首页|基于授权理论的饮食护理对胃癌化疗患者营养状况、生活质量的影响

基于授权理论的饮食护理对胃癌化疗患者营养状况、生活质量的影响

扫码查看
目的 评估授权理论在胃癌化疗患者饮食护理中的营养状况与生活质量的影响.方法 通过便利抽样方式,选取2023 年4 月至2024 年3 月在郑州大学第一附属医院消化内科接受化疗的胃癌患者 90 例,根据患者初次入院时的病区分配,将其分为对照组和研究组,每组45 例.研究组接受基于授权理论的饮食护理方案,而对照组接受传统的饮食护理,评估指标包括患者的营养依从性、营养支持状况、营养不良发生情况、外周血营养指标及生活质量评分等.结果 研究组的饮食依从性(91.11%)、营养支持达标率(86.67%)均高于对照组(55.56%、37.78%)(χ2=14.556,P=0.001;χ2=22.878,P<0.001).研究组的营养不良发生情况(15.56%)低于对照组(51.11%)(χ2=17.566,P=0.001).研究组总蛋白、血清前白蛋白、白蛋白水平均高于对照组(t=28.296,P<0.001;t=5.238,P<0.001;t=17.174,P<0.001).研究组总体健康状况、社会功能、角色功能、认知功能、情绪功能和躯体功能评分均高于对照组(t=7.706,P<0.001;t=5.263,P<0.001;t=9.069,P<0.001;t=7.793,P<0.001;t=5.580,P<0.001;t=10.040,P<0.001);研究组恶心/呕吐、疲劳、失眠、腹泻、便秘和食欲不振评分均低于对照组(t=9.047,P<0.001;t=5.089,P<0.001;t=4.232,P<0.001;t=6.560,P<0.001;t=5.047,P<0.001;t=11.892,P<0.001).结论 采用基于授权理论的饮食护理模式,能有效提升胃癌化疗患者的营养状态和生活质量,减轻治疗相关不良反应.
Effect of dietary nursing based on empowerment theory on nutritional status and quality of life in patients with gastric cancer undergoing chemotherapy
Objective To evaluate the effect of empowerment theory on nutritional status and quality of life in dieta-ry nursing of patients with gastric cancer undergoing chemotherapy.Methods A total of 90 patients with gastric cancer who received chemotherapy in the Department of Gastroenterology of the First Affiliated Hospital of Zhengzhou University from A-pril 2023 to March 2024 were selected by convenient sampling method.According to the allocation of ward at the first ad-mission,the patients were divided into the control group and the research group,45 cases in each group.The study group received dietary care based on empowerment theory,while the control group received traditional dietary care.The assess-ment indicators included nutritional compliance,nutritional support status,incidence of malnutrition,peripheral blood nu-trition and quality of life scores.Results The dietary compliance(91.11%)and nutritional support(86.67%)of the study group were higher than those of the control group(55.56%and 37.78%),and the difference was statistically signifi-cant(χ2=14.556,P=0.001;χ2=22.878,P<0.001).The incidence of malnutrition in the study group(15.56%)was lower than that in the control group(51.11%),and the difference was statistically significant(χ2=17.566,P=0.001).The mean values of total protein,serum prealbumin and albumin in peripheral blood of the study group were higher than those of the control group(t=28.296,P<0.001;t=5.238,P<0.001;t=17.174,P<0.001).The study group had higher overall health status,social function,role function,cognitive function,emotional function and physical function scores than those in the control group(t=7.706,P<0.001;t=5.263,P<0.001;t=9.069,P<0.001;t=7.793,P<0.001;t=5.580,P<0.001;t=10.040,P<0.001);the nausea/vomiting,fatigue,insomnia,diarrhea,constipa-tion and loss of appetite scores in the study group were lower than those in the control group(t=9.047,P<0.001;t=5.089,P<0.001;t=4.232,P<0.001;t=6.560,P<0.001;t=5.047,P<0.001;t=11.892,P<0.001).Con-clusion The dietary nursing model based on the empowerment theory can effectively improve the nutritional status and quality of life of patients with gastric cancer undergoing chemotherapy,and reduce the side effects related to treatment.

empowerment theorydiet nursinggastric cancerchemotherapynutritional statusquality of life

韩郁壬、王睿、赵海艳

展开 >

郑州大学第一附属医院内科,河南 郑州 450052

授权理论 饮食护理 胃癌 化疗 营养状况 生活质量

2024

肿瘤基础与临床
河南省抗癌协会,郑州大学,河南省肿瘤医院,河南省肿瘤研究所

肿瘤基础与临床

影响因子:0.861
ISSN:1673-5412
年,卷(期):2024.37(3)