摘要
目的了解消化系统恶性肿瘤患者术后居家期间膳食摄入量现状,探讨其与家庭主要照顾者的膳食营养知信行水平之间的相关性。方法于2022年10月—2023年3月,在广州市两家三级甲等医院选取108例消化系统恶性肿瘤术后患者的家庭主要照顾者为调查对象,使用自制的一般资料调查表、消化系统肿瘤患者营养知识-态度-行为问卷和简明膳食自评工具进行横断面调查。结果患者居家期间膳食摄入量情况均分为(4.16±1.22)分,不同肿瘤类型和术后至今时间的患者居家期间膳食摄入量有差异。家庭主要照顾者营养知识-态度-行为总分为(47.64±6.97)分。主要照顾者对膳食指南的知晓度与患者居家期间膳食摄入量呈正相关(r=0.285,P<0.05)。多元线性回归结果显示照顾者对膳食指南的知晓度是患者膳食摄入量的影响因素。结论有必要定期监测患者居家期间的膳食摄入量。医护人员可将干预的重点转向照顾者,鼓励照顾者共同参与营养管理,从而提高家庭照护质量,改善患者营养状况。
Objective To investigate the dietary intakes of postoperative patients with digestive malignant tumor during their recovery at home and explores the correlation of the intakes with the food nutritional knowledge of their primary family caregivers.Methods A total of 108 primary caregivers of prospective patients with digestive malignant tumors were selected for a survey conducted at home from October 2022 to March 2023 in Guangzhou,from two tertiary hospitals.In this cross-sectional study,this paper investigated these caregivers using its general information questionnaire,a nutritional knowledge-attitude-behavior questionnaire,and a simple dietary self-assessment tool(SDSAT).Results The SDSAT score of the patients was collected(4.16±1.22).Significant differences were observed among patients with various tumor types in terms of the recovery time at home after surgery.The total score of family primary caregivers nutritional knowledge,attitude,and behavior was(47.64±6.97).Pearson s correlation analysis revealed a positive correlation between the knowledge of dietary guidelines and the patient s dietary intakes during home stay(r=0.285,P<0.05).Multiple linear regression analysis revealed that caregivers knowledge of dietary guidelines significantly influenced the dietary intake of the prospective patients.Conclusion It is essential to regularly monitor the dietary intake of prospective patients at home.Medical personnel can concentrate on intervening with the patient s caregivers and encouraging them to participate in nutrition management together.This approach can improve the quality of family care and the nutritional status of the patients.
作者
胡玉玲
黄荠元
杨伟生
杜志敏
HU Yuling;HUANG Qiyuan;YANG Weisheng;DU Zhimin(School of Nursing,Guangzhou Medical University,Guangzhou 510182,China)
出处
《现代医院》
2024年第2期289-292,296,共5页
Modern Hospitals
基金
广州医科大学科研能力提升项目(02-410-2302260XM)。
关键词
消化系统恶性肿瘤
家庭主要照顾者
膳食摄入水平
膳食营养知信行
Digestive malignant tumors
Primary family caregivers
Dietary intake
Nutritional knowledge-attitude-behavior
