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营养状态分级护理联合团体认知行为干预在结肠癌患者术后护理中的应用OA

Application of Nutritional Status Graded Nursing Combined with Group Cognitive Behavior Intervention in Postoperative Nursing of Patients with Colon Cancer

中文摘要英文摘要

目的:探究营养状态分级护理联合团体认知行为干预在结肠癌患者术后护理中的应用价值.方法:将 2022 年 1 月—2023 年 6 月宜春市第二人民医院收治的 80 例结肠癌患者采用信封法分为对照组(40 例)与研究组(40 例),对照组给予常规术后护理,研究组在常规术后护理基础上联合营养状态分级护理与团体认知行为干预,共干预 4 周.比较干预前后两组营养状况、癌因性疲乏、心理一致感及自我管理能力变化情况.结果:干预后,研究组患者主观整体评估量表(PG-SGA)评分低于对照组,血清白蛋白(ALB)和前白蛋白(PA)水平均高于对照组,差异均有统计学意义(P<0.05).干预后,研究组癌症疲乏量表(CFS)评分均低于对照组,中文版心理一致感量表(SOC-13)、中文版癌症自我管理效能感量表(SUPPH)评分均高于对照组,差异均有统计学意义(P<0.05).结论:营养状态分级护理联合团体认知行为干预有利于改善结肠癌术后患者营养状况和癌因性疲乏,且对提高患者心理一致感和自我管理能力有积极意义.

Objective:To explore the application value of nutritional status graded nursing combined with group cognitive behavior intervention in the postoperative nursing of patients with colon cancer.Method:A total of 80 patients with colon cancer admitted to the Second People's Hospital of Yichun from January 2022 to June 2023 were divided into control group(40 cases)and study group(40 cases)by envelope method.The control group was given routine postoperative nursing,and the study group was given nutritional status graded nursing and group cognitive behavior intervention on the basis of routine postoperative nursing,and both groups were intervened for 4 weeks.The nutritional status,cancer-related fatigue,psychological consistency and self-management ability of the two groups were compared before and after intervention.Result:After intervention,the patient-generated subjective global assessment(PG-SGA)score in study group was lower than that in control group,the levels of serum albumin(ALB)and prealbumin(PA)were higher than those in control group,the differences were statistically significant(P<0.05).After intervention,the scores of cancer fatigue scale(CFS)in study group were lower than those in the control group,while the scores of Chinese version of sense of consistency scale-13(SOC-13)and scores of Chinese version of strategies used by people to promote health(SUPPH)were higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:The combination of nutritional status graded nursing and group cognitive behavior intervention can help to improve the nutritional status and cancer-related fatigue in patients after colon cancer surgery,and it has positive significance on enhancing the psychological consistency and self-management ability of patients.

黄丽娟;钱万;黄乐

宜春市第二人民医院体检科 江西 宜春 336000宜春市第二人民医院普外科 江西 宜春 336000宜春市第二人民医院中医内科 江西 宜春 336000

营养状态分级护理团体认知行为干预结肠癌

Nutritional statusGraded nursingGroup cognitive behavior interventionColon cancer

《中国医学创新》 2024 (016)

81-85 / 5

10.3969/j.issn.1674-4985.2024.16.017

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