目的 探讨赋能教育联合肠内营养剂对胃癌化疗患者营养状况的影响。方法 随机抽取福建医科大学肿瘤临床医院2022年2月-2023年2月收治的100例胃癌化疗患者作为研究对象。按照护理方法不同将患者分为试验组与对照组，各50例。2组采用常规胃癌化疗，对照组给予胃癌患者肠内营养剂辅助，试验组采用赋能教育联合肠内营养剂的方法。比较2组血清蛋白水平、营养状况、不良反应发生情况、生活质量评价。结果 护理后，试验组总蛋白、白蛋白、前白蛋白、血红蛋白及体质量分别为(74。82±421)g/L、(46。82±3。71)g/L、(4。31±0。71)g/L、(128。81±10。41)g/L、(72。12±12。17)kg，均 高于对 照组的(70。89±4。91)g/L、(42。91±5。10)g/L、(3。54±0。68)g/L、(122。84±8。31)g/L、(65。94±9。08)kg(P＜0。05)。护理后，试验组患者主观整体评估(patient-generated subjective global assessment，PG-SGA)评分为(1。55±0。41)分，低于对照组的(3。22±0。75)分(P＜0。05)。试验组不良反应总发生率为4。00％，低于对照组的26。00％(P＜0。05)。护理后，试验组生活质量评分低于对照组(P＜0。05)。结论 胃癌化疗患者给予赋能教育联合肠内营养剂干预，能够改善血清蛋白及营养水平，提高生活质量的同时能够减少不良反应。
Effect of Enabling Education Combined With Enteral Nutrition on Nutritional Status of Patients With Gastric Cancer Undergoing Chemotherapy
Objective To investigate the effects of enabling education combined with enteral nutrition on the nutritional status of patients with gastric cancer undergoing chemotherapy.Methods A total of 100 patients with gastric cancer treated with chemotherapy in Clinical Oncology School of Fujian Medical University from February 2022 to February 2023 were randomly selected as the study objects.According to different nursing methods,the patients were divided into experimental group and control group,50 cases each.The two groups received conventional chemotherapy for gastric cancer,the control group received enteral nutrition supplement,and the experimental group received enabling education combined with enteral nutrition therapy.The levels of serum protein,nutritional status,adverse reactions and quality of life were compared.Results After nursing,The total protein,albumin,prealbumin,hemoglobin and body weight of experimental group were(74.82±4.21)g/L,(46.82±3.71)g/L,(4.31±0.71)g/L,(128.81±10.41)g/L and(72.12±12.17)kg,respectively,which were higher than(70.89±4.91)g/L,(42.91±5.10)g/L,(3.54±0.68)g/L,(122.84±8.31)g/L and(65.94±9.08)kg of control group(P＜0.05).After nursing,the patient-generated subjective global assessment(PG-SGA)score of the experimental group was(1.55±0.41)points,which was lower than(3.22±0.75)points of the control group(P＜0.05).The total incidence of adverse reactions in experimental group was 4.00％,which was lower than 26.00％in control group(P＜0.05).After nursing,the quality of life score of experimental group was lower than that of control group(P＜0.05).Conclusion Enabling education combined with enteral nutrition intervention in patients with gastric cancer undergoing chemotherapy can improve serum protein and nutritional level,improve quality of life and reduce adverse reactions.
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