基于知识转化的肠内营养临床实践对胃癌术后病人肠功能及生活质量的影响

    Impact of knowledge translation-based enteral nutrition clinical practice on bowel function and quality of life in postoperative patients with gastric cancer

    • 摘要:
      目的 探究知识转化理论在胃癌病人术后肠内营养中的临床实践效果。
      方法 采用非同期对照试验设计, 将2022年4—12月收治的胃癌手术病人25例作为观察组, 2021年9月至2022年3月收治的23例作为对照组。对照组给予常规护理, 观察组运用基于知识转化理论模式行肠内营养护理实践。
      结果 观察组腹痛、腹胀、腹泻等胃肠道反应发生率明显低于对照组(P<0.05);2组病人体质量指数比较差异无统计学意义(P>0.05), 观察组病人血清白蛋白、前白蛋白和总淋巴细胞计数均高于对照组(P<0.05), 胃癌病人生活质量问卷评分观察组术后胃部疼痛、反流、口干、味觉改变、饮食受限、身体形象、焦虑生活质量方面情况评分均低于对照组(P<0.05),术后满意度高于对照组(P<0.05)。
      结论 基于知识转化的肠内营养临床实践能提高胃癌术后病人胃肠道耐受性, 减轻胃肠道不良反应, 改善病人营养不良指标, 提高病人生活质量和满意度。

       

      Abstract:
      Objective To investigate the evaluation of the effect of knowledge translation theory in the clinical practice of postoperative enteral nutrition in patients with gastric cancer.
      Methods Using a non-simultaneous controlled trial design, 25 patients with gastric cancer surgery from April 2022 to December 2022 were used as the observation group, and 23 patients with gastric cancer surgery from September 2021 to March 2022 were used as the control group.The control group was given conventional care and the observation group was given clinical practice using knowledge translation theory.
      Results In the gastrointestinal tolerance evaluation of the observation group, gastrointestinal reactions such as abdominal pain, bloating and diarrhea were significantly lower than those of the control group (P < 0.05);the difference in body mass index between the two groups was not statistically significant (P>0.05), and the difference in serum albumin, prealbumin and total lymphocyte count of the patients in the observation group was statistically significant (P < 0.05);the quality of life questionnaire score of gastric cancer patients in the observation group had postoperative gastric pain, reflux, dry mouth, altered taste, restricted diet, body image, and anxiety quality-of-life situation scores were lower in the observation group than those in the control group (P < 0.05);satisfaction was higher than that in the control group (P < 0.05).
      Conclusions The clinical practice of enteral nutrition based on knowledge translation improves the gastrointestinal tolerance of postoperative patients with gastric cancer, alleviates the adverse gastrointestinal reactions, improves the malnutrition index of patients, and improves the quality of life and satisfaction of patients.

       

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