作者：赖淑蓉1，罗珊1，赖小令1，金芳1，蔡美兰2

单位：1．中山大学附属第一医院 胃肠外科中心，广东 广州 510000；2. 内蒙古医科大学附属医院 专业外语教研室，内蒙古 呼和浩特 010050

Authors: Lai Shurong1，Luo Shan1，Lai Xiaoling1， Jin Fang1，Cai Meilan2

Unit: 1.Center for Gastrointestinal Surgery, The First Hospital of Sun Yat -sen University, Guangzhou 510000, Guangdong, China；2.Department of Professional Foreign Languages, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, Inner Mongolia,China

摘要：

目的 探讨饮食日记表联合个性化饮食指导在胃癌患者术后饮食过渡的应用效果。方法 选取2021年1月至11月在中山大学附属第一医院胃肠外科中心一科行胃癌手术的90例患者作为研究对象，采用随机数字表法将90例患者分为试验组（n=45）和对照组（n=45）。对照组进行常规饮食指导，试验组采用饮食日记表联合个性化饮食指导，比较两组患者术后饮食依从性、首次排气时间、首次排便时间、短期内并发症发生率、胃肠道的不良反应发生率。结果 饮食日记表联合个性化饮食指导能够减少患者胃肠道不良反应，缩短首次排气排便时间，提高患者饮食依从性，两组差异均有统计学意义（P<0.05）。结论 饮食日记表联合个性化饮食指导有助于胃癌患者术后饮食过渡，可改善患者饮食健康行为。

关键词：个性化饮食指导；饮食日记表；饮食过渡

Abstract：

Objective To explore the effect of diet diary form combined with personalized diet guidance in postoperative diet transition of gastric cancer patients. Method Ninety patients who underwent gastric cancer surgery from January to November 2021 at Department I of the Center for Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University were selected as the study subjects, and 90 patients were divided into a test group（n=45）and a control group（n=45）using the random number table method. The con[1]trol group was given conventional dietary guidance, while the trial group was given personalized dietary guidance using a dietary diary form. The two groups were compared in terms of postoperative dietary compliance, time to first gas, time to first bowel movement, the incidence of short -term complications, and incidence of adverse gastrointestinal reactions. Result The diet diary combined with personalized diet guidance could reduce the adverse gastrointestinal reactions, shorten the time to the first defecation, and improve the patients' dietary compliance, and the results were statistically significant（P<0.05）. Conclusion The diet diary form combined with personalized dietary guidance can help gastric cancer patients' postoperative diet transition and improve patients' dietary health behavior.

Key Words: Personalized dietary guidance；Dietary diary form；Dietary transition