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Objective To observe the influence of nutrition cognition and behavior intervention of family caregivers on nutritional status of gastric cancer patients during chemotherapy. Methods We selected 100 patients who received complete chemotherapy at the Department of gastrointestinal surgery from September 2015 to February 2017.Each patient selected 1 family caregiver.It was divided into the control group and the intervention group by the draw method.The control group carried out routine nursing measures.The intervention group carried out nutritional cognitive behavior intervention.The effects of cognitive behavior intervention were investigated by observing the scores of PG-SGA,albumin, prealbumin in gastric cancer patients and the scores of nutrition knowledge,attitude and practice in family caregivers. Results The scores of nutrition knowledge, attitude and practice of the control group and the intervention group were respectively 44.17 ± 9.35 and 46.50 ± 9.32, and the difference was statistically significant(t=15.02, P<0.05).There was significant difference in PG-SGA score, hemoglobin and BMI in patients with gastric cancer patients (P<0.05). There was no significant difference in the incidence of malnutrition and prealbumin in patients with gastric cancer patients (P>0.05). Conclusion Nutrition cognition and behavior intervention can effectively improve the nutritional cognition of family caregivers, improve the nutritional status of gastric cancer patients during chemotherapy, and promote the rehabilitation of patients with gastric cancer and improve their quality of life.
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Objective@#To explore the effects of continuous care based on WeChat platform on self-care ability of patients with ileal bladder stoma.@*Methods@#A total of 80 patients with ileal conduit were recruited from a urological department of The First Affiliated Hospital of Zhengzhou university from September 2016 to October 2017. The patients were randomly divided into intervention group (n=40) and control group (n=40). Both groups received routine care, and the experimental group also used the continuation care based on WeChat platform. The outcomes of complication incidence, self-care level with stoma were evaluated at the times of 1 day before discharge, 4 weeks after discharge and 12 weeks after discharge.@*Results@#The self-care scores of the intervention group at 3 time points were 5.13 ± 2.79, 9.98 ± 2.68, and 15.65 ± 2.37, The control group were 5.35 ± 3.20, 8.13 ± 3.45, and 12.30 ± 5.93. The interaction of self-care level scores of the two groups were statistically significant (F(1.735, 67.680)=23.301, P<0.05). The incidence of complications of the intervention group at the 3 time points was 5.00%(2/40), 42.50%(17/40), and 22.50% (9/40). The control group were 0(0/40), 51.22% (21/40), and 63.41% (26/40). The incidence of complications in the two groups was statistically significant at the 12th week after discharge (χ2=14.679, P<0.05).@*Conclusions@#With continuous care based on WeChat platform, the self-care level of patients with ileal bladder stoma can be effectively improved, and reduce the incidence of complications.
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Objective To explore the effects of continuous care based on WeChat platform on self-care ability of patients with ileal bladder stoma. Methods A total of 80 patients with ileal conduit were recruited from a urological department of The First Affiliated Hospital of Zhengzhou university from September 2016 to October 2017. The patients were randomly divided into intervention group (n=40) and control group (n=40). Both groups received routine care,and the experimental group also used the continuation care based on WeChat platform. The outcomes of complication incidence,self-care level with stoma were evaluated at the times of 1 day before discharge,4 weeks after discharge and 12 weeks after discharge. Results The self-care scores of the intervention group at 3 time points were 5.13 ± 2.79, 9.98 ± 2.68, and 15.65 ± 2.37, The control group were 5.35 ± 3.20 , 8.13 ± 3.45 , and 12.30 ± 5.93. The interaction of self-care level scores of the two groups were statistically significant (F(1.735,67.680)=23.301,P＜0.05). The incidence of complications of the intervention group at the 3 time points was 5.00%(2/40), 42.50%(17/40), and 22.50% (9/40). The control group were 0(0/40), 51.22% (21/40), and 63.41% (26/40). The incidence of complications in the two groups was statistically significant at the 12th week after discharge (χ2=14.679, P＜0.05). Conclusions With continuous care based on WeChat platform, the self-care level of patients with ileal bladder stoma can be effectively improved, and reduce the incidence of complications.
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Objective To investigate and analyze the nutritional knowledge needs and cognitive level of the main family caregivers of patients with gastric cancer. Methods A total of 208 patients who underwent radical resection of gastric cancer and received complete chemotherapy at the Department of gastrointestinal surgery from September 2015 to February 2017 were selected.Each patient selected 1 family caregivers.A questionnaire survey was conducted among 208 family caregivers, including general information, nutritional knowledge needs questionnaire, nutrition knowledge, attitude and practice and so on. Results The total score of nutrition knowledge, attitude and practice among the family caregivers of patients with gastric cancer was (41.11 ± 9.33) points. The score of nutrition knowledge was (6.26 ± 1.87) points. The score of nutrition attitude was (15.45±4.75) points.The score of nutrition practice was (17.47± 4.45) points .There was a significant positive correlation between nutrition knowledge and attitude(r=0.88, P<0.05), knowledge and practice (r=0.766, P<0.01), attitude and practice (r=0.186, P<0.01) by using Pearson correlation.Family caregivers had a strong demand for nutrition knowledge. 37.5％(78/208) of family caregivers chose to cooperate with doctors and nurses to carry out nutrition knowledge. 51.4％(107/208) of family caregivers preferred bedside individualized guidance. Conclusions Family caregivers have a strong demand for nutrition knowledge,but the nutrition cognition level is poor. Health care providers should strengthen the education on patients and family caregivers' knowledge of nutrition, improve the nutrition knowledge level of caregivers and care ability.
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Objective To explore the nutritional status of radical gastrectomy patients during the late course of chemotherapy and its main influencing factors, providing reference for the development of targeted nursing intervention. Methods The Scored Patient-Generated Subjective Global Assessment, The Chemotherapy Side Effects of Patients with Gastric Cancer Questionnaire were used to collect clinical data that received complete chemotherapy after radical surgery from September 2014 to March 2016. Results A total of 103 cases finally involved in this study. The incidence of malnutrition in patients during pre-chemotherapy and late course of chemotherapy was 45.63%(47/103) and 73.79%(76/103) respectively, and there was significant difference (χ2=16.97, P<0.05). The nutritional assessment score, the hemoglobin levels and body mass index of patients pre-chemotherapy was (3.64±0.78) points, (124.11± 21.78) g/L, (21.29±2.77) kg/m2 , (8.07±3.75) points, (108.54±11.68) g/L, (20.29±2.68) kg/m2 late course of chemotherapy and there were significant differences(t =-11.74, 6.39, 2.63, all P<0.05). The symptom of depression was at a higher level 65.05%(67/103), patients with anorexia in late course of chemotherapy accounted as much as 75.73%(78/103). Logistic regression analysis showed that educational level, loss of appetite and parenteral nutrition were the main factors which influenced the nutritional status of patients during the late course of chemotherapy. Conclusions With the increase in the number of chemotherapy, the nutritional status of the patient is getting worse. The study suggests medical personnel should pay more attention to the patients with low educational level, give patients and their families targeted diet counseling, correct the mistaken conceptions thus enhance their understanding of dietary knowledge. Strengthening the management of complications during chemotherapy, reducing the adverse factors that affect the patient′s nutritional status to improve the nutritional status of patients.
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Objective To investigate the nutritional status of patients with chemotherapy after radical gastrectomy and to provide dietary guidance and nutritional support for patients in time. Methods Patients who received chamotherary after radical gastrectomy inthe Gastrointestinal Surgery of the First Affiliated Hospital of Zhengzhou University from September 2014 to March 2016 were included in the study. The nutritional status was assessed by unified training investigators within 48 h after hospitalization. The questionnaires of Scored Patient-Generated Subjective Global Assessment (PG-SGA) and the Chemotherapy Side Effects of Patients with Gastric Cancer Questionnaire were used to investigatethe patients by trained investigators. Results The scores of the nutritional status of patients with different stages of chemotherapy were 6.107 ± 2.947, 6.505 ± 3.134, 8.068 ± 3.748, which was statistically significant (F=10.202, P<0.01). The incidence of anorexia was the highest rate of diet-related symptoms, the rate of early, mid-term and later chemotherapy rates were 34.95%(36/103), 56.31%(58/103), and 75.73%(78/103) respectively. Patients acquired the diet knowledge mainly from medical staff. The proportions of early, middle and later stages of chemotherapy were 92.23% (95/103), 79.61% (82/103), 75.73%(78/103). Conclusions With the increase of chemotherapy times, the nutritional status of patients with radical gastrectomy is getting worse. The results suggested that medical staff should provide an effective basis dietary guidance in time, improving the patients′nutritional status and clinical outcomes.