营养支持联合心理干预对胃癌患者术后心理状况、日常生活功能的影响

Effects of nutritional support combined with psychological intervention on psychological status and daily life function of patients undergoing radical gastrectomy for gastric cancer

目的探讨通过营养支持联合心理干预的护理方式对胃癌患者术后心理状态、日常生活功能的影响。方法选取2020年1至12月浙江省台州医院胃肠外科收治的胃癌患者100例。采用随机数字表法将患者分为观察组和对照组,每组50例。对照组采用临床常规护理方法,观察组在对照组的基础上增加了营养支持联合心理干预的康复护理方法。采用汉密顿抑郁量表和汉密顿焦虑量表比较两组患者心理状况,采用巴氏(BI)指数比较两组患者日常生活功能。结果两组患者术前1天汉密顿抑郁量表评分及汉密顿焦虑量表评分比较差异均无统计学意义(均P>0.05);术后第10天两组患者上述两项量表评分均较术前1天明显降低,差异均有统计学意义(均P<0.05),且观察组均明显低于对照组,差异均有统计学意义(均P<0.01)。两组患者术后第1天BI指数比较差异无统计学意义(P>0.05);术后第10天两组患者BI指数较术后第1天均明显升高,差异均有统计学意义(均P<0.05),且观察组较对照组明显为高,差异有统计学意义(P<0.05)。结论通过营养支持联合心理干预的护理方式,可有效改善胃癌患者术后焦虑、抑郁心理状况,提高患者日常生活功能,值得在临床护理工作中推广。

Objective To explore the effect of nutrition support combined with psychological intervention on the psychological state and daily living function of patients undergoing radical gastrectomy for gastric cancer.Methods One hundred patients with gastric cancer undergoing radical gastrectomy in Gastrointestinal Surgery of Taizhou Hospital of Zhejiang Province from January 2020 to December 2020 were enrolled in the study.Patients were randomly divided into control group and study group with 50 cases in each group.The control group received clinical routine nursing and the study group received additional nutrition support and psychological intervention.The psychological status was assessed with Hamilton depression scale and Hamilton anxiety scale,the daily living function of patients was assessed with Barthel index(BI),and the results were compared between two groups.Results There was no significant difference in the scores of Hamilton Depression scale(HAMD)and Hamilton anxiety scale(HAMA)between the two groups before surgery(P>0.05).Compared to those before surgery,the MAMD and HAMA scores were significantly decreased at d10 after surgery in both groups(P<0.05),while the scores in study group were significantly lower than those in the control group(P<0.01).There was no significant difference in BI index between 2 groups at d1 after surgery(P>0.05),while the BI index of study group was significantly higher than that of control group at d10 after surgery(P<0.05).Conclusion The nutrition support combined with psychological intervention can effectively alleviate psychological anxiety and depression status,and improve daily life function for gastric cancer patients undergoing surgical treatment.