二元联动云平台营养管理模式在胃癌化疗患者中的应用
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女,本科,副主任护师,护士长

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陕西省重点研发项目(2023-YBSF-645)


Application of dual-link cloud platform based nutrition management mode in patients with gastric cancer undergoing chemotherapy
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    目的 探讨基于信息-动机-行为技巧模型的医院-居家二元联动云平台营养管理模式在胃癌化疗患者中的应用效果。方法 2023年10月至2024年3月,按照整群随机抽样法,将肿瘤内科2个病区随机分为两组,每组各连续纳入符合纳入标准的胃癌患者41例。对照组采用常规饮食护理模式;干预组在对照组基础上实施基于信息-动机-行为技巧模型的二元联动云平台营养管理模式,依托云平台对患者实施从院内至居家的全程营养管理。干预2个月和4个月后采用营养主观整体评估量表测评患者营养状况,并检测血清学营养相关指标。结果 干预2个月及4个月后干预组营养主观整体评估量表评分显著低于对照组(P<0.05);白蛋白、血红蛋白、体质量显著高于对照组(均P<0.05)。结论 实施基于信息-动机-行为技巧模型的二元联动云平台营养管理模式能够改善胃癌患者营养状况,促进患者合理膳食,对降低患者营养不良发生率、提高患者生活质量有显著作用。

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    Objective To explore the application effect of the hospital-home dual-link cloud platform based nutrition management mode grounded based on the Information-Motivation-Behavioral Skills (IMB) model in patients with gastric cancer undergoing chemotherapy.Methods From October 2023 to March 2024, two oncology wards were randomly divided into two groups using a cluster randomization method, with 41 gastric cancer patients included consecutively in each group according to inclusion and exclusion criteria.The control group received conventional nursing care, while the intervention group was provided with the dual-link cloud platform based nutrition management mode grounded on the IMB model, which included comprehensive nutritional management from hospital to home via the cloud platform.Nutritional status was assessed using the Patient-Generated Subjective Global Assessment (PG-SGA) and serum nutritional indicators at 2 and 4 months post-intervention.Results After 2 and 4 months of intervention, the PG-SGA scores of the intervention group were significantly lower than those of the control group (P<0.05).Additionally, albumin, hemoglobin, and body weight were significantly higher in the intervention group compared to the control group (P<0.05).Conclusion The dual-link cloud platform nutrition management mode grounded on the IMB model can improve the nutritional status of patients with gastric cancer, promote reasonable dietary habits, and significantly reduce the incidence of malnutrition while enhancing patients′ quality of life.

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武惠丽,王莉莹,苏雪.二元联动云平台营养管理模式在胃癌化疗患者中的应用[J].护理学杂志,2025,(9):95-99

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  • 收稿日期:2024-11-25
  • 最后修改日期:2025-01-05
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  • 在线发布日期: 2025-06-05