摘要
目的探讨在早期消化道肿瘤内镜手术患者中,采用医院家庭(H2H)营养管理模式联合激励式护理干预的效果。方法对在江苏省中医院接受内镜下黏膜切除术治疗的早期消化道肿瘤(包括早期结直肠癌、胃癌、食管癌)80例患者的不同护理干预模式进行回顾性对比。2019年7月至2021年6月诊治的40例患者为对照组,2021年7月至2022年7月诊治的40例患者为干预组。试验组应用H2H营养管理模式联合激励式护理干预,对照组进行常规护理。干预前后,进行两组体重测量、患者参与的主观全面评定量表(PG-SGA)评价患者的营养状况,慢性病自我效能量表(CDSES)评价自我效能,自制的《消化内镜患者满意度调查表》评价患者满意度。结果干预前两组患者体重、PG-SGA、CDSES评分差异无统计学意义(P>0.05)。干预后,两组患者体重、PG-SGA、CDSES评分均改善,且试验组体重高于对照组[(61.70±5.30)kg vs(58.51±5.25)kg,t=2.704,P=0.008],PG-SGA、CDSES各维度评分优于对照组,差异有统计学意义(P<0.05)。同时,试验组患者满意度评分高于对照组(P<0.05)。结论H2H营养管理模式联合激励式护理干预能有效改善早期消化道肿瘤内镜手术患者的营养状态,提升自我效能感和护理满意度。
Objective To explore the effects of hospital-to-home(H2H)nutrition management model combined with incentive nursing intervention in patients with early gastrointestinal tumors undergoing endoscopic surgery.Methods A retrospective comparison was performed on the different nursing intervention modes of 80 patients with early gastrointestinal tumors(including early colorectal cancer,gastric cancer,and esophageal cancer)who underwent endoscopic mucosal resection in Jiangsu Provincial Hospital of Chinese Medicine.From July 2019 to June 2021,40 patients were treated as the control group,and from July 2021 to July 2022,40 patients were treated as the intervention group.The experimental group received H2H nutrition management model combined with incentive nursing intervention,while the control group received routine nursing care.Before and after intervention,two sets of weight measurements and the patient-generated subjective global assessment(PG-SGA)were conducted to evaluate the patient s nutritional status,the chronic disease self-efficacy energy scale(CDSES)and the self-made digestive endoscopy outpatient patient satisfaction survey were used to evaluate self-efficacy and patient satisfaction.Results After intervention,the weight,PG-SGA,and CDSES scores of both groups of patients improved,and the weight of the experimental group was higher than that of the control group[(61.70±5.30)kg vs(58.51±5.25)kg,t=2.704,P=0.008].The PG-SGA and CDSES scores in all dimensions were better than those of the control group,with statistically significant differences(P<0.05).Meanwhile,compared with the control group,the satisfaction score of patients in the experimental group was higher(P<0.05).Conclusion The H2H nutrition management model combined with incentive nursing intervention can effectively improve the nutritional status of patients with early gastrointestinal tumors undergoing endoscopic surgery,and can enhance self-efficacy and nursing satisfaction.
作者
李红侠
张其德
凌亭生
徐中芹
黄娟娟
张晓龙
周军
苏洁
顾雯霞
仇玮玮
LI Hongxia;ZHANG Qide;LING Tingsheng;XU Zhongqin;HUANG Juanjuan;ZHANG Xiaolong;ZHOU Jun;SU Jie;GU Wenxia;QIU Weiwei(Digestive Endoscopy Center,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210029,China)
出处
《中国临床研究》
CAS
2024年第9期1458-1462,1466,共6页
Chinese Journal of Clinical Research
基金
江苏省卫健委老年健康科研项目(LKM2022003)
江苏省中医院科技项目(Y22044)
关键词
医院家庭营养管理模式
激励式护理
消化道肿瘤
早期
内镜手术
自我效能感
护理满意度
Hospital-to-home nutrition management model
Incentive nursing intervention
Gastrointestinal cancer,early
Endoscopic surgery
Self-efficacy
Nursing satisfaction
