作者：王蕊，金鲜珍，廖春艳，乔莉娜

单位：西安交通大学第一附属医院普通外科，陕西 西安 710061

Authors: Wang Rui, Jin Xianzhen, Liao Chunyan, Qiao Lina

Unit:  Department of General Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China

摘要：

目的  探究医护一体化查房结合营养日记在结肠癌术后患者饮食过渡中应用的效果。方法  选取2022 年5月至10月于西安交通大学第一附属医院普通外科接受手术治疗的结肠癌患者80例，采用随机数字表法分为试验组和对照组，每组各40例。对照组患者术后接受常规查房和护理以进行饮食指导，试验组采用医护一体化查房模式并结合营养日记指导患者术后饮食，比较两组患者术后首次排气、排便时间，胃肠道不良反应发生情况，血清白蛋白水平，营养风险筛查2002评分，营养治疗依从性和护理满意度。结果  试验组与对照组患者的年龄、性别、体重指数以及手术部位和手术方式等的差异均无统计学意义（P>0.05）。与对照组相比，试验组患者术后首次排气、排便时间缩短（P<0.05），腹胀发生率降低（P<0.05），血清白蛋白水平恢复较快（P<0.05），并且具有较好的饮食依从性和较高的护理满意度（P<0.05）。结论  医护一体化查房结合营养日记有利于促进结肠癌术后患者胃肠道功能的恢复，改善患者饮食健康行为并提高患者满意度。

关键词： 医护一体化；营养日记；结肠癌；术后营养

Abstract：

Objective   To explore the effect of integrated medical and nursing rounds combined with nutrition diary in the diet transition of postoperative patients with colon cancer. Method 80 patients with colon cancer who received surgical treatment in the Department of General Surgery of the First Affiliated Hospital of Xi'an Jiaotong University from May to October 2022 were selected, and they were divided into an experimental group (n =40) and a control group (n =40), according to the random number table method. Patients in the control group received routine rounds and nursing care for dietary guidance after surgery, while the experimental group adopted the mode of integrated medical and nursing rounds combined with nutrition diary to guide the diet of patients after the operation. The first flatus and defecation time, gastrointestinal adverse reactions, serum albumin level, nutritional risk screening 2002 scores, dietary compliance and nursing satisfaction were compared between the two groups. Result  The differences in age, gender, body mass index, surgical site and surgical method were not statistically significant between the experimental group and the control group (P>0.05). Compared to the control group, patients in the experimental group had shorter first flatus and defecation times after the operation (P<0.05), lower incidence of abdominal distention (P<0.05), faster recovery of serum albumin level (P<0.05), and demonstrated better dietary compliance and higher nursing satisfaction (P<0.05). Conclusion  Integrated medical and nursing rounds combined with nutrition diary can promote the recovery of gastrointestinal function of postoperative patients with colon cancer, improve their dietary health behavior and increase patients’satisfaction.

Key Words:  Medical and nursing integration；Nutrition diary；Colon cancer；Postoperative nutrition

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