Effects of health education based on Green's model combined with individualized systematic nutrition management in patients with esophageal cancer undergoing radiotherapy
10.3760/cma.j.cn115682-20220525-02514
- VernacularTitle:基于格林模式的健康教育联合个体化系统营养管理在食管癌放疗患者中的应用
- Author:
Yanjing GUO
1
;
Xuan MAI
;
Yan ZHANG
Author Information
1. 郑州大学附属肿瘤医院 河南省肿瘤医院放疗科，郑州 450008
- Keywords:
Esophageal neoplasms;
Green's model;
Health education;
Individualized systematic nutrition;
Esophageal neoplasms;
Radiotherapy
- From:
Chinese Journal of Modern Nursing
2023;29(11):1497-1501
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of health education based on Green's model combined with individualized systematic nutrition management on the knowledge of disease, nutritional status and immune function of patients with esophageal cancer undergoing radiotherapy.Methods:From May 2019 to June 2021, 102 patients with esophageal cancer treated by radiotherapy in the Affiliated Cancer Hospital of Zhengzhou University were selected as the subject by convenient sampling. A total of 51 patients from May 2019 to May 2020 were set as control group and given routine nursing. A total of 51 patients from June 2020 to June 2021 were assigned to the observation group, and the health education based on the Green's model combined with individualized systematic nutrition was given. Albumin (ALB), prealbumin (PA), hemoglobin (Hb), transferrin (TRF), body weight, body mass index (BMI), knowledge of esophageal cancer radiotherapy, CD3 +, CD4 +, CD8 + and CD4 +/CD8 +, Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores were compared between the two groups. Results:Before radiotherapy, there was no statistically significant difference in body weight, BMI, Hb, ALB, PA, TRF, CD3 +, CD4 +, CD8 +, CD4 +/CD8 +, HAMA score and HAMD score between the two groups ( P>0.05). After three and six months of radiotherapy, body weight, BMI, Hb, ALB, PA and TRF in the observation group were higher than those in the control group. Six months after radiotherapy, the CD3 +, CD4 +, CD4 +/CD8 + in the observation group were higher than those in the control group, while the CD8 +, HAMA score and HAMD score in the observation group were lower than those in the control group. The above differences were statistically significant ( P<0.05). The scores of admission instructions, disease knowledge, radiotherapy knowledge, diet care, skin care, radiotherapy complications, rehabilitation knowledge and total score in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Health education based on Green's model combined with individualized systematic nutrition management in esophageal cancer patients undergoing radiotherapy has a certain effect, which is conducive to increasing patients' knowledge of esophageal cancer radiotherapy, improving patients' immune function, and reducing the occurrence of malnutrition.
