Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 986-989
ZHU Jin-cheng, HUANG Hong, ZHANG Hao-ran, ZHAO Cun-xi. Effect of home nutrition support on nutritional status and psychological pain of patients with gastric cancer after surgery[J]. Chinese Journal of General Practice, 2021, 19(6): 986-989. doi: 10.16766/j.cnki.issn.1674-4152.001967
Citation: ZHU Jin-cheng, HUANG Hong, ZHANG Hao-ran, ZHAO Cun-xi. Effect of home nutrition support on nutritional status and psychological pain of patients with gastric cancer after surgery[J]. Chinese Journal of General Practice, 2021, 19(6): 986-989. doi: 10.16766/j.cnki.issn.1674-4152.001967
shu

Effect of home nutrition support on nutritional status and psychological pain of patients with gastric cancer after surgery

doi: 10.16766/j.cnki.issn.1674-4152.001967
  • 1.

    Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical University, Hefei, Anhui 230000, China

Funds:

 KJ2016A483

  • Received Date: 2020-11-05
    Available Online: 2022-02-16
    Abstract
  •   Objective  To investigate the status of malnutrition and psychological distress in patients with gastric cancer after operation and observe the effect of family nutritional support on postoperative nutritional status and psychological distress of patients with gastric cancer.   Methods  A total of 166 patients undergoing gastrectomy in the Department of Oncology and Gastrointestinal Surgery of the First Affiliated Hospital of Bengbu Medical College from September 2019 to August 2020 were collected as the study subjects and randomly divided into experimental group and control group. The patients in the control group were given conventional anti-tumor treatment and patients in the experimental group were given additional home nutrition support treatment on the based on the treatment of the control group. The family information, nutritional and psychological distress indexes of patients were detected at discharge and 3 weeks after discharge.   Results  The results of Patient-Generated Subjective Global Assessment (PG-SGA) and Psychological Distress assessment showed that the incidence of malnutrition was 79.5% and the overall positive rate of psychological distress was 63.3%. The positive rate of psychological distress in malnourished gastric cancer patients (67.4%) was higher than that in well-nourished gastric cancer patients (47.1%, P < 0.05). There were no significant differences in the levels of total protein (TP), albumin (ALB), prealbumin (PAB), PG-SGA score and detection rate of psychological distress between the two groups at discharge (all P < 0.05). After 3 weeks, the levels of total protein (TP), albumin (ALB) and prealbumin (PAB) in the experimental group were higher than those in the control group, and the incidence of malnutrition in the experimental group (61.4%) was lower than that in the control group (80.7%, P < 0.05). The detection rate of psychological distress in the experimental group (31.3%) was lower than that in the control group (53.0%, P < 0.05).   Conclusion  The incidence of malnutrition and the detection rate of psychological pain in patients with gastric cancer after surgery are high. Family nutrition support can effectively improve the nutritional status of patients and reduce the detection rate of psychological pain.

     

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