摘要
Abstract
Objective To investigate the disease cognition and dietary composition in elderly patients after cholecystoli-thiasis surgery and analyze their relationship with postoperative recurrence,so as to provide a basis for improving diagnosis,treatment and nursing quality.Methods The clinical data of 200 patients with cholecystolithiasis who underwent surgical treat-ment in First Affiliated Hospital of Nanjing Medical University from May 2020 to September 2022 were analyzed retrospective-ly.The stone recurrence rate within 1 year after surgery was calculated.They were divided into recurrence group and non-recur-rence group according to with or without recurrence.The disease cognition and dietary composition of patients after discharge were investigated by means of questionnaires.The relationship between stone recurrence and disease cognition and dietary com-position of patients was analyzed.Results Among 200 patients,there were 29 cases with stone recurrence within 1 year after surgery,with a recurrence rate of 14.50%.The awareness rate of each cognitive item of the recurrence group was significantly lower than that of the non-recurrence group(P＜0.05).The daily intake of salt,oil,milk and dairy products,and livestock and poultry meat of the recurrent group was significantly higher than that of the non-recurrent group(P＜0.05),while the dai-ly intake of aquatic products,vegetables,fruits,grains and potatoes,and water was significantly lower than that of the non-re-current group(P＜0.05).Conclusion Elderly patients with cholecystolithiasis after surgery may have prominent phenomenon of low degree of disease cognition and unreasonable dietary composition,which is closely related to postoperative stone recur-rence.Clinical diagnosis,treatment,and nursing should improve patients'disease cognition and dietary composition to prevent the recurrence of stones.关键词
老年/胆囊结石/疾病认知/饮食构成/复发Key words
elderly/cholecystolithiasis/disease cognition/dietary composition/recurrence
