基于行为转变理论的术前口服营养补充健康教育对胃肠肿瘤患者的影响
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何明珠
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中山大学附属肿瘤医院，广东广州，510700
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摘要：目的 分析行为转变理论的术前口服营养补充（ONS）健康教育方案，对消化道恶性肿瘤病人术前术后营养指标、手术相关参数及术后恢复进程的干预成效。方法 纳入2024年1月至2025年12月于我院接受限期手术的胃肠肿瘤病人共220 例，按随机数字分配原则划分成两组，每组110 例。对照组接受常规术前ONS 健康教育，观察组接受基于行为转变理论的术前ONS 健康教育。比较两组干预成效。结果 观察组依从性评分高于对照组，术后营养指标更优，首次排气、排便及住院时间均更短，并发症总发生率低于对照组，（P＜0.05）。结论 基于TTM的术前ONS健康教育，能提升胃肠肿瘤患者的依从性，改善术后营养和胃肠功能，减少并发症，缩短住院时间，值得临床推广。
关健词：行为转变理论；口服营养补充；胃肠肿瘤；健康教育；围术期营养 |
Influence of preoperative oral nutrition supplement health education on patients with gastrointestinal tumor based on behavior change theory
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Mingzhu He
Cancer Hospital Affiliated to Sun Yat-sen University, Guangzhou Guangdong 510700,China
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Abstract：Objective To analyze the effect of health education program of oral nutritional supplement (ONS) based on behavior change theory on preoperative and postoperative nutritional indexes, operation-related parameters and postoperative recovery process of patients with digestive tract malignant tumor. Methods A total of 220 patients with gastrointestinal tumor who underwent operation within a limited time in our hospital from January 2024 to December 2025 were randomly divided into two groups, with 110 patients in each group. The control group received routine preoperative ONS health education, while the observation group received preoperative ONS health education based on behavior change theory.The intervention effects of the two groups were compared. Results The compliance score of the observation group was higher than that of the control group,the postoperative nutritional index was better, the first exhaust, defecation and hospitalization time were shorter, and the total incidence of complications was lower than that of the control group (P < 0.05 ). Conclusion The preoperative ONS health education based on TTM can improve the compliance of patients with gastrointestinal tumor, improve postoperative nutrition and gastrointestinal function, reduce complications and shorten hospitalization time, which is worthy of clinical promotion.
Keywords : Behavior change theory; Oral nutritional supplement; Gastrointestinal tumor; Health education; Perioperative nutrition
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