医护患一体化心理护理结合个体化系统营养干预对食管癌放疗患者自我效能及营养状况的影响
Effects of Integrated Psychological Nursing Combined with Individualized Systematic Nutritional Intervention on Self-Efficacy and Nutritional Status of Esophageal Cancer Radiotherapy Patients
张燕 1王臣臣1
作者信息
- 1. 滕州市中心人民医院肿瘤一科,山东滕州 277500
- 折叠
摘要
目的 探讨医护患一体化心理护理结合个体化系统营养干预在食管癌放疗患者中的应用效果.方法 选择2021 年4 月—2023 年5 月滕州市中心人民医院收治的 70 例食管癌放疗患者为研究对象,按随机数字表法将其分为对照组及观察组,每组 35 例.对照组采用常规护理,观察组采用医护患一体化心理护理结合个体化系统营养干预,均持续 1个月.对比两组患者的自我效能、营养状况及心理状况.结果 观察组护理后的一般自我效能感量表评分为(29.93±3.60)分,高于对照组的(26.29±3.46)分,差异有统计学意义(P＜0.05).观察组护理后的血清白蛋白、前白蛋白、血红蛋白及转铁蛋白水平均高于对照组,组间差异有统计学意义(P＜0.05).观察组护理后的焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P＜0.05).结论 医护患一体化心理护理结合个体化系统营养干预在食管癌放疗患者中具有较好的应用效果,利于减轻负性情绪,提升自我效能感,改善机体营养状况.
Abstract
Objective To investigate the effect of integrated psychological nursing combined with individualized systematic nutrition intervention in esophageal cancer radiotherapy patients.Methods 70 esophageal cancer radiotherapy patients admitted to Tengzhou Central People's Hospital from April 2021 to May 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 35 cases in each group.The control group was treated with routine nursing,and the observation group was treated with integrated psychological nursing combined with individualized systematic nutrition intervention.Both groups received continuous care for 1 month.The self-efficacy,nutritional status and psychological status of the two groups were compared.Results The General Self-efficacy Scale Score of the observation group after nursing was(29.93±3.60)points,higher than(26.29±3.46)points of the control group,the difference was statistically significant(P＜0.05).The levels of serum albumin,prealbumin,hemoglobin and transferrin in the observation group after nursing were higher than those in the control group,and the differences between the groups were statistically significant(P＜0.05).The Scores of Self-rating Anxiety Scale and Self-rating Depression Scale after nursing in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P＜0.05).Conclusion Integrated psychological nursing combined with individualized systematic nutrition intervention has a good application effect in patients with esophageal cancer radiotherapy,which is conducive to reducing negative emotions,enhancing self-efficacy and improving the nutritional status of the body.
关键词
食管癌/放疗/医护患一体化/心理护理/个体化系统营养干预/自我效能/营养状况Key words
Esophageal cancer/Radiotherapy/Integration of doctors,nurses and patients/Psychological nursing/Individualized systematic nutritional intervention/Self-Efficacy/Nutritional status引用本文复制引用
出版年
2024
NETL
NSTL
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