饮食纤维体验学习对结直肠癌手术后肠道症状的有效性:一项随机对照试验
Ho Tsui1, Shiu-Yu C Katie Lee2, Been-Ren Lin3
1Department of Nursing, Hsin Sheng Junior College of Medical Care and Management, Taoyuan County, 32544, Taiwan.
饮食纤维的体验学习 (EL) 在手术后的结肠直肠癌患者中显著减少了肠道症状. 这种结合游戏的方法,比例行教育更有效地改善了患者的康复和自我护理.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 卫生教育卫生教育教育
背景情况:
- 结肠直肠癌患者经常经历术后肠道功能障碍,需要调整饮食和自我护理.
- 经验式学习 (EL) 已证明在增强饮食管理策略方面具有有效性.
- 有效的干预措施对于改善结直肠癌幸存者的生活质量至关重要.
研究的目的:
- 评估食纤维体验性学习 (EL) 对结直肠癌患者手术后肠道症状的影响.
- 为了比较基于游戏的EL与常规护理在控制肠道症状方面的有效性.
- 确定影响结直肠癌手术后肠道症状改善的因素.
主要方法:
- 一项随机对照试验,涉及66名患有I-III期结肠直肠癌的成年人接受手术.
- 干预组 (n=34) 接受了基于游戏的EL活动,以及日常护理和随访.
- 肠道症状 (下前切除综合征),食纤维摄入量以及相关的知识/疗效在基线和手术后的1,3,6个月被评估.
主要成果:
- 与常规护理组相比,EL组在1个月 (减少8.3个点) 和3个月 (减少9.9个点) 报告了显著较低的肠道症状得分.
- 与减少肠道症状相关的因素包括上部手术部位,较高的食纤维摄入量和较低的情绪困扰.
- 在基线时,没有观察到组之间的显著差异.
结论:
- 与标准患者教育相比,食纤维体验式学习显著改善了结直肠癌患者的术后肠道症状.
- 瘤护士可以利用EL活动,如游戏,以增强术后护理和患者康复.
- 将EL整合到结直肠癌护理途径中,为症状管理和改善患者治疗结果提供了一个有希望的策略.
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