个体化营养干预配合团体心理辅导对胃癌术后患者心理复原力、自我效能感及癌因性疲乏的影响

Effect of individualized nutrition intervention combined with group psychological counseling on psychological resilience,self-efficacy and cancer-related fatigue in postoperative patients with gastric cancer

目的探讨个体化营养干预配合团体心理辅导对胃癌术后患者心理复原力、自我效能感及癌因性疲乏的影响。方法选取2016年3月至2018年3月我院收治的80例胃癌术后患者为研究对象,按随机数字表法等分为试验组和对照组。对照组患者接受常规胃癌术后护理,试验组在此基础上增加个体化营养干预配合团体心理辅导。于入院48 h内、出院前1 d时分别评估并比较两组患者的心理复原力、自我效能感、癌因性疲乏水平,于出院时检测两组患者营养状况指标[血清白蛋白(ALB)、血清前白蛋白(PA)、血红蛋白(HB)]。结果出院前1 d时,两组患者心理复原力、自我效能感水平、ALB、PA、HB水平均较入院时明显提高,且试验组高于对照组(P <0. 05);两组患者的癌因性疲乏平均水平均较入院时明显降低,且试验组低于同期对照组(P <0. 05)。结论个体化营养干预配合团体心理辅导有助于改善胃癌患者营养状况,提高胃癌术后患者心理复原力、自我效能感水平,且可减轻其癌因性疲乏程度。

Objective To explore the effect of individualized nutrition intervention combined with group psychological counseling on psychological resilience, self-efficacy and cancer-related fatigue in postoperative patients with gastric cancer. Methods To select 80 cases of patients after gastric cancer surgery who were treated in our hospital from March 2016 to March 2018 as the study subjects. They were divided into the experimental group and the control group with the same number of patients according to the random number table method. The control group was treated with postoperative conventional nursing for gastric cancer, while on the basis of this treatment, the experimental group was treated with individualized nutritional intervention and group psychological counseling. The psychological resilience, self-efficacy, and cancer-related fatigue levels of the two groups were evaluated and compared within 48 hours after admission and 1 day before discharge from the hospital. The nutritional status of the two groups was measured at discharge, including serum albumin (ALB), serum prealbumin (PA), and hemoglobin (HB). Results At 1 day before discharge, the levels of psychological resilience, self-efficacy, ALB, PA, and HB in the two groups were significantly higher than that at admission to the hospital, and the condition of experimental group was higher than that of the control group( P <0.05). The cancer-related fatigue level in the two groups decreased significantly when compared with the level at admission to the hospital, and the condition of experimental group was lower than that of the control group( P <0.05). Conclusion Individualized nutrition intervention combined with group psychological counseling can improve the nutritional status of patients with gastric cancer. It also can improve the psychological resilience and self-efficacy of postoperative patients with gastric cancer. In addition, this method can reduce the degree of cancer-induced fatigue among patients.