本文關(guān)鍵詞：多途徑延續(xù)護(hù)理對(duì)食管癌患者術(shù)后營(yíng)養(yǎng)狀況的影響　出處：《護(hù)士進(jìn)修雜志》2016年13期 　論文類型：期刊論文

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【摘要】：目的探討多途徑延續(xù)護(hù)理對(duì)食管癌患者術(shù)后營(yíng)養(yǎng)狀況的影響。方法選取2014年11月-2015年9月在我院心胸外科接受食管癌根治手術(shù)并成功的患者107例為研究對(duì)象。按出院時(shí)間前后分為對(duì)照組和觀察組。對(duì)照組51例,出院后采用常規(guī)電話回訪。觀察組56例,采用多途徑延續(xù)護(hù)理。兩組患者均于術(shù)后一月采用歐洲營(yíng)養(yǎng)風(fēng)險(xiǎn)篩查量表(NRS-2002)、主觀全面評(píng)價(jià)方法(SGA)進(jìn)行營(yíng)養(yǎng)評(píng)估與不良風(fēng)險(xiǎn)程度篩查,觀察兩組患者術(shù)后營(yíng)養(yǎng)狀況。比較兩組患者存在營(yíng)養(yǎng)不良風(fēng)險(xiǎn)人數(shù)及營(yíng)養(yǎng)不良的發(fā)生率、術(shù)后并發(fā)癥、再入院率、術(shù)后飲食遵從性。結(jié)果觀察組患者存在營(yíng)養(yǎng)不良風(fēng)險(xiǎn)人數(shù)及營(yíng)養(yǎng)不良的發(fā)生率、術(shù)后并發(fā)癥、再入院率,均低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.5);術(shù)后飲食遵從性高于對(duì)照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.5)。結(jié)論采用多途徑延續(xù)護(hù)理,可降低食管癌患者術(shù)后營(yíng)養(yǎng)不良風(fēng)險(xiǎn)及營(yíng)養(yǎng)不良的發(fā)生率,減少術(shù)后并發(fā)癥的發(fā)生,控制術(shù)后患者的再入院率,提高患者術(shù)后飲食的遵從性,有效改善食管癌患者術(shù)后的營(yíng)養(yǎng)狀況。
[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.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院附屬新華醫(yī)院;
【基金】：上海交通大學(xué)醫(yī)學(xué)院附屬新華醫(yī)院科技基金項(xiàng)目(編號(hào):14YJ28)
【分類號(hào)】：R473.73
【正文快照】： 食管癌是一種常見(jiàn)的消化道惡性腫瘤,我國(guó)食管癌的發(fā)病率、死亡率均居世界首位。手術(shù)是食管癌首選的治療方法[1],但術(shù)后,患者的營(yíng)養(yǎng)狀況卻不容樂(lè)觀,據(jù)調(diào)查[2]食管癌患者術(shù)后營(yíng)養(yǎng)不良發(fā)生率高達(dá)40%~80%。主要由于食管癌患者術(shù)后要經(jīng)歷較長(zhǎng)的飲食過(guò)渡期。在出院后,由于患者消化道

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