基于Snyder希望理论的护理干预结合精细化饮食护理对食管癌术后患者营养状态、疾病不确定感及希望水平的影响

Effects of nursing intervention based on Snyder's hope theory combined with refined diet nursing on nutritional status,uncertainty in illness and hope level of patients with esophageal cancer after operation

目的探讨基于Snyder希望理论的护理干预结合精细化饮食护理在食管癌术后患者中的应用效果。方法选取2018年4月至2021年5月我院200例食管癌术后患者作为研究对象,根据护理方案不同将其分为对照组和观察组,各100例。对照组给予常规护理干预,观察组在对照组基础上给予基于Snyder希望理论的护理干预结合精细化饮食护理。比较两组的干预效果。结果干预后,观察组的白蛋白(ALB)、转铁蛋白(TRF)、血红蛋白(Hb)水平高于对照组(P<0.05)。干预后,观察组的Mishel疾病不确定感量表(MUIS)各维度评分低于对照组(P<0.05)。干预后,观察组的Herth希望量表各维度评分高于对照组(P<0.05)。结论基于Snyder希望理论的护理干预结合精细化饮食护理不仅能改善食管癌术后患者的营养状态,同时还能缓解疾病不确定感,提高希望水平。

Objective To explore the application effect of nursing intervention based on Snyder's hope theory combined with refined diet nursing in patients with esophageal cancer after operation.Methods A total of 200 patients with esophageal cancer after operation in our hospital from April 2018 to May 2021 were selected as the research objects.The patients were divided into control group and observation group according to different nursing plans,with 100 cases in each group.The control group was given routine nursing intervention,while the observation group was given nursing intervention based on Snyder's hope theory combined with refined diet nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the levels of albumin(ALB),transferrin(TRF)and hemoglobin(Hb)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of all dimensions of Mishel's Uncertainty in Illness Scale(MUIS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of all dimensions of Herth hope scale in the observation group were higher than those in the control group(P<0.05).Conclusion Nursing intervention based on Snyder's hope theory combined with refined diet nursing can not only ameliorate the nutritional status of patients with esophageal cancer after operation,but also alleviate the uncertainty in illness and improve the hope level.