摘要
目的调查老年胆囊结石术后患者疾病认知、饮食构成情况,并分析其与术后结石复发的关系,为提高其诊治和护理质量提供依据。方法回顾性分析2020年5月—2022年9月于南京医科大学第一附属医院接受外科手术治疗200例老年胆囊结石患者的临床资料,统计术后1年内结石复发情况,并根据复发与否分为复发组和未复发组。通过调查问卷了解患者出院后疾病认知、饮食构成情况,分析结石复发与患者疾病认知程度、饮食构成的关系。结果200例患者术后1年内结石复发者29例,复发率为14.50%;复发组各认知项目知晓率显著低于未复发组(P<0.05);复发组盐类、油类、奶及奶制品、畜禽肉每日摄入量均明显高于未复发组(P<0.05),而水产品、蔬菜类、水果类、谷薯类、水每日摄入量明显低于未复发组(P<0.05)。结论老年胆囊结石术后患者可能存在疾病认知程度较低,饮食构成不合理现象突出,且其与结石复发密切相关,临床诊治和护理应改善患者疾病认知、饮食构成,以防治结石复发。
Objective To investigate the disease cognition and dietary composition in elderly patients after cholecystolithiasis 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 treatment in First Affiliated Hospital of Nanjing Medical University from May 2020 to September 2022 were analyzed retrospectively.The stone recurrence rate within 1 year after surgery was calculated.They were divided into recurrence group and non-recurrence 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 composition 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 daily intake of aquatic products,vegetables,fruits,grains and potatoes,and water was significantly lower than that of the non-recurrent 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 recurrence.Clinical diagnosis,treatment,and nursing should improve patients disease cognition and dietary composition to prevent the recurrence of stones.
作者
王春艳
郭韵
Wang Chunyan;Guo Yun(Center for Hepatobiliary Diseases,First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029,P.R.China)
出处
《老年医学与保健》
2023年第6期1364-1368,共5页
Geriatrics & Health Care
关键词
老年
胆囊结石
疾病认知
饮食构成
复发
elderly
cholecystolithiasis
disease cognition
dietary composition
recurrence
