个体化营养护理干预对肝癌肝切除术患者术后康复的影响

目的 研究个体化营养护理方案对肝癌肝切除术患者术后康复的作用效果,为饮食干预提供依据。方法 选取2017年5-10月收治首诊接受肝切除术的98例肝癌患者为研究对象,按住院诊治时间将患者分为对照组和干预组,手术时间在5~7月患者为对照组(52例),给予常规围术期营养护理;手术时间在8~10月患者为干预组(46例),采用个体化营养护理干预。比较2组患者术后康复情况,包括腹腔引流管拔除时间、术口愈合时间、术后住院时间、并发症发生情况及术后1、3、5、7天肝功能情况。结果 干预组引流管拔除时间、术口愈合时间、术后住院时间均短于对照组(t=2.095,P=0.039; t=2.459,P=0.016; t=2.161,P=0.013)、肝功能损害和感染发生率均低于对照组(χ²=5.031,P=0.025; χ²=4.114,P=0.043);术后3、5、7天,干预组患者肝功能情况好于对照组。结论 个体化营养护理干预可提高肝癌肝切除术患者术后康复质量。

Effects of perioperative individualized nutrition nursing on recovery of hepatocellular carcinoma patients undergoing hepatectomy

Objective To evaluate the effect of the perioperative individualized nutrition nursing on the recovery of hepatocellular carcinoma patients undergoing hepatectomy, so as to provide a basis for dietary intervention.Methods Fifty-two hepatocellular carcinoma patients undergoing the surgical treatment between May and July 2017 were selected into the control group and given the routine nursing. Another 46 patients treated between August and October 2017 were chosen into the intervention group, and provided with individualized nutrition nursing. The time of the drainage tube and stitch removal, hospital stay after the operation, the incidence of complications, as well as the liver function the 1^st, 3^rd, 5^th and 7^th day after the surgery were recorded and compared between the two groups.Results The hospital stay after operation of the intervention group was significantly shorter than that of the control group (t=2.161,P=0.013). The drainage tube and stitch removal of the intervention group were significantly earlier than those of the control group (t=2.095, P=0.039; t=2.459, P=0.016). The number of patients with liver function damage and infection was lower of the intervention group than that of the control group (χ²= 5.031,P=0.025; χ²=4.114,P=0.043) right after the surgery. On the 3^rd, 5^th and 7^th day after the operation, the liver function of the intervention group was better than that of the control group.Conclusion Perioperative individualized nutrition nursing can improve the postoperative rehabilitation of hepatocellular carcinoma patients undergoing hepatectomy.