首页|基于动机行为转化的全程营养管理对结直肠癌患者癌因性疲乏的影响

基于动机行为转化的全程营养管理对结直肠癌患者癌因性疲乏的影响

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目的 探讨基于动机行为转化的全程营养管理对减轻化疗泵持续化疗的进展期结直肠癌患者癌因性疲乏的效果.方法 按随机数表法将2022年2月至2024年4月华中科技大学同济医学院附属同济医院收治的114例进展期结直肠癌癌因性疲乏患者分为两组,各57例.对照组采用常规护理措施干预,试验组采用基于动机行为转化的全程营养管理干预.比较两组干预效果.结果 干预后,试验组HB、TRF和ALB水平、自强、乐观和坚韧评分均高于对照组,躯体疲乏、情感疲乏和认知疲乏评分均低于对照组,P<0.05.试验组不良反应发生率(3.51%)低于对照组(17.54%),P<0.05.结论 基于动机行为转化的全程营养管理可减轻进展期结直肠癌患者癌因性疲乏程度,改善患者营养状况,减少不良反应.
Effect of Total Nutrition Management Based on Motivational Behavior Transformation on Reducing Cancer-Related Fatigue in Colorectal Cancer Patients
Objective:To explore the effect of whole-course nutrition management based on motivational behavior transformation on reducing cancer-related fatigue in patients with advanced colorectal cancer undergoing continuous chemotherapy by chemotherapy pump.Methods:114 patients with advanced colorectal cancer-related fatigue admit-ted to tongji hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from Feb-ruary 2022 to April 2024 were randomly divided into two groups,with 57 patients in each group.The control group was intervened by routine nursing measures,while the experimental group was intervened by whole-course nutrition management based on the transformation of motivation and behavior.The intervention effects of the two groups were compared.Results:After the intervention,the levels of HB、TRF and ALB、scores of self-improvement、optimism and tenacity in the experimental group were higher than those in the control group,while scores of physical fatigue、emo-tional fatigue and cognitive fatigue were lower than those in the control group,P<0.05.The incidence of adverse reac-tions in the experimental group(3.51%)was lower than that in the control group(17.54%),P<0.05.Conclusion:Whole-course nutrition management based on motivational behavior transformation can reduce cancer-related fa-tigue of patients with advanced colorectal cancer,improve their nutritional status and reduce adverse reactions.

Motivational behavior transformationWhole nutrition managementAdvanced colorectal cancerCancer-ous fatigue

熊沫、王超、毕英、殷凯婷、李婷

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华中科技大学同济医学院附属同济医院护理部,湖北 武汉 430030

动机行为转化 全程营养管理 进展期结直肠癌 癌因性疲乏

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(6)