首页|基于COM-B理论的口服营养补充健康教育在胰腺癌术后患者中的应用

基于COM-B理论的口服营养补充健康教育在胰腺癌术后患者中的应用

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目的 探讨基于能力、机会、动机-行为(COM-B)理论的口服营养补充(ONS)健康教育在胰腺癌术后患者中的应用效果。方法 便利选取2021年9月-2022年9月于南京医科大学第二附属医院胰腺中心收治的72例术后行ONS治疗的胰腺癌患者为研究对象,采用随机数字表法分为对照组和观察组,各36例。对照组给予常规ONS相关健康教育,观察组实施基于COM-B理论的ONS健康教育。分别于术前1 d以及ONS后7 d、14 d和30 d对2组患者的自我效能感、依从性和营养相关指标(白蛋白、前白蛋白和视黄醇结合蛋白)进行观察和比较。结果 2组患者术前1 d自我效能感及营养相关指标比较,差异无统计学意义(P>0。05);观察组ONS后7 d、14 d和30 d的自我效能感得分高于对照组,ONS后14 d和30 d的依从性优于对照组,观察组ONS后30 d白蛋白、ONS后14 d和30 d前白蛋白和视黄醇结合蛋白均优于对照组,差异有统计学意义(P<0。05)。结论 基于COM-B理论的ONS健康教育能增强胰腺癌患者术后对ONS的自我效能感,提高依从性,改善其营养状况。
Application of oral nutritional supplement health education based on COM-B theory in patients with pancreatic cancer after operation
Objective To explore the application effect of oral nutrition supplement(ONS)health education based on capability,opportunity,motivation-behavior(COM-B)theory in patients with pancreatic cancer after operation.Methods A total of 72 patients with pancreatic cancer who underwent ONS after operation in the Pancreatic Center of the Second affiliated hospital with Nanjing medical university from September 2021 to September 2022 were selected by convenience sampling,and divided into the observation group and the control group by random number table method,with 36 cases in each group.The control group was given routine health education,while the observation group was given ONS health education based on COM-B theory.The self-efficacy,compliance,and nutrition related indicators(albumin,prealbumin,and retinol binding protein)were observed and compared between 2 groups at 1 day before operation,and 7 d,14 d,and 30 d after ONS.Results There was no statistically significant difference in self-efficacy and nutrition related indicators between 2 groups 1 d before surgery(P>0.05).The scores of self-effi-cacy at 7 d,14 d,and 30 d after ONS in the observation group were higher than those in the control group,and the compliance of the observation group at 14 d and 30 d after ONS were better than those of the control group,and the albumin of the observation group at 30 d after ONS,prealbumin and retinol binding protein at 14 d and 30 d after ONS were better than those of the control group,and the differences were statistically significant(P<0.05).Conclu-sion Health education of ONS based on COM-B theory can enhance the self-efficacy of ONS,increase compliance,and improve the nutritional status of patients with pancreatic cancer after operation.

pancreatic cancercapability,opportunity,motivation-behavior theoryoral nutritional supple-mentshealth educationnursing

陈管洁、张彬、钱祝银、李亚男

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东南大学附属中大医院重症医学科,江苏南京 210009

南京医科大学第二附属医院胰腺中心,江苏南京 210003

胰腺癌 能力、机会、动机-行为理论 口服营养补充 健康教育 护理

江苏省卫生健康委医学科研指导性项目

Z2021021

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(8)
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