作者：刘小玲，韦燕，粱丽娴，粱贵明

单位：中山大学附属第一医院 胃肠外科中心胃肠三科，广东 广州 510080

Authors:  LIU Xiaoling , WEI Yan, LIANG Lixian, LIANG Guiming.

Unit:  Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的  探讨个体化饮食护理干预对胃癌根治术后患者疲劳综合征的影响。方法  将我科在2016年6月1日至2017年5月1日期间收治的60例胃癌根治术患者按1∶1随机分为观察组和对照组。对照组予常规营养支持及饮食护理,观察组予个体化饮食管理,包括进食的时机、摄入营养素的配比和类型等。比较两组患者术后疲劳评分、疲劳程度和早期康复指标。结果  观察组疲劳评分、疲劳程度显著低于对照组(P<0.05),而术后主动下床时间、肛门排气时间、住院时间和总体术后不良反应发生率的比较均有显著差异(P<0.05)。结论  个体化饮食护理干预有效减少胃癌根治术后疲劳综合征的发生,有利于患者术后康复。

关键词： 个体化; 饮食护理; 胃癌; 术后疲劳综合征

Abstract：

Objective  Aim to investigate the effect of individual diet nursing intervention on fatigue syndrome after radical gastrectomy for gastric cancer (GC). Methods  60 GC patients who undergone radical gastrectomy from June 1, 2016 to May 1, 2017 were randomly divided into the observation group and the control group with the proportion of 1:1. The control group was managed with routine nutrition support and diet nursing, whereas the observation group was given individualized diet management, including the timing of eating, the ratio and type of nutrients intake. The postoperative fatigue score, the degree of fatigue and the early rehabilitation index were compared between two groups. Results  The fatigue score and fatigue degree in the observation group were significantly lower than those in the control group (P<0.05). There were significant differences in the time of ambulation, anal exhaust time, hospitalization time and the overall incidence of postoperative adverse reactions (P<0.05). Conclusion  Individualized diet nursing intervention effectively reduces the occurrence of fatigue syndrome after radical gastrectomy, and is beneficial for GC patients to achieve postoperative rehabilitation.

Key Words:  Individualization; Dietary care; Gastric cancer; Postoperative fatigue syndrome