认知行为疗法对胃癌术后患者营养状况及术后恢复的影响  

The impact of cognitive behavioral therapy on nutritional status and postoperative recovery in gastric cancer patients undergoing surgery

作　　者：莫海媚 贾葵[1] 唐梦娟[1] 陆珍珍[1] 苏妮[1] MO Haimei;JIA Kui;TANG Mengjuan;LU Zhenzhen;SU Ni(First Ward,Department of Gastrointestinal and Glandular Surgery,the First Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530021,China)

机构地区：[1]广西医科大学第一附属医院胃肠腺体外科一病区,南宁530021

出　　处：《重庆医学》2025年第4期863-867,共5页Chongqing Medical Journal

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211078)。

摘　　要：目的研究认知行为疗法对胃癌术后患者营养状况及术后恢复的影响。方法选取2023年1月1日至12月30日在该院胃肠腺体外科治疗的60例胃癌患者作为研究对象,采用随机抽签法分成观察组和对照组,每组30例。对照组进行常规治疗,观察组在常规护理的基础上实施基于认知行为疗法的护理方案。比较两组的各项营养指标状况及术后恢复情况。结果干预后,观察组白蛋白、Hb水平高于对照组,差异有统计学意义(P<0.05),而两组前白蛋白水平比较差异无统计学意义(P>0.05)。干预后,观察组QoR-40情绪、身体舒适度、心理支持评分及总分均高于对照组,差异有统计学意义(P<0.05);观察组HADS评分低于对照组,差异有统计学意义(P<0.05)。结论认知行为疗法通过改善患者的情绪状态,影响患者的食欲和营养状态,促进患者术后身体功能的恢复。Objective To study the effects of cognitive behavioral therapy(CBT)on nutritional status and postoperative recovery in patients after gastric cancer surgery.Methods Sixty patients diagnosed with gastric cancer between January 1,2023,and December 30,2023,at the hospital in the department of gastrointestinal and gland surgery were included in this study.Patients were randomly divided by drawing lots into either the observation group(received routine care plus CBT-based nursing program)or the control group(received routine care),with 30 patients in each group.Nutritional indicators and postoperative recovery outcomes were compared between the two groups.Results After the intervention,patients in the observation group showed significantly higher levels of albumin and hemoglobin compared to the control group(P<0.05).However,there was no statistically significant difference in prealbumin levels between the two groups(P>0.05).Furthermore,patients in the observation group scored higher on the Quality of Recovery-40 scale in terms of emotional state,physical comfort,psychological support,and overall score compared to the control group(P<0.05).After the intervention,the observation group showed significantly lower HADS scores compared to the control group,with a statistically significant difference(P<0.05).Conclusion CBT demonstrates significant positive effects in improving nutritional status and postoperative recovery quality in gastric cancer patients.CBT improves patients’emotional state,thereby affecting appetite and nutritional status,and promotes postoperative physical function recovery.

关 键 词：胃肿瘤 认知疗法 营养状况 QoR-40量表 

分 类 号：R735[医药卫生—肿瘤]