针对胃肠道癌症患者的照护者参与式营养支持和正念训练：对营养不良风险和情绪的影响
Caregiver-involved nutritional support and mindfulness training for patients with gastrointestinal cancer: Effects on malnutrition risk and mood.
作者信息
Rong Yan, Liu Yan, Tang Shu-Yin, Ju Xian-Jing, Li Hui
机构信息
Department of General Practice, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.
Department of Medical Oncology, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.
出版信息
World J Gastrointest Oncol. 2025 Apr 15;17(4):103515. doi: 10.4251/wjgo.v17.i4.103515.
BACKGROUND
The participation of caregivers, who play a crucial role in the recovery of patients with gastrointestinal tumors, in family nutrition support decisions can help tailor nutrition plans to meet the specific needs and lifestyle habits of the patient, thereby enhancing the effectiveness of nutritional intake.
AIM
To assess the impact of caregiver-shared decision-making in family nutritional support with mindfulness-based behavioral therapy on the risk of malnutrition and mood states in patients with gastrointestinal tumors.
METHODS
Patients with gastrointestinal tumors ( = 118) treated at the Jiangnan University Affiliated Hospital between December 2021 and March 2024 were assigned to the observation ( = 59) and control ( = 59) groups using the random number table method. In addition to the standard treatment and basic nursing measures implemented in the control group, the integrated approach was implemented in the observation group. The nutritional and mood state indicators, compliance, and satisfaction before and 6 months after implementing the intervention were compared between the groups.
RESULTS
The body mass index, serum albumin levels, and transferrin levels, as well as the scores for all seven dimensions of the Profile of Mood States questionnaire, in the observation were higher than those in the control group after the 6-month follow-up period ( < 0.05). However, the Nutrition Risk Screening 2002 and Mindful Attention Awareness Scale scores were lower than those in the control group ( < 0.05). The compliance and satisfaction rates were 94.92% and 98.31%, respectively, which were higher than those of the control group (79.66% and 88.14%, respectively; < 0.05).
CONCLUSION
The implementation of the integrated approach significantly reduced the risk of malnutrition and improved mood states in patients with gastrointestinal tumors. Moreover, the compliance and satisfaction rates were higher.
背景
照顾者在胃肠道肿瘤患者康复过程中发挥着关键作用，其参与家庭营养支持决策有助于制定符合患者特定需求和生活习惯的营养计划，从而提高营养摄入的有效性。
目的
评估基于正念行为疗法的照顾者共同参与家庭营养支持决策对胃肠道肿瘤患者营养不良风险和情绪状态的影响。
方法
采用随机数字表法将2021年12月至2024年3月在江南大学附属医院接受治疗的118例胃肠道肿瘤患者分为观察组（n = 59）和对照组（n = 59）。对照组实施标准治疗和基本护理措施，观察组在此基础上实施综合方案。比较两组在干预实施前及实施6个月后的营养和情绪状态指标、依从性及满意度。
结果
随访6个月后，观察组的体重指数、血清白蛋白水平、转铁蛋白水平以及情绪状态量表七个维度的得分均高于对照组（P < 0.05）。然而，观察组的营养不良风险筛查2002及正念注意觉知量表得分低于对照组（P < 0.05）。观察组的依从率和满意率分别为94.92%和98.31%，高于对照组（分别为79.66%和88.14%；P < 0.05）。
结论
综合方案的实施显著降低了胃肠道肿瘤患者的营养不良风险，改善了其情绪状态。此外，依从率和满意率更高。
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