胃癌患者主要家庭照顾者营养知识认知水平及需求调查分析

Nutritional knowledge and needs of caregivers of patients with gastric cancer

目的涮查分析胃癌患者主要家庭照顾者的营养知识认知水平及需求。方法选取2015年9月至2017年2月在胃肠外科就诊的胃癌患者208例，每例患者选择主要家庭照顾者1名，对208名主要家庭照顾者进行问卷调查，包括一般资料、营养知信行问卷、营养知识需求问卷等。结果胃癌患者主要家庭照顾者营养知信行总分为（41．11±9．33）分，营养知识得分为（6．26±1．87）分、营养态度得分为（15．45±4．75）分、营养行为得分为（17．47±4．45）分。运用Pearson相关性分析发现，营养知识与营养行为（r=0．766，P〈0．01）、营养态度与营养行为（r=O．186，P〈0．01）、营养知识与营养态度（r=0．88，P〈0．05）均呈正相关。胃癌患者主要家庭照顾者对于营养知识的需求：37．5％（78／208）的主要家庭照顾者选择与医护人员合作获取营养知识；营养知识获取方式的选择上51．4％（107／208）的主要家庭照顾者倾向于床旁个体化指导。结论胃癌患者主要家庭照顾者营养知识需求强烈，医护人员要加大对患者及主要家庭照顾者的营养知识的指导，提高主要家庭照顾者的营养知识水平和照顾能力。

Objective To investigate and analyze the nutritional knowledge needs and cognitive level of the main family caregivers of patients with gastric cancer. Methods A total of 208 patients who underwent radical resection of gastric cancer and received complete chemotherapy at the Department of gastrointestinal surgery from September 2015 to February 2017 were selected.Each patient selected 1 family caregivers.A questionnaire survey was conducted among 208 family caregivers, including general information, nutritional knowledge needs questionnaire, nutrition knowledge, attitude and practice and so on. Results The total score of nutrition knowledge, attitude and practice among the family caregivers of patients with gastric cancer was （41.11 ± 9.33） points. The score of nutrition knowledge was （6.26± 1.87） points. The score of nutrition attitude was （15.45±4.75） points.The score of nutrition practice was （17.47± 4.45） points .There was a significant positive correlation between nutrition knowledge and attitude（r=0.88, P〈0.05）, knowledge and practice （r=0.766, P〈0.01）, attitude and practice （r=0.186, P〈0.01） by using Pearson correlation.Family caregivers had a strong demand for nutrition knowledge. 37.5% （78/208） of family caregivers chose to cooperate with doctors and nurses to carry out nutrition knowledge. 51.4%（107/ 208） of family caregivers preferred bedside individualized guidance. Conclusions Family caregivers have a strong demand for nutrition knowledge,but the nutrition cognition level is poor. Health care providers should strengthen the education on patients and family caregivers＇ knowledge of nutrition, improve the nutrition knowledge level of caregivers and care ability.