中外医学研究2025，Vol.23Issue(15)：156-160,5.DOI:10.14033/j.cnki.cfmr.2025.15.042
TTM理论下的饮食护理在行ESD早期胃癌中的研究
Study on Dietary Nursing Based on the TTM Theory in Early Gastric Cancer Patients Undergoing Endoscopic Submucosal Dissection(ESD)
摘要
Abstract
Objective:To evaluate the nursing effects of dietary care under the Transtheoretical Model and Stages of Change(TTM)in patients with early gastric cancer undergoing endoscopic submucosal dissection.Method:A total of 100 patients with early gastric cancer admitted to Nantong Second People's Hospital from January 2022 to June 2024 were selected as the research subjects and divided into the control group and the experimental group by stratified random sampling,with 50 cases in each group.The control group received routine care,while the experimental group received dietary care guided by the TTM theory on this basis.The gastrointestinal functions(the time of the first anal ventilation,the first anal defecation,the first intake of liquid,hospitalization,etc.),nutritional knowledge level[Digestive Cancer Patients Nutrition Knowledge,Attitude and Practice Questionnaire(DCNKAPQ)],nutritional status[serum albumin(AIB),transferrin(TRF),prealbumin(PAB)],and quality of life[Quality of Life Instruments for Cancer Patients-Stomach Cancer(QLICP-ST)]were compared between the two groups.Result:The first anal ventilation,the first anal defecation,the first liquid intake,and the length of hospital stay in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The DCNKAPQ score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The levels of AIB,TRF and PAB in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.05).The psychological,social and physical scores in the QLICP-ST score of the experimental group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Dietary care under the guidance of TTM theory effectively promotes the recovery of gastrointestinal function in patients with early gastric cancer,improves nutritional status and quality of life,and effectively promotes the rapid recovery of patients after surgery by shortening the length of hospital stay and improving the level of nutritional knowledge.关键词
行为阶段转变理论模型/饮食护理/早期胃癌/内镜黏膜下剥离术/营养状况Key words
The Transtheoretical Model and Stages of Change(TTM)/Dietary Care/Early Gastric Cancer/Endoscopic Submucosal Dissection/Nutritional Status引用本文复制引用
瞿芳,樊倩,黄钰萍,钱金珠,顾钱晨,曹晓楣..TTM理论下的饮食护理在行ESD早期胃癌中的研究[J].中外医学研究,2025,23(15):156-160,5.基金项目
南通市自然科学基金和社会民生科技计划(指导性)项目(MSZ2023080) （指导性）
