主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (12): 1790-1794.doi: 10.3969/j.issn.1672-1756.2020.12.008

• 论 著 • 上一篇    下一篇

结直肠癌术后患者摄入口服营养补充剂依从性现状及影响因素分析

储亚琴 江志伟 邵明月 章程 彭南海   

  1. 南京大学医学院,210092(储亚琴);东部战区总医院普外科(储亚琴,彭南海);南京中医药大学附属医院普外科(江志伟,邵明月,章程)
  • 出版日期:2020-12-15 发布日期:2020-12-15
  • 通讯作者: 彭南海,本科,主任护师,E-mail:peng.head@163.com
  • 作者简介:储亚琴,硕士
  • 基金资助:
    江苏省科技项目(BE2015687)

The compliance status and influencing factors of Oral Nutritional Supplements in patients with the resection of colorectal cancer

CHU Yaqin, JIANG Zhiwei, SHAO Mingyue, ZHANG Cheng, PENG Nanhai   

  1. Department of Nursing, Medical School of Nanjing University, Nanjing, 210092, China
  • Online:2020-12-15 Published:2020-12-15
  • Contact: E-mail:peng.head@163.com

摘要: 目的:分析结直肠癌患者术后口服营养补充剂(ONS)摄入依从性状况及其影响因素,为进一步提高患者术后ONS摄入依从性提供依据。方法:183例结直肠癌患者根据术后达ONS目标摄入量比例分为A组(依从性较高)、B组(依从性良好)、C组(依从性较差),采用单因素及多因素分析方法分析影响结直肠癌患者术后ONS摄入依从性的因素。结果:44例(24.04%)结直肠癌患者术后ONS摄入依从性较高,73例(39.89%)结直肠癌患者术后ONS摄入依从性良好,66例(36.07%)结直肠癌患者术后ONS摄入依从性较差;多元有序Logistic回归分析结果表明,文化程度、术后首次进食时间及胃肠道耐受情况是影响结直肠癌患者术后ONS摄入依从性的独立影响因素(P<0.05)。结论:今后的临床实践中,需要加强患者对加速康复外科的了解,对于文化程度较低的患者,需要采用多模式的健康宣教方式以加强患者对健康知识的了解,改变患者的传统观念,同时提高患者对术后摄入ONS重要性以及术后早期ONS摄入相关注意事项的认知,减少因摄入ONS频次、温度、浓度不恰当等原因导致的胃肠道不耐受的情况。

关键词: 结直肠癌;口服营养补充;依从性;加速康复外科

Abstract: Objective: To investigate the compliance status of postoperative oral nutritional supplements (ONS) intake and its influencing factors in patients with colorectal cancer. Methods: A total of 183 patients with colorectal cancer were included. Univariate and multivariate analysis were applied to analysis the data. Results: Totally 44 patients (24.04%) had high compliance with postoperative ONS intake, 73 patients (39.89%) had good compliance with postoperative ONS intake, and 66 patients (36.07%) had poor compliance with ONS intake. Multivariate logistic regression analysis showed that the educational level, postoperative first meal time, and gastrointestinal tolerance are the independent influencing factors of postoperative ONS intake compliance in patients with colorectal cancer (P<0.05). Conclusion: In future clinical practice, it is necessary to strengthen patients' understanding of Enhanced Recovery After Surgery and health knowledge. It is also important to improve patients' awareness of the importance and precautions of postoperative ONS intake, and reduce gastrointestinal intolerance caused by the inappropriate frequency, temperature, and concentration of ONS intake.

Key words: colorectal cancer; Oral Nutritional Supplements; compliance; Enhanced Recovery After Surgery

中图分类号: 

  • R47