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六氯环己烷营养管理联合早期运动护理对胃癌手术后患者营养状况及术后康复的影响

Effect of HCH Nutrition Management Combined with Early Exercise Nursing on Nutrition Status and Postoperative Rehabilitation of Patients after Gastric Cancer Surgery.

作者信息

Pang Zengfen, Li Yuanyuan, Huang Amei, Li Xianghong, Liu Yuping, Meng Yingtao

机构信息

Shandong Cancer Hospital and Institute, Jinan, China.

出版信息

Evid Based Complement Alternat Med. 2022 Aug 18;2022:2813050. doi: 10.1155/2022/2813050. eCollection 2022.

Abstract

OBJECTIVE

The study aimed to analyze the effect of hospital-community-family (HCH) nutrition management combined with early exercise nursing on nutrition status and postoperative rehabilitation of patients after gastric cancer surgery.

METHODS

A total of 80 patients with gastric cancer admitted from January 2019 to June 2021 were selected and divided by the odd-even grouping method into two groups, i.e., 40 cases in the control group adopting routine nursing combined with early exercise nursing and 40 cases in the study group adopting HCH nutrition management; the nutrition status and postoperative rehabilitation of the two groups were compared.

RESULTS

The times of feeding, bowel sound, anal exhaust, and defecation in the study group after surgery were shorter than those in the control group, with a difference of statistical significance ( < 0.05). 3 months after discharge, the scores of Patient-Generated Subjective Global Assessment (PG-SAG) in the study group were lower than those in the control group, while the body mass index (BMI), prealbumin, albumin, hemoglobin, and the score of the Gastrointestinal Quality of Life Index (GIQLI) were higher than those of the control group ( < 0.05).

CONCLUSION

Hospital-community-family nutrition management combined with early exercise nursing can improve the postoperative nutrition status of patients undergoing gastric cancer surgery and advance the time of postoperative exhaust and defecation.

摘要

目的

本研究旨在分析医院 - 社区 - 家庭(HCH)营养管理联合早期运动护理对胃癌手术后患者营养状况及术后康复的影响。

方法

选取2019年1月至2021年6月收治的80例胃癌患者,采用奇偶分组法分为两组,对照组40例采用常规护理联合早期运动护理,研究组40例采用HCH营养管理;比较两组患者的营养状况及术后康复情况。

结果

研究组术后进食时间、肠鸣音、肛门排气及排便时间均短于对照组,差异有统计学意义(<0.05)。出院3个月后,研究组患者主观全面评定法(PG-SAG)评分低于对照组,而体质指数(BMI)、前白蛋白、白蛋白、血红蛋白及生活质量指数(GIQLI)评分高于对照组(<0.05)。

结论

医院 - 社区 - 家庭营养管理联合早期运动护理可改善胃癌手术患者术后营养状况,提前术后排气及排便时间。

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