基于跨理论模型的家庭赋权营养支持管理在食管癌术后病人中的应用研究

    Application value of family empowerment nutrition support management based on trans-theoretical model in postoperative patients with esophageal cancer

    • 摘要:
      目的 探讨跨理论模型与家庭赋权营养支持管理在食管癌术后病人中的应用效果。
      方法 随机抽取食管癌手术病人100例,按照随机数字表法分为观察组和对照组,对照组给予常规护理干预,观察组在对照组的基础上予以实施基于跨理论模型的家庭赋权营养支持管理。比较2组病人行为改变阶段、术后1个月24 h摄入量、术前、术后2周、1个月、术后2个月营养指标、并发症、照顾者积极感受。
      结果 经过跨理论模型的家庭赋权干预后,与对照组比较,观察组病人的规范饮食意愿及依从性得到提高(P < 0.05),病人营养状态得到改善(P < 0.05~P < 0.01),并发症发生率降低(P < 0.05)。此外,对家庭照顾者积极感受的程度产生了积极影响(P < 0.01)。
      结论 基于跨理论模型的家庭赋权营养支持管理在食管癌术后病人中呈现出潜在的应用价值,可以提高营养支持管理规范饮食意愿与依从性、改善病人营养状况以及提升主要照顾者积极感受程度。

       

      Abstract:
      Objective To explore the application effects of trans-theoretical model combined with family empowerment nutrition support management in postoperative esophageal cancer patients.
      Methods One hundred esophageal cancer surgery patients were divided into the observation group and control group according to the random number table method. The control group was given the routine nursing interventions, and the observation group was given the family empowerment nutrition support management based on trans-theoretical model on the basis of the control group. The stage of behavioral change between two groups were compared, and the 24 h intake after 1 month of operation and nutritional indicators, complications and positive feelings of caregivers before operation and after 2 weeks, 1 month and 2 months in two groups were observed.
      Results After trans-theoretical model family empowerment intervention, compared with the control group, the patients' intention and compliance of standardized diet were improved(P < 0.05), the nutritional status of patients were improved(P < 0.05 to P < 0.01), and the incidence of complications reduced in the observation group(P < 0.05). In addition, the degree of positive feelings of family caregivers was positively affected(P < 0.01).
      Conclusions Family empowerment nutrition support management based on trans-theoretical model has shown potential application value in patients after esophageal cancer surgery, which can improve the intention and compliance of nutrition support management to regulate diet, improve the nutritional status of patients, and enhance the positive feelings of primary caregivers.

       

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