精细化饮食护理结合情志护理对食管癌患者术后康复效果的影响

Impact of refined diet nursing combined with emotional nursing on the postoperative rehabilitation effect of esophageal cancer patients

目的探讨食管癌患者应用精细化饮食护理结合情志护理对其术后康复效果的影响。方法本次研究对象为2022年1~10月在上海交通大学医学院附属仁济医院行食管癌根治术的80例患者,并按照随机数字表法进行分组。其中,对照组40例患者采用常规护理,观察组40例患者采用精细化饮食护理结合情志护理。比较2组患者的营养状态、胃肠道功能恢复情况以及希望水平等指标。结果出院时及出院1个月后,2组的总蛋白、白蛋白和血红蛋白水平与同组入院时相比均升高(P均<0.05),2组的Herth希望量表各维度评分及总分与同组入院时相比也均升高(P均<0.05),且观察组的上述指标水平和评分与同期对照组相比均更高(P均<0.05)。相较于对照组,观察组的肠鸣音恢复时间、首次进食时间、首次排气时间及首次排便时间均更早(P均<0.05),其术后并发症总发生率更低(P<0.05)。结论精细化饮食护理结合情志护理可改善患者的营养状态,促进其胃肠道功能恢复,且提高其希望水平,降低术后并发症发生率。

Objective To explore the impact of refined diet nursing combined with emotional nursing on the postoperative rehabilitation effect of esophageal cancer patients.Methods The study subjects were 80 patients who underwent esophageal cancer radical surgery at Renji Hospital,Shanghai Jiaotong University School of Medicine from January to October 2022.They were grouped using a random number table method.Among them,40 patients in the control group received routine nursing,while 40 patients in the observation group received refined diet nursing combined with emotional nursing.The nutritional status,gastrointestinal function recovery,and hope levels of the two groups were compared.Results At discharge and one month after discharge,the levels of total protein,albumin,and hemoglobin in both groups increased compared to the same group at admission(all P<0.05).The scores of all dimensions and total scores of the Herth Hope Index in both groups also increased compared with those in the same group at admission(all P<0.05),and the above indicators and scores in the observation group were higher than those in the control group during the same period(all P<0.05).Compared with the control group,the observation group had earlier recovery time of bowel sounds,first eating time,first exhaust time,and first defecation time(all P<0.05),and lower overall incidence of postoperative complications(P<0.05).Conclusion The combination of refined diet nursing and emotional nursing can improve the nutritional status of patients,promote the recovery of gastrointestinal function,increase their hope level,and reduce the incidence of postoperative complications.