Effect of Diversified Nutritional Health Education on Nutritional Knowledge, Belief and Practice and Nutrition Status of Patients with Esophageal Cancer Surgery
Abstract:【Objective】 To investigate the effects of diversified health education on nutritional knowledge, belief and practice (KBP) and evaluate nutritional status of discharged patients with esophageal cancer radical surgery. 【Methods】 Eighty-four patients with esophageal cancer radical surgery from July 2016 to October 2017 were enrolled. The prospective study was used and the patients were randomly divided into the treatment group and the control group with 42 patients in each group. The control group received routine continuous nursing interventions including health education, dietary intervention and follow-up guidance, while the treatment group was combined the application of diversified nutrition health education in addition to those interventions of the control group. After 6 months of follow-up, the indicators of nutritional KBP level, serum nutrition indicators and adverse reactions were compared between the two groups. 【Results】 The nutritional KBP, nutritional attitude and nutritional behavior scores of the patients in the treatment group were significantly higher than those in the control group (t=4.747, 9.293, 3.467,respectively, P<0.05, P<0.01). Serum albumin (ALB), prealbumin (PA) and transferrin (TRF) levels in the treatment group were significantly higher than those in the control group (t=4.940, 3.848, 2.476, respectively, P<0.05). The incidence of adverse reactions such as reflux esophagitisin the treatment group was significantly lower than that in the control group (χ2=5.486, P<0.05). 【Conclusion】 Diversified nutritional health education can improve the KBP level of discharged patients after radical resection of esophageal cancer, promote the nutritional status and reduce the occurrence of adverse reactions.
王琳琳, 王搏, 张珊珊. 多元化营养健康教育对食管癌根治术出院患者知信行水平及营养状况的影响[J]. 医学临床研究, 2019, 36(1): 71-73.
WANG Lin-lin, WANG Bo, ZHANG Shan-shan. Effect of Diversified Nutritional Health Education on Nutritional Knowledge, Belief and Practice and Nutrition Status of Patients with Esophageal Cancer Surgery. JOURNAL OF CLINICAL RESEARCH, 2019, 36(1): 71-73.
[1] 徐敏,赵慧莉,张仪芝.多途径延续护理对食管癌患者术后营养状况的影响[J].护士进修杂志,2016,31(13):1224-1226. [2] Heneghan HM.Prospective study of malabsorption and malnutrition after esophageal and gastric cancer surgery[J].Ann Surg,2015,262(5):803-807. [3] 张晓伟,李薇,陈公琰,等.中国肿瘤患者营养知识-态度-行为调查分析[J].肿瘤代谢与营养电子杂志,2015,2(4):43-47. [4] 黎月秋.多元化健康宣教对支气管哮喘患儿家属认知程度及服药依从性的影响[J].护理实践与研究,2018,15(5):63-66. [5] 张璟,王维利,章新琼.消化系统肿瘤病人营养知信行现状及其相关因素调查[J].肠外与肠内营养,2016,23(4):226-228,236. [6] 郭兰伟,石春雷,黄慧瑶,等.中国1996-2015年食管癌经济负担研究的系统综述[J].中华流行病学杂志,2017,38(1):102-109. [7] 梁姣,王晓娟,曹兴华.综合护理干预应用于手术治疗食管癌患者的临床效果观察[J].现代消化及介入诊疗,2016,21(2):367-370. [8] Sakai M, Sohda M, Miyazaki T, et al. Association of preoperative nutritional status with prognosis in patients with esophageal cancer undergoing salvage esophagectomy [J].Anticancer Res,2018,38(2): 933-938. [9] 藏羽,李雨薇,李文雅.原发性食管癌手术患者营养风险及延续护理需求调查分析[J].中国继续医学教育,2017,9(32):118-120. [10] Li W, Han LQ, Guo YJ, et al. Using WeChat official accounts to improve malaria health literacy among Chinese expatriates in Niger: an intervention study [J].Malar J,2016, 15(1): 567. [11] 王玲,孙丹,郑莉.肝移植受者术后小组活动健康教育的效果观察[J].护理学报,2018,25(6):64-67. [12] He C, Wu S, Zhao Y, et al. Social media-promoted weight loss among an occupational population: cohort study using a WeChat mobile phone app-based campaign [J].J Med Internet Res,2017,19(10): e357. [13] 冯竞,朱渊,陈瑜,等.多元化营养教育对食管癌患者知信行的影响调查与分析[J].山西医药杂志,2017,46(3):349-351. [14] Al-Hammadi AA, Al-Rabai NA, Togoo RA, et al. Knowledge, attitude, and behavior related to use of miswak (chewing stick): a cross-sectional study from aseer region, saudi arabia [J].Contemp Clin Dent,2018, 9( Suppl 1) :S64-S68.