home nutrition management strategy based on empowerment theory.Body weight,body mass index(BMI),serum total protein(TP),serum albumin(ALB),hemoglobin(Hb),peripheral blood lymphocyte count(TLC),Onodera's Prognostic Nutritional Index(OPNI),General Self-Efficacy Scale(GSES)scores and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30(EORTC QLQ-C30)scores were compared between the two groups.Results:A total of 53 patients in each group completed the follow-up.The levels of TLC and OPNI in experimental group were higher than those in control group at the first month discharge(P<0.05).The TP,ALB,Hb,TLC,OPNI and overall health scores of experimental group were higher than those of control group at the third month discharge(P<0.05).The GSES scores of experimental group were higher than those of control group at the first month and the third month discharge(P<0.05).There were statistically significant differences of the time effect,intergroup effect and interaction effect in two group patients with TP,ALB,OPNI,GSES scores and overall health status,physical function,role function,social function scores.Conclusions:Home nutrition management strategy based on empowerment theory could improve home nutrition status,self-efficacy and quality of life of patients after colorectal cancer surgery.

关 键 词：结直肠肿瘤 授权理论 居家护理 营养管理 护理 

分 类 号：R473.73[医药卫生—护理学]