首页|问题导向干预模式在肝癌伴营养不良风险患者中的应用

问题导向干预模式在肝癌伴营养不良风险患者中的应用

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目的 探讨问题导向干预模式在肝癌伴营养不良风险患者中的应用效果.方法 采用便利抽样法选取2020年1月~2021年3月本院收治的肝癌伴营养不良风险患者91例,随机数字表法分为研究组46例与对照组45例.对照组接受常规护理干预,研究组予以问题导向干预模式,比较两组干预前后营养状况[体质量指数(BMI)、欧洲营养不良风险筛查2002(NRS-2002)评分]、抑郁-焦虑-压力量表(DASS-21)及肝癌患者生命质量测定量表(QOL-LC)评分.结果 干预后研究组患者NRS-2002评分低于对照组,BMI水平高于对照组,DASS-21压力、焦虑维度评分低于对照组,QOL-LC各维度评分高于对照组,差异均有统计学意义(P<0.05).结论 问题导向干预模式应用于肝癌伴营养不良风险患者,可改善患者营养状况,减轻不良心理状态,促进生存质量改善.
Application of problem-oriented intervention model in patients at risk of liver cancer with malnutrition
Objective To explore the application effect of problem-oriented intervention model in patients at risk of liver cancer with malnutrition.Methods Convenience sampling was used to select 91 patients at risk of liver cancer with malnutrition who were ad-mitted to our hospital from January 2020 to March 2021.The random number table method was used to divide them into a study group of 46 cases and a control group of 45 cases.The control group received routine nursing intervention,and the study group was given a problem-oriented intervention model.Comparison of nutritional status[body mass index(BMI),nutritional risk screening-2002(NRS-2002)Score],depression anxiety stress scale-21(DASS-21)and quality of life-liver cancer(QOL-LC)for liver cancer patients before and after the intervention between the two groups.Results After the intervention,patients in the study group had lower NRS-2002 scores than the control group,BMI levels were higher than the control group,DASS-21 stress and anxiety dimension scores were lower than the control group,QOL-LC scores in each dimension were higher than the control group,the difference was statistically significant significance(P<0.05).Conclusions The problem-oriented intervention model is applied to patients at risk of liver cancer with malnu-trition,which can improve the nutritional status of the patients,alleviate the unhealthy mental state,and promote the improvement of the quality of life.

Liver cancerRisk of malnutritionProblem-oriented intervention modelNutritional statusPoor mental stateQuality of life

石焦峡、卢明、屈辉

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焦作市人民医院肿瘤内科,河南 焦作 454000

肝癌 营养不良风险 问题导向干预模式 营养状况 不良心理状态 生存质量

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(8)