[1]刘家欢,韩 雨,杨 洋,等.“H2H”营养管理模式对胃癌根治术后病人营养状况和生活质量的影响[J].肠外与肠内营养杂志,2022,(02):116-120.[doi:DOI : 10.16151/j.1007-810x.2022.02.011]
　LIU Jia-huan,HAN Yu,YANG Yang,et al."H2H" nutrition management mode on the nutritional status and quality of life of patients with gastric cancer after radical surgery[J].PARENTERAL & ENTERAL NUTRITION,2022,(02):116-120.[doi:DOI : 10.16151/j.1007-810x.2022.02.011]
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“H2H”营养管理模式对胃癌根治术后病人营养状况和生活质量的影响
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2022年02期
页码:
116-120
栏目:
论著
出版日期:
2022-03-10

文章信息/Info

Title:
"H2H" nutrition management mode on the nutritional status and quality of life of patients with gastric cancer after radical surgery
作者:
刘家欢; 韩 雨; 杨 洋; 叶向红; 李国立; 相小松
东部战区总医院普通外科研究所，江苏南京 210002
Author(s):
LIU Jia-huan;  HAN Yu;  YANG Yang;  YE Xiang-hong
Research Institute of General Surgery, General Hospital of Eastern Theater Command, Nanjing 210002, Jiangsu, China
关键词:
胃癌 ; 医院-家庭 ; 营养 ; 生活质量
Keywords:
Gastric cancer;  Hospital to Home (H2H);  Nutrition;  Quality of life
分类号:
R459.3，R735.2
DOI:
DOI : 10.16151/j.1007-810x.2022.02.011
文献标志码:
A
摘要:
目的：探讨“H2H”营养管理模式对胃癌根治病人术后营养状况和生活质量的影响。 方法：选取2020年 1至 10月于东部战区总医院普通外科就诊的 84例胃癌病人，随机分为对照组（n = 42）和观察组（n = 42）。对照组病人采取常规的护理模式，观察组病人在对照组的基础上加用“H2H”营养管理模式即成立专门的营养小组针对中重度营养不良病人，制定合理的营养方案对病人院内-院外进行连续术后的营养指导。比较两组病人的全面主观的自评量表(PG-SGA)血清学的营养相关指标和生活质量评分指标。 结果：在术后进行“H2H”营养管理模式干预 60 d后，观察组病人 PG-SGA的评分显著低于对照组，差异具有统计学意义(P < 0.05）；白蛋白、前白蛋白、血红蛋白均显著高于对照组，差异均具有统计学意义(P < 0.05）；观察组生活质量评分各维度均优于对照组，差异均具有统计学意义(P < 0.05）。 结论：“H2H”营养管理模式可显著改善胃癌根治病人术后病人营养状况，提高其生活质量。
Abstract:
Objective: To explore the effect of "H2H" nutrition management mode on the nutritional status and quality of life of patients with gastric cancer after radical surgery. Methods: A total of 84 gastric cancer patients who were treated in our hospital from January to October 2020 were enrolled and randomly divided into control group (n = 42) and observation group (n = 42). The patients in the control group adopt the conventional nursing model, and the patients in the observation group use the "H2H" nutrition management model on the basis of the control group, which means that a special nutrition team will be established for patients with moderate to severe malnutrition, and a reasonable nutrition plan will be developed for the patients in hospital and out of hospital. Nutritional guidance was implemented after continuous operation. The comprehensive and subjective self-rating scale (PG-SGA) serological nutrition-related indicators and quality of life scoring indicators of the two groups of patients were compared. Results: After 60 days of intervention in the "H2H" nutritional management mode, the PG-SGA scores of the observation group were significantly lower than those of the control group, and the difference was statistically significant (P < 0.05). Albumin (ALB), prealbumin Protein (prealbumin, PA) and hemoglobin (hemoglobin, HB) were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). The quality of life of the observation group were better than those of the control group in all dimensions, and the differences were statistically significant (P < 0.05). Conclusion: The "H2H" nutritional management model can improve the nutritional status of patients after radical gastric cancer surgery and improve their quality of life.

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备注/Memo

备注/Memo:
作者简介 ：刘家欢，护师，护理本科，主要从事胃肠肿瘤临床研究。 E-mail：826303999@qq.com 通讯作者 ：杨 洋，E-mail：515854604@qq.com
更新日期/Last Update: 1900-01-01