多途径延续护理对食管癌患者术后营养状况的影响

发布时间：2017-12-27 00:23

本文关键词：多途径延续护理对食管癌患者术后营养状况的影响　出处：《护士进修杂志》2016年13期 　论文类型：期刊论文

【摘要】：目的探讨多途径延续护理对食管癌患者术后营养状况的影响。方法选取2014年11月-2015年9月在我院心胸外科接受食管癌根治手术并成功的患者107例为研究对象。按出院时间前后分为对照组和观察组。对照组51例,出院后采用常规电话回访。观察组56例,采用多途径延续护理。两组患者均于术后一月采用欧洲营养风险筛查量表(NRS-2002)、主观全面评价方法(SGA)进行营养评估与不良风险程度筛查,观察两组患者术后营养状况。比较两组患者存在营养不良风险人数及营养不良的发生率、术后并发症、再入院率、术后饮食遵从性。结果观察组患者存在营养不良风险人数及营养不良的发生率、术后并发症、再入院率,均低于对照组,差异有统计学意义(P0.5);术后饮食遵从性高于对照组,差异具有统计学意义(P0.5)。结论采用多途径延续护理,可降低食管癌患者术后营养不良风险及营养不良的发生率,减少术后并发症的发生,控制术后患者的再入院率,提高患者术后饮食的遵从性,有效改善食管癌患者术后的营养状况。
[Abstract]:Objective to investigate the effect of multi way continuous nursing on the nutritional status of patients with esophageal cancer after operation. Methods a total of 107 patients who received radical resection of esophageal cancer in our hospital and thoracic surgery in November 2014, -2015 and September, were selected as the subjects. The control group was divided into the control group and the observation group before and after the discharge time. 51 cases in the control group were treated with conventional telephone return after discharge. In the observation group, 56 cases were treated with multiple ways of continuing nursing. Two groups of patients were screened by the European Nutrition Risk Screening Scale (NRS-2002) and the subjective comprehensive assessment (SGA) in one month after operation. The nutritional status and the degree of adverse risk were screened. The nutritional status of the two groups was observed. The number of malnutrition risk and the incidence of malnutrition, postoperative complications, readmission rate, and postoperative diet compliance were compared between the two groups. Results the incidence of malnutrition and the incidence of malnutrition, postoperative complications and readmission rate in the observation group were all lower than those in the control group, the difference was statistically significant (P0.5), and the postoperative dietary compliance was higher than that in the control group, the difference was statistically significant (P0.5). Conclusion the multi way of continuing nursing care, can reduce postoperative patients with esophageal cancer risk of malnutrition and the incidence of malnutrition, reduce the incidence of postoperative complications, patients with readmission rate control postoperative compliance of diet to improve the patients, improve the nutritional status of patients with esophageal cancer after operation.
【作者单位】：上海交通大学医学院附属新华医院;
【基金】：上海交通大学医学院附属新华医院科技基金项目(编号:14YJ28)
【分类号】：R473.73
【正文快照】： 食管癌是一种常见的消化道恶性肿瘤,我国食管癌的发病率、死亡率均居世界首位。手术是食管癌首选的治疗方法[1],但术后,患者的营养状况却不容乐观,据调查[2]食管癌患者术后营养不良发生率高达40%~80%。主要由于食管癌患者术后要经历较长的饮食过渡期。在出院后,由于患者消化道

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