不同营养干预方法对胃癌放疗患者自我效能感及并发症发生率的影响

Effect of different nutritional intervention methods on self-efficacy and complication rate of patients with gastric cancer undergoing radiotherapy

目的探析不同营养干预方法对胃癌放疗患者自我效能感及并发症发生率的影响。方法 90例胃癌放疗患者,按照就诊时间顺序分为对照组和观察组,每组45例。对照组患者给予常规营养干预,观察组患者给予综合营养干预。观察比较两组患者自我效能感[采用一般自我效能感量表(GSES)评价]及并发症发生率。结果两组患者护理前的GSES评分比较差异无统计学意义(P>0.05)。两组患者护理后GSES评分均明显高于护理前,且观察组患者护理后的GSES评分为(25.18±3.89)分,明显高于对照组的(20.20±4.24)分,差异均有统计学意义(P<0.05)。观察组患者的近期并发症发生率及远期并发症发生率分别为11.11%、13.33%,均明显低于对照组的37.78%、42.22%,差异均有统计学意义(P<0.05)。结论在常规营养干预的基础上实施综合营养干预能够提高胃癌放疗患者的自我效能感,改善其生理机能,降低并发症发生率,提高放疗期间的安全性,值得临床推广。

Objective To discuss and analyze the effect of different nutritional intervention methods on self-efficacy and incidence of complication rate of patients with gastric cancer undergoing radiotherapy. Methods A total of 90 patients with gastric cancer undergoing radiotherapy were divided by visiting order into control group and observation group, with 45 cases in each group. The control group received conventional nutritional intervention, and the observation group received comprehensive nutritional intervention. Observation and comparison were made on self-efficacy [general self-efficacy scale(GSES)] score and incidence of complications between the two groups. Results Both groups had no statistically significant difference in GSES score before nursing(P>0.05). Both groups had obviously higher GSES score after nursing than those before nursing, and the observation group had obviously higher GSES score after nursing than(20.20±4.24) points in the control group. The difference was statistically significant(P<0.05). The observation group had obviously lower incidence of short-term and long-term complications respectively as 11.11% and 13.33% than 37.78% and 42.22% in the control group, and their difference was statistically significant(P<0.05). Conclusion Comprehensive nutritional intervention based on conventional nutritional intervention can improve the self-efficacy of patients with gastric cancer undergoing radiotherapy, improve their physiological function, reduce the incidence of complications and improve the safety during radiotherapy. It is worthy of clinical promotion.