基于问题解决模式的术前口服营养补充对食管癌病人术后营养状况及预后的影响研究OA
Study on the effect of preoperative oral nutritional supplements based on the problem-solving model on postoperative nutritional status and prognosis of patients with esophageal cancer
目的:探讨基于问题解决模式的术前口服营养补充对食管癌病人术后营养状况及预后的影响.方法:选取2024年1月—2025年10月医院心胸外科收治的80例食管癌病人作为研究对象,按照随机数字表法将其分为观察组和对照组,每组40例.对照组采用术前常规护理干预,观察组在此基础上实施基于问题解决模式的术前口服营养补充护理干预,观察两组治疗期间治疗依从性、营养指标、首次排气时间、排便时间、住院时间及并发症发生情况.结果:治疗后,观察组治疗依从性高于对照组,首次排气时间、排便时间及住院时间短于对照组,并发症发生率低于对照组(P＜0.05);观察组术前1 d前白蛋白(PA)水平高于对照组;两组术后7 d血清总蛋白(TP)、白蛋白(ALB)、PA及转铁蛋白(TRF)水平均较治疗前及术前1 d有所提升,且观察组TP、PA、TRF水平高于对照组(P＜0.05).结论:基于问题解决模式的术前口服营养补充的护理干预可有效改善食管癌术后病人营养状况,增强病人治疗依从性,缩短住院时间,降低并发症发生率.
Objective:To explore the effect of preoperative oral nutritional supplements based on the problem-solving model on postoperative nutritional status and prognosis of patients with esophageal cancer.Methods:A total of 80 patients with esophageal cancer admitted to the department of cardiothoracic surgery of the hospital from January 2024 to October 2025 were selected as study subjects and randomly divided into an observation group and a control group by using a random number table method,with 40 cases in each group.The patients in control group received routine preoperative nursing intervention,while the patients in observation group additionally received preoperative oral nutritional supplements nursing intervention based on the problem-solving model.Treatment compliance,nutritional indicators,first exhaust time,defecation time,duration of hospital stay,and occurrence of complications were observed in both groups during treatment.Results:After treatment,treatment compliance in the observation group was higher than that in the control group;first exhaust time,defecation time,and hospital stay were shorter than those in the control group;and the incidence of complication was lower than that in the control group(P＜0.05).The prealbumin(PA)level in the observation group was higher than that in the control group one day before surgery.Seven days after surgery,the levels of serum total protein(TP),albumin(ALB),PA,and transferrin(T RF)in both groups were improved compared with those before surgery and one day before surgery,and the levels of TP,PA,and TRF in the observation group were higher than those in the control group(P＜0.05).Conclusions:Nursing intervention with preoperative oral nutritional supplements based on the problem-solving model can effectively improve the nutritional status of postoperative patients with esophageal cancer,enhance patient treatment compliance,shorten hospital stay,and reduce the incidence of complications.
王俊霞;陈君;肖青;韩琳琳;伏海祥
224700,江苏省建湖县人民医院224700,江苏省建湖县人民医院224700,江苏省建湖县人民医院224700,江苏省建湖县人民医院224700,江苏省建湖县人民医院
问题解决模式口服营养补充食管癌营养指标
problem-solving modeloral nutritional supplementsesophageal cancernutritional indicators
《全科护理》 2026 (10)
1819-1823,5
盐城市卫健委医学科研立项项目,编号:YK2024215.
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