基于行为分阶段改变理论的护理联合营养干预对晚期胃癌患者护理效果的影响

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中文摘要：目的探讨基于行为分阶段改变理论的护理联合营养干预对晚期胃癌患者癌痛情况、生活质量及癌因性疲乏的影响。方法选取2020年1月至2023年1月福建省肿瘤医院收治的90例晚期胃癌患者，随机分为对照组(45例)和观察组(45例)。对照组在常规护理下进行干预，观察组接受基于行为分阶段改变理论的护理联合营养干预。比较两组患者的营养水平、癌因性疲乏、生活质量、疼痛程度。结果护理后，观察组血浆总蛋白、白蛋白水平均高于对照组，差异有统计学意义(P＜0。05);观察组行为、认知、躯体、情感方面的癌因性疲乏评分均低于对照组，差异有统计学意义(P＜0。05);观察组生活质量评分高于对照组，差异有统计学意义(P＜0。05);观察组数字评分量表(NRS)评分低于对照组，差异有统计学意义(P＜0。05)。结论基于行为分阶段改变理论的护理联合营养干预有助于提高晚期胃癌患者营养水平，降低癌因性疲乏感，减轻疼痛程度，并提高患者生活质量。

外文标题：Effect of nursing combined with nutrition intervention based on the theory of behavioral stage change on the nursing outcomes of patients with advanced gastric cancer

外文摘要：Objective To explore the effect of nursing combined with nutrition intervention based on the theory of behavioral stage change on cancer pain,quality of life,and cancer-related fatigue in patients with advanced gastric cancer.Methods A total of 90 patients with advanced gastric cancer admitted to Fujian Cancer Hospital from January 2020 to January 2023 were selected and randomly divided into a control group(45 cases)and an observation group(45 cases).The control group received intervention under routine care,while the observation group received nursing combined with nutrition intervention based on the theory of behavioral stage change.The nutritional levels,cancer-related fatigue,quality of life,and pain levels were compared between the two groups of patients.Results The plasma total protein and albumin levels in the observation group after nursing were higher than those in the control group,with statistically significant differences(P＜0.05).Cancer-caused fatigue scores in behavioral,cognitive,somatic,and affective domains were lower in the observation group than in the control group,with statistically significant differences(P＜0.05).The quality of life score of the observation group after nursing was higher than that of the control group,with statistically significant difference(P＜0.05).The numerical rating scale(NRS)score of the observation group after nursing was lower than that of the control group,with statistically significant difference(P＜0.05).Conclusion The nursing combined with nutrition intervention based on the theory of behavioral stage change can help improve the nutritional level of patients with advanced gastric cancer,reduce cancer-related fatigue,alleviate pain,and improve their quality of life.

外文关键词：

Theory of behavioral stage changeNutritional interventionPatients with advanced gastric cancerPainQuality of lifeCancer-related fatigue

作者：

吴秋林、杨秀、余家密、吴光峰

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作者单位：

福建医科大学肿瘤临床医学院福建省肿瘤医院腹部肿瘤内科,福建福州 350014

关键词：

行为分阶段改变理论营养干预晚期胃癌患者疼痛生活质量癌因性疲乏感

基金：

福建省自然科学基金资助项目

项目编号：

2020J011111

出版年：

2024

DOI：

10.20116/j.issn2095-0616.2024.08.30

中国医药科学

海峡两岸医药卫生交流协会二十一世纪联合创新（北京）医药科学研究院

中国医药科学

影响因子：1.083

ISSN：2095-0616

年,卷(期)：2024.14(8)

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