The impact of cognitive behavioral therapy on nutritional status and postoperative recovery in gastric cancer patients undergoing surgery
10.3969/j.issn.1671-8348.2025.04.012
- VernacularTitle:认知行为疗法对胃癌术后患者营养状况及术后恢复的影响
- Author:
Haimei MO
1
;
Kui JIA
;
Mengjuan TANG
;
Zhenzhen LU
;
Ni SU
Author Information
1. 广西医科大学第一附属医院胃肠腺体外科一病区,南宁 530021
- Keywords:
stomach neoplasms;
cognitive behavioral therapy;
nutritional status;
QoR-40 scale
- From:
Chongqing Medicine
2025;54(4):863-867
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of cognitive behavioral therapy(CBT)on nutritional status and postoperative recovery in patients after gastric cancer surgery.Methods Sixty patients diagnosed with gastric cancer between January 1,2023,and December 30,2023,at the hospital in the department of gastroin-testinal and gland surgery were included in this study.Patients were randomly divided by drawing lots into ei-ther the observation group(received routine care plus CBT—based nursing program)or the control group(received routine care),with 30 patients in each group.Nutritional indicators and postoperative recovery out-comes were compared between the two groups.Results After the intervention,patients in the observation group showed significantly higher levels of albumin and hemoglobin compared to the control group(P＜0.05).However,there was no statistically significant difference in prealbumin levels between the two groups(P＞0.05).Furthermore,patients in the observation group scored higher on the Quality of Recovery-40 scale in terms of emotional state,physical comfort,psychological support,and overall score compared to the control group(P＜0.05).After the intervention,the observation group showed significantly lower HADS scores com-pared to the control group,with a statistically significant difference(P＜0.05).Conclusion CBT demon-strates significant positive effects in improving nutritional status and postoperative recovery quality in gastric cancer patients.CBT improves patients'emotional state,thereby affecting appetite and nutritional status,and promotes postoperative physical function recovery.
