摘要
目的 分析行为转变理论饮食护理对胃癌术后患者营养状况及预后的影响。方法 选择2022年5月至2023年10月之间在我院挂号的80例胃癌患者，对纳入患者展开回顾性分析，将80例患者均分行护组与常护组，行护组患者采用行为转变理论饮食护理，常护组患者采用常规护理，对行护组与常护组患者的护理结局进行一一对比。结果 干预前，行护组与常护组胃癌患者营养知识水平评分、营养状况差异极小（P>0.05）；干预后，干预前后比较，行护组与常护组胃癌患者营养知识水平评分、营养状况均有升高，但胃癌患者营养知识、营养行为、营养态度的评分以及PAB、ALB的水平均远超常护组，2组差距有统计学意义（P<0.05）。行护组胃癌患者预后效果远超常护组，2组差距有统计学意义（P<0.05）。结论 行为转变理论饮食护理对胃癌术后患者营养状况及预后的影响更大，值得临床广泛运用。
关键词： 行为转变理论；饮食护理；胃癌术后；营养状况；预后效果
Abstract
Objective To analyze the impact of dietary care based on behavioral change theory on the nutritional status and prognosis of postoperative gastric cancer patients. Methods A retrospective analysis was conducted on 80 gastric cancer patients registered in our hospital between May 2022 and October 2023. All 80 patients were divided into a nursing group and a regular nursing group. The nursing group received dietary care based on behavioral change theory, while the regular nursing group received routine care. The nursing outcomes of the nursing group and the regular nursing group were compared one by one. Results Before intervention, there was minimal difference in nutritional knowledge level and nutritional status between the nursing group and the regular nursing group of gastric cancer patients (P>0.05); After intervention, compared before and after intervention, the nutritional knowledge level and nutritional status of gastric cancer patients in the nursing group and the regular nursing group increased. However, the scores of nutritional knowledge, nutritional behavior, nutritional attitude, as well as the levels of PAB and ALB in gastric cancer patients were significantly higher than those in the regular nursing group, and the difference between the two groups was statistically significant (P<0.05). The prognosis of gastric cancer patients in the nursing group was much better than that in the normal nursing group, and the difference between the two groups was statistically significant (P<0.05). Conclusion Behavioral change theory and dietary care have a greater impact on the nutritional status and prognosis of postoperative gastric cancer patients, and are worthy of widespread clinical application.
Key words： Theory of behavioral change; Dietary care; Postoperative gastric cancer; Nutritional status; Prognostic effect
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