护士主导的互联网营养支持小组在肝癌TACE术后患者居家营养护理中的应用  

Application of nurse-led internet-based nutrition support team in home nutrition care for postoperative liver cancer TACE patients

作　　者：李海燕[1] 郑梦静 沈小叶 倪步烤 Li Haiyan;Zheng Mengjing;Shen Xiaoye;Ni Bukao(Department of Interventional Radiology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Intensive Care Unit,Wenzhou Central Hospital,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第一医院介入科,温州325000 [2]温州市中心医院重症监护室,温州325000

出　　处：《中华现代护理杂志》2025年第13期1804-1809,共6页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技项目(2023KY141);温州市基础性公益科研项目(Y20220689)。

摘　　要：目的探讨护士主导的互联网营养支持小组(NST)在肝癌肝动脉化疗栓塞术(TACE)术后患者居家营养护理中的应用效果。方法采用便利抽样法,选取温州医科大学附属第一医院2022年7月—2023年6月的200例肝癌TACE术后患者作为研究对象,按照随机数字表法分为对照组与干预组,各100例。对照组给予传统的营养指导及随访,干预组在对照组的基础上给予护士主导的互联网NST干预。比较出院时和干预3个月后两组的营养状况相关指标(血红蛋白、白蛋白、前白蛋白、体重指数)、主观整体营养评估量表(PG-SGA)得分。结果出院时,两组营养状况相关指标和PG-SGA得分比较差异无统计学意义(P>0.05)。干预3个月后,干预组的血红蛋白、白蛋白、前白蛋白、体重指数水平高于对照组,差异有统计学意义(P<0.05);干预组的PG-SGA评分低于对照组,差异有统计学意义(P<0.05)。结论护士主导的互联网NST用于肝癌TACE术后患者居家营养护理可进一步改善患者营养状况。Objective To explore the effect of a nurse-led internet nutrition support team(NST)on home nutrition care for liver cancer patients after transcatheter arterial chemoembolization(TACE).Methods A convenience sampling method was used to select 200 liver cancer patients who underwent TACE at the First Affiliated Hospital of Wenzhou Medical University from July 2022 to June 2023.These patients were randomly divided into a control group and an intervention group,each consisting of 100 patients.The control group received traditional nutrition guidance and follow-up,while the intervention group received nurse-led internet NST intervention in addition to the control group's treatment.The nutritional status indicators(hemoglobin,albumin,prealbumin,body mass index)and the Patient-Generated Subjective Global Assessment(PG-SGA)scores were compared at discharge and 3 months after the intervention.Results At discharge,there was no significant difference in nutritional status indicators and PG-SGA scores between the two groups(P>0.05).Three months after the intervention,the hemoglobin,albumin,prealbumin,and body mass index level in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).Additionally,the PG-SGA score in the intervention group was lower than that in the control group,and the difference was statistically signifiant(P<0.05).Conclusions Nurse-led internet NST can further improve the nutritional status of liver cancer patients after TACE during home nutrition care.

关 键 词：肝肿瘤 互联网 营养支持小组 居家营养护理 肝动脉化疗栓塞术 

分 类 号：R473.73[医药卫生—护理学]