通过综合心理和营养干预,优化结直肠癌患者的术后康复
1Department of General Surgery, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou City, Jiangsu, 215006, P.R. China.
Journal of cancer survivorship : research and practice
|August 23, 2025
概括
结合心理干预和强化营养可显著改善结直肠癌患者的康复. 这种综合方法可以改善营养状况,睡眠,疼痛管理,以及手术后的幸福感.
科学领域:
- 癌症学
- 临床营养
- 心理医学
背景情况:
- 结肠直肠癌 (CRC) 的手术恢复是复杂的,涉及身体和心理上的挑战.
- 优化CRC患者的术后护理对于改善结果和生活质量至关重要.
研究的目的:
- 评估心理干预和强化营养支持对CRC患者术后康复的影响.
- 评估营养状况,睡眠质量,疼痛,心理健康和生活质量的改善.
主要方法:
- 这是一项随机对照试验,涉及300名手术后的CRC患者.
- 观察组接受标准护理加上心理干预和强化营养;对照组仅接受标准护理.
- 测量结果包括营养标志物,匹兹堡睡眠质量指数 (PSQI),疼痛视觉模拟量表 (VAS),自我评价焦虑和抑郁量表 (SAS/ SDS) 和生活质量的 EORTC QLQ- C30.
主要成果:
- 与对照组相比,干预组的营养状况 (体重,白蛋白,总蛋白,前白蛋白,转蛋白) 显著改善 (P < 0. 05).
- 改善了睡眠质量 (PSQI分数较低),改善了疼痛管理 (VAS分数较低),减少了焦虑和抑郁 (SAS/ SDS分数较低) (P < 0. 05).
- 干预组中的生活质量评分 (EORTC QLQ- C30) 显著更高 (P < 0. 05).
结论:
- 结合心理干预和强化营养支持,可显著改善结直肠癌患者的术后恢复.
- 这种综合方法改善了营养状况,睡眠,疼痛控制和心理健康,为CRC康复提供了有效的策略.
- 针对身体和心理需求的全面支持性干预对于CRC患者的常规生存护理至关重要.
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