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护理学报 ›› 2024, Vol. 31 ›› Issue (1): 12-16.doi: 10.16460/j.issn1008-9969.2024.01.012

• 研究生园地 • 上一篇    下一篇

基于Pender健康促进模式食管癌术后患者饮食管理方案的构建

高若男1, 王翠玲2, 李亭雨3, 田美雨1, 张楠1, 郑锐1   

  1. 1.山西医科大学 护理学院,山西 太原 030000;
    2.山西医科大学附属肿瘤医院 门诊部,山西 太原 030000;
    3.太原市精神病医院 护理部,山西 太原 030000
  • 收稿日期:2023-08-24 出版日期:2024-01-10 发布日期:2024-02-19
  • 通讯作者: 王翠玲（1966-）,女,山西大同人,硕士研究生,主任护师,门诊部主任。E-mail：ty.wangcuiling@163.com
  • 作者简介:高若男（1999-）,女,山西吕梁人,本科学历,硕士研究生在读。

Construction of a dietary management program for postoperative oesophageal cancer patients based on Pender's health promotion model

GAO Ruo-nan1, WANG Cui-ling2, LI Ting-yu3, TIAN Mei-yu1, ZHANG Nan1, ZHENG Rui1   

  1. 1. School of Nursing, Shanxi Medical University, Taiyuan 030000, China;
    2. Dept. of Outpatient, Cancer Hospital affiliated to Shanxi Medical University, Taiyuan 030000, China;
    3. Dept. of Nursing Administration, Taiyuan Psychiatric Hospital, Taiyuan 030000,China
  • Received:2023-08-24 Online:2024-01-10 Published:2024-02-19

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摘要： 目的 构建食管癌术后患者的饮食管理方案,为食管癌术后患者开展饮食管理提供参考。方法 以Pender健康促进模式为理论指导,通过文献回顾、半结构式访谈,初步拟定食管癌术后患者的饮食管理方案框架,选取来自三级甲等医院的22名肿瘤护理、临床护理、护理管理专家进行2轮德尔菲专家函询,最终确定食管癌术后患者的饮食管理方案。结果 2轮函询专家问卷有效回收率为100%,专家权威系数为0.90,各条目肯德尔和谐系数分别为0.223、0.274、0.210（P<0.01）;最终形成食管癌术后患者饮食管理方案包括：5个一级条目、18个二级条目、62个三级条目。结论 本研究构建的食管癌术后患者饮食管理方案具有一定的科学性与可靠性,可为食管癌患者的术后饮食护理提供参考。

关键词: 食管癌, 手术后, 健康促进模式, 饮食管理, 德尔菲法, 方案构建

Abstract: Objective To construct a postoperative dietary management program for patients with oesophageal cancer, and to provide reference for their dietary management. Methods Guided by the Pender's health promotion model, the framework of a postoperative dietary management plan for patients with oesophageal cancer was initially formulated through literature review and semi-structured interviews. Twenty-two experts of oncology nursing, clinical nursing, and nursing management from tertiary grade-A hospitals were selected to conduct 2 rounds of Delphi expert correspondence to determine the postoperative dietary management plan for patients with oesophageal cancer. Results The effective recovery rate of the 2-round correspondence expert questionnaire was 100%; the expert authority coefficient 0.90, and the Kendall's harmony coefficient of each entry was 0.223, 0.274, and 0.210, respectively (P<0.01). The final postoperative dietary management plan for patients with oesophageal cancer consisted of 5 first-level, 18 second-level, and 62 third-level entries. Conclusion The postoperative dietary management plan for patients with oesophageal cancer constructed in this study is scientific and reliable, and can provide reference for postoperative dietary care for patients with oesophageal cancer.

Key words: esophageal cancer, postoperative, health promotion model, diet management, Delphi method, program construction

中图分类号: 

  • R473.73
[1] Chen T, Jiang W, He G.Effect of family enteral nutrition on nutritional status in elderly patients with esophageal carcinoma after minimally invasive radical surgery: a randomized trial[J]. Ann Palliat Med, 2021,10(6):6760-6767.DOI:10.21037/apm-21-1219.
[2] 范晓丽, 杨光明, 朱雪. 精细化饮食管理对食管癌切除术患者营养状况及生活质量的影响[J]. 癌症进展, 2021,19(18):1930-1932.DOI:10.11877/j.issn.1672-1535.2021.19.18.25.
[3] 蚁洁煖, 阮春燕, 孙洁群, 等. 基于奥马哈系统的精细化饮食干预应用于食管癌术后患者的效果分析[J].中国社区医师, 2021, 37(25):37-38.DOI:10.3969/j.issn.1007-614x.2021.25.018.
[4] Shahabi N, Hosseini Z, Aghamolaei T, et al.Application of Pender's health promotion model for type 2 diabetes treatment adherence: protocol for a mixed methods study in southern Iran[J]. Current Controlled Trials in Cardiovascular Medicine,2022, 23(1):1056.DOI:10.1186/s13063-022-07027-9.
[5] Bijani M, Niknam M, Karimi S, et al.The effect of peer education based on Pender's health promotion model on quality of life, stress management and self-efficacy of patients with multiple sclerosis: a randomized controlled clinical trial[J]. BMC Neurol, 2022, 22(1):144.DOI:10.1186/s12883-022-02671-9.
[6] 刘蔚, 李育玲, 韩清华, 等. 基于社会学习理论实习护生同伴支持教育方案的构建[J]. 护理学报,2023,30(3):16-19.DOI: 10.16460/j.issn1008-9969.2023.03.016.
[7] Chen HH, Hsieh PL.Applying the Pender's health promotion model to identify the factors related to older adults'participation in community-based health promotion activities[J]. Int J Environ Res Public Health, 2021, 18(19):9985.DOI:10.3390/ijerph18199985.
[8] Moshki M, Mohammadipour F, Gholami M, et al.The evaluation of an educational intervention based on Pender's health promotion model for patients with myocardial infarction[J]. Int J Health Promot Educ, 2022, 60(1):25-37.DOI:org/10.1080/14635240.2020.1816487.
[9] Faroughi F, Shahriari M, Keshvari M, et al.The effect of an educational intervention based on Pender's health promotion model on treatment adherence in the patients with coronary artery disease[J].Iran J Nurs Midwifery Res, 2021,26(3):216-222.DOI:10.4103/ijnmr.IJNMR_53_20.
[10] Ren Y, Li M.Intervention Effect of Pender's model on mental health of patients with diabetes mellitus: a meta-analysis[J]. Can J Diabetes, 2023,47(1):94-101.DOI:https://doi.org/10.1016/j.jcjd.2022.05.001.
[11] Vakilian P, Mahmoudi M, Oskouie F, et al.Investigating the effect of educational intervention based on the Pender's health promotion model on lifestyle and self-efficacy of the patients with diabetic foot ulcer: a clinical trial[J]. J Educ Health Promot,2021,10:466.DOI:10.4103/jehp.jehp_1301_20.
[12] Masoudi R, Lotfizade M, Gheysarieha MR, et al.Evaluating the effect of Pender's health promotion model on self-efficacy and treatment adherence behaviors among patients undergoing hemodialysis[J]. J Educ Health Promot, 2020,9:197.DOI:10.4103/jehp.jehp_747_19.
[13] Habibzadeh H, Shariati A, Mohammadi F, et al.The effect of educational intervention based on Pender's health promotion model on quality of life and health promotion in patients with heart failure: an experimental study[J]. BMC Cardiovasc Disord, 2021, 21(1):478.DOI:10.1186/s12872-021-02294-x.
[14] Haghi R, Ashouri A, Karimy M, et al.The role of correlated factors based on Pender health promotion model in brushing behavior in the 13-16 years old students of Guilan, Iran[J]. Ital J Pediatr, 2021, 47(1):111.DOI:10.1186/s13052-021-01063-y.
[15] Rodrigues A, Freitas W, Polaro S, et al. Nursing process for elderly women susceptible to falls from the perspective of the Pender's model[J]. Rev Bras Enferm, 2022,75Suppl 4(Suppl 4):e20210913.DOI:10.1590/0034-7167-2021-0913.
[16] Jalili B F,Estebsari F, Rohani C, et al.Predictors of health-promoting lifestyle in pregnant women based on Pender's health promotion model[J]. Int J Womens Health, 2020,12:71-77.DOI:10.2147/IJWH.S235169.
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