Application effect of home enteral nutrition intervention program based on the "Stimulus-Organism-Response" model in patients with head and neck neoplasms
10.3760/cma.j.cn115682-20200923-05488
- VernacularTitle:基于"刺激—机体—响应"模型的家庭肠内营养干预方案在头颈部肿瘤患者中的应用效果
- Author:
Jinfeng ZHUO
1
;
Xiaoqiu KE
;
Hongying MAO
Author Information
1. 温州医科大学附属第一医院口腔/耳鼻咽喉科，温州 325000
- Keywords:
Head and neck neoplasms;
"Stimulus-Organism-Response" model;
Enteral nutrition;
Home care;
Nutrition cognition;
Nursing satisfaction
- From:
Chinese Journal of Modern Nursing
2021;27(16):2198-2203
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of a home enteral nutrition intervention program based on the "Stimulus-Organism-Response" model in patients with head and neck neoplasms.Methods:Using the convenient sampling method, a total of 84 patients with head and neck neoplasms who were treated in the Oral/Otolaryngology Department of the First Affiliated Hospital of Wenzhou Medical University from January to December 2019 were selected as the research objects. The patients were divided into the control group and the experimental group by random number table method, with 42 cases in each group. The control group received routine enteral nutrition nursing, while the experimental group implemented a home enteral nutrition interventions program based on the "Stimulus-Organism-Response" model. The score of the Home Enteral Nutrition Cognition Questionnaire, nutritional indexes, nutritional status and the score of the Tumor Patient Satisfaction Questionnaire were compared between the two groups.Results:After intervention, the score of Home Enteral Nutrition Cognition Questionnaire, body weight, albumin, prealbumin, transferrin, retinol binding protein, globulin and lymphocyte level of patients in the experimental group were all higher than those of the control group [ (26.04±3.12) vs. (23.76±3.61) , (60.24±5.35) vs. (57.25±5.54) kg, (37.34±3.24) vs. (35.22±3.45) g/L, (0.26±0.04) vs. (0.20±0.05) g/L, (2.62±0.08) vs. (2.37±0.10) g/L, (36.74±7.12) vs. (33.45±6.92) mg/L, (28.87±3.68) vs. (26.67±4.23) g/L, (1.72±0.30) vs. (1.49±0.33) ×10 9/L], and the differences were statistically significant ( P<0.05) . The nutritional status of patients of the two groups after intervention was compared, and the difference was statistically significant ( P<0.05) . After intervention, the scores of health education, nursing skills, condition monitoring and communication dimensions of Tumor Patient Satisfaction Questionnaire in the experimental group were higher than those in the control group [ (4.25±0.65) vs. (3.21±0.78) , (4.15±0.77) vs. (3.76±0.64) , (4.17±0.70) vs. (3.82±0.68) , (4.27±0.54) vs. (3.65±0.82) ], and the differences were statistically significant ( P<0.05) . Conclusions:Application of home enteral nutrition intervention program based on the "Stimulus-Body-Response" model in patients with head and neck neoplasms can improve nutritional awareness, improve nutritional indicators and nutritional status, and increase nursing satisfaction of patients, which is worthy of clinical promotion.
