摘要
目的:探讨焦点式心理护理联合参与式饮食干预对胃癌根治术后患者的影响。方法:选取电子科技大学医学院附属绵阳医院·绵阳市中心医院2019年3月-2021年7月肿瘤科收治的112例胃癌根治术后患者作为研究对象。按照入院顺序将其分为对照组(56例)与观察组(56例)。对照组给予常规护理,在对照组基础上,观察组给予焦点式心理护理联合参与式饮食干预。比较两组护理后营养状况、护理前后的负性情绪、护理满意度及生活质量。结果:护理后,观察组血红蛋白、转铁蛋白(TRF)、血清白蛋白(ALB)及血清总蛋白水平均明显高于对照组(P<0.05)。护理后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于对照组(P<0.05)。观察组总满意度为100%,明显高于对照组的87.50%(P<0.05)。观察组躯体功能、角色功能、认知功能、情绪功能、社会功能评分均明显高于对照组(P<0.05)。结论:焦点式心理护理联合参与式饮食干预可以有效缓解胃癌根治术后患者的不良情绪,明显改善患者营养状况与生活质量,有助于提高护理满意度。
Objective:To explore the effect of focused psychological nursing combined with participatory dietary intervention on patients after radical gastrectomy for gastric cancer.Method:A total of 112 patients after radical gastrectomy for gastric cancer were selected as the research objects from the Department of Oncology in Mianyang Hospital Affiliated to School of Medicine,University of Electronic Science and Technology of China·Mianyang Central Hospital from March 2019 to July 2021.According to the order of admission,they were divided into control group(56 cases)and observation group(56 cases).The control group was given routine nursing.On the basis of the control group,the observation group was given focused psychological nursing combined with participatory dietary intervention.The nutritional status after nursing,negative emotions before and after nursing,nursing satisfaction and quality of life of the two groups were compared.Result:After nursing,the levels of hemoglobin,transferrin(TRF),serum albumin(ALB)and serum total protein in the observation group were significantly higher than those in the control group(P<0.05).After nursing,the self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores of the observation group were significantly lower than those of the control group(P<0.05).The total satisfaction of the observation group was 100%,which was significantly higher than 87.50%of the control group(P<0.05).The scores of physical function,role function,cognitive function,emotional function and social function in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Focused psychological nursing combined with participatory dietary intervention can effectively alleviate the bad mood of patients after radical gastrectomy for gastric cancer,significantly improve the nutritional status and quality of life of patients,and help to improve nursing satisfaction.
作者
范丽
FAN Li(Mianyang Hospital Affiliated to School of Medicine,University of Electronic Science and Technology of China·Mianyang Central Hospital,Mianyang 621000,China)
出处
《中外医学研究》
2022年第25期115-118,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
焦点式心理护理
参与式饮食干预
胃癌
营养状况
负性情绪
Focused psychological nursing
Participatory dietary intervention
Gastric cancer
Nutritional status
Negative emotion