焦点式心理护理联合行为转变理论饮食护理在胃癌根治术患者中的应用

Application of Focus Psychological Nursing Combined with Behavioral Change Theory Diet Nursing in Patients with Radical Gastrectomy

目的探讨焦点式心理护理联合行为转变理论饮食护理在胃癌根治术患者中的应用。方法选择2019年12月~2022年12月收治的112例行胃癌根治术患者,随机分为常规组和联合组,各56例。常规组应用常规护理模式干预,联合组则用焦点式心理护理联合行为转变理论饮食护理模式干预。比较两组术后康复指标和并发症发生情况,干预前后的营养状况、心理状况和生活质量。结果联合组比常规组的术后首次进食、肠鸣恢复、肛门排气、首次下床时间显著缩短(P<0.05)。干预后,两组血清转铁蛋白(TRF)、白蛋白(ALB)及总蛋白(TP)水平均下降明显,但是常规组比联合组降低更明显(P<0.05)。干预后,两组抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均降低明显,联合组比常规组降低更明显(P<0.05)。干预后,两组日常活动、社交/家庭生活、情绪、活动能力、其他方面评分均提高明显,联合组比常规组提高更明显(P<0.05)。联合组的并发症发生率为1.79%,比常规组的14.29%显著更低(P<0.05)。结论在胃癌根治术患者中应用焦点式心理护理联合行为转变理论饮食护理干预效果显著,明显缓解患者营养状况,提高心理状况和生活质量,降低并发症发生率。

Objective To explore the application of focused psychological nursing combined with behavioral change theory diet nursing in patients with radical gastrectomy.Methods 112 patients receiving radical gastrectomy from December 2019 to December 2022 were randomly divided into conventional group and combined group,with 56 cases in each group.The conventional group was treated with conventional nursing mode,while the combined group was treated with focused psychological nursing combined with behavioral change theory diet nursing mode.Postoperative rehabilitation indexes and complications,nutritional status,psychological status and quality of life before and after intervention were compared between the two groups.Results Compared with the conventional group,the time of first feeding,bowel ringing recovery,anal exhaust and first getting out of bed in the combined group were significantly shortened(P<0.05).After intervention,serum transferrin(TRF),albumin(ALB)and total protein(TP)levels in 2 groups were decreased significantly,but the reduction was more significant in conventional group than in combination group(P<0.05).After intervention,the scores of self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were signifcantly decreased in both groups,and the combined group was more significantly decreased than the conventional group(P<0.05).After intervention,scores of daily activities,social/family life,emotions,activity ability and other aspects were significantly improved in both groups,and the improvement in the combined group was more significant than that in the conventional group(P<0.05).The complication rate was 1.79%in the combination group,which was significantly lower than 14.29%in the conventional group(P<0.05)。Conclusions The application of focus psychological nursing combined with behavioral change theory in dietary nursing intervention in patients with radical gastrectomy has significant effects,which can significantly alleviate the nutritional status of patients,improve the psychological status and quality of life,and reduce the incidence of complications.