Study on the effect of behavior change theory diet nursing intervention on postoperative patients with gastric cancer
Objective To investigate the effects of behavioral change dietary nursing intervention on gastrointestinal func-tion,nutritional status and immune level in patients with gastric cancer after operation.Methods A total of 103 patients with gastric cancer treated from 2020-01-01 to 2022-11-30 in Nanyang Central Hospital were selected as the study objects.They were divided into control group and observation group according to random number table method.Fifty-one patients in the control group received routine nursing intervention,and 52 patients in the observation group were given behavioral change theoretical dietary nursing intervention on the basis of the control group.During the follow-up period,there was 1 case of dropout disease in the control group and 2 cases of dropout in the observation group.The gastrointestinal func-tion level,body nutrition level,immune level and postoperative complication rate of the two groups were compared.Results The postoperative diet time of observation group was(3.12±0.35)d,which was lower than that of control group(4.11±0.41)d,t=12.986,P＜0.001.The recovery time of gastrointestinal peristalsis in observation group was(2.57±0.25)d,which was lower than that in control group(3.28±0.36)d,t=11.455,P＜0.001.The first time of getting out of bed in observation group was(1.96±0.45)d,which was shorter than that in control group(3.23±0.46)d,t=13.955,P＜0.001.The postoperative hospital stay in observation group was(11.47±1.69)d,which was shorter than that of control group(14.24±1.51)d,t=8.642,P＜0.001.After intervention,the serum albumin(ALB)level in observation group was(36.73±3.48)g/L,higher than that in control group(34.71±2.85)g/L,F=3.168,P=0.003.The level of prealbumin(PA)in observation group was(198.58±4.47)mg/L,higher than that in control group(182.11±4.02)mg/L,F=19.283,P＜0.001.The level of transferrin(TRF)in observation group was(2.92±0.35)g/L,higher than that in control group(2.57±0.32)g/L,F=5.338,P=0.001.Hemoglobin(Hb)level in observation group was(116.07±4.28)g/L,higher than that in control group(112.34±4.54)g/L,F=4.227,P＜0.001.The lev-el of immunoglobulin A(IgA)in observation group was(2.27±0.27)g/L,higher than that in control group(2.06± 0.39)g/L,F=3.027,P=0.001.The level of immunoglobulin M(IgM)in observation group was(1.13±0.19)g/L,higher than that in control group(1.02±0.25)g/L,t=2.368,P=0.016.The immunoglobulin G(IgG)level in obser-vation group was(13.39±2.22)g/L,higher than that in control group(12.35±2.14)g/L,F=2.427,P=0.018.There was no significant difference in the total incidence of postoperative complications between the two groups,x2=0.364,P=0.547.Conclusion Dietary nursing intervention based on behavioral change theory can improve the gastroin-testinal function of patients with gastric cancer after operation,improve the nutritional level of patients with prognosis,and enhance the immune level of patients.
behavior change theorydietary interventiongastric cancergastrointestinal functionnutritional statusim-mune function
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