强化健康教育联合肠内营养对腹部恶性肿瘤手术患者心理状态及肠内营养并发症的影响

The effect of intensive health education in combination with enteral nutrition on psychological states and complications of enteral nutrition of patients performed abdominal malignant tumor operation.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

青海省第五人民医院普通外科 ;
青海省第五人民医院普通外科 ;

摘要
【摘要】目的:探讨强化健康教育联合肠内营养对腹部恶性肿瘤手术患者心理状态及肠内营养并发症的影响。方法:将86例腹部恶性肿瘤手术患者随机分为观察组与对照组,每组43例。两组患者术后均给予肠内营养,对照组实施常规护理,观察组在常规护理基础上实施强化健康教育,干预前后使用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者焦虑、抑郁程度进行评价,观察两组患者肠内营养并发症发生率。结果:两组患者护理干预前,SAS、SDS评分组间无明显差异(P>0.05)。干预后SAS、SDS评分均较干预前显著减少(P<0.01),且观察组SAS、SDS评分明显低于对照组,两组比较差异具有统计学意义(P<0.05);观察组肠内营养并发症发生率(6.98%)明显高于对照组(25.58%)(P<0.05)。结论:对腹部恶性肿瘤手术患者实施强化健康教育联合肠内营养,有助于缓解患者不良情绪,提高肠内营养耐受性及依从性,减少并发症的发生。
Abstract
【Abstract】Objective:To investigate the effect of intensive health education in combination with enteral nutrition on psychological states and complications of enteral nutrition of patients performed abdominal malignant tumor operation. Method:A total of 86 cases of patients performed abdominal malignant tumor operation were randomly divided into observation group and control group, with 43 cases in each group. Patients in the two groups were given enteral nutrition after the operation, patients in the control group were performed routine nursing, based on this, patients in the observation group were performed intensive health education. Before and after the intervention, the anxiety degree and depression degree of the two groups were evaluated by the self-rating anxiety scale (SAS) and self-rating depression scale (SDS),The incidence rates of complications of enteral nutrition of patients in the two groups were observed. Result:There was no significant differences of SAS and SDS scores between the two groups before intervention(P>0.05).After the intervention, scores of SAS and SDS of the two groups were significantly lower than those before the intervention (P <0.01), and scores of SAS and SDS of the observation group were significantly lower than those of the control groupy. The difference between the two groups had statistical significance (P <0.05); The incidence rate of complications of enteral nutrition of patients in the observation group(6.98%) was significantly lower than that in the control group (25.58%) (p<0.05). Conclusion: Performing intensive health education in combination with enteral nutrition in patients with abdominal malignant tumor is conductive to relieving unhealthy emotions of patients, improving tolerance and compliance of enteral nutrition and reducing the incidence of complications.
关键词
【关键词】强化健康教育;肠内营养;腹部恶性肿瘤手术;心理状态;并发症
KeyWord
【Key words】intensive health education; enteral nutrition; abdominal malignant tumor surgery; mental state; complication
基金项目
页码 563-565
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邱春芸*,骆春兰, 陈莉 ,阿翠珍. 强化健康教育联合肠内营养对腹部恶性肿瘤手术患者心理状态及肠内营养并发症的影响 [J]. 国际精神病学杂志. 2018; 45; (3). 563 - 565.

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