中医情志护理联合营养护理对消化道肿瘤患者情绪及营养状况的影响

Effect of Chinese Medicine Emotional Nursing Combined with Nutritional Nursing on Emotion and Nutritional Status of Patients with Gastrointestinal Tumor

目的:探讨对消化道肿瘤患者采用中医情志护理联合营养护理对其情绪及营养状况的影响。方法:将78例消化道肿瘤患者根据随机数字表法分为对照组和观察组各39例。2组入院后均给予系统营养护理,观察组在此基础上联合中医情志护理,对比2组护理干预后相关营养指标的水平变化、营养状况及护理干预前后的不良情绪改善程度。结果:观察组护理干预后免疫球蛋白(Ig) A、IgM、IgG、白蛋白(Alb)、血红蛋白(Hb)水平高于对照组比较,差异有统计学意义(P<0.05)。观察组护理干预后营养状况优于对照组,差异有统计学意义(P<0.05)。2组护理干预后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分与干预前比较,2组均降低,观察组降低程度更为明显,差异有统计学意义(P<0.05)。结论:消化道肿瘤患者采用中医情志和营养联合的护理干预,能明显改善患者不良营养状况,改善不良情绪,提高患者生活质量。

Objective:To discuss the effect of Chinese medicine emotional nursing combined with nutritional nursing on emotion and nutritional status of patients with gastrointestinal tumor. Methods: A total of 78 cases of patients with gastrointestinal tumor were divided into the control group and the observation group according to random number table method, 39 cases in each group. After hospitalization, both groups were given systematic nutritional nursing, and the observation group was additionally given Chinese medicine emotional nursing. The changes in the levels of nutrition-related indexes and nutritional status after nursing intervention,as well as the improvement of bad mood before and after nursing intervention were compared in the two groups. Results:After nursing intervention,the levels of immunoglobulin including(Ig)A,IgM and IgG,albumin(Alb) and hemoglobin(Hb) in the observation group were higher than those in the control group,the difference being significant(P<0.05). After nursing intervention, nutritional status in the observation group was better than that in the control group, the difference being significant(P<0.05). After nursing intervention, compared with those before intervention,the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) in the two groups were decreased,and the decrease in the observation group was more significant,the difference being significant(P>0.05).Conclusion: The nursing intervention of Chinese medicine emotion and nutrition in treating patients with gastrointestinal tumor,can significantly improve poor nutritional status and bad mood of patients,and increase their quality of life.