以质量求发展，以服务铸品牌

Journal of Nursing ›› 2025, Vol. 32 ›› Issue (2): 13-18.doi: 10.16460/j.issn1008-9969.2025.02.013

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Nutritional care experience of caregivers of colorectal cancer patients undergoing chemotherapy based on ABC-X model: a qualitative study

CAO Min1, ZHANG Pei-li2, HOU Xiao-ya2, GAO Chao-yue1, GUO Lin-fang1, LI Ying1   

  1. 1. School of Nursing, Shanxi Medical University, Taiyuan 030001, China;
    2. First Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2024-08-05 Online:2025-01-25 Published:2025-02-20

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Abstract: Objective To explore the real experience of nutritional care for patients with colorectal cancer undergoing chemotherapy based on the ABC-X model, and to provide reference for clinical nutrition management. Methods Descriptive phenomenology was used, and semi-structured interviews were conducted within the caregivers of 15 patients undergoing chemotherapy for colorectal cancer in a tertiary grade-a hospital in Shanxi Province. The data were analyzed and summarized with Colaizzi seven-step analysis method and the themes were extracted. Results Four themes were extracted: multiple stress of nutrition care, limited use of resources, desire for support, difference in cognition on nutrition care, and different levels of nutrition care. Conclusion The burden of nutritional care of caregivers should be considered. Supports at diverse levels and standardized and holistic nutrition management should be provided to help improve the ability of nutritional care, so as to better improve the nutritional status of patients.

Key words: colorectal cancer, chemotherapy, caregiver, nutritional care, qualitative research

CLC Number: 

  • R473.73
[1] Sung H, Ferlay J, Siegel RL, et al.Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA: A Cancer Journal for Clinicians, 2021,71(3):209-249. DOI:10.3322/caac.21660.
[2] Tuominen L, Ritmala-Castrén M, Nikander P, et al.Empowering patient education on self-care activity among patients with colorectal cancer-a research protocol for a randomised trial[J]. BMC Nursing, 2021, 20(1). DOI: 10.1186/s12912-021-00617-z.
[3] 杨家君, 黄学军, 邓俊晖, 等. PG-SGA在常见消化道恶性肿瘤患者中的应用研究[J].肿瘤代谢与营养电子杂志, 2017, 4(2):189-193.DOI:10.16689/j.cnki.cn11-9349/r.2017.02.012.
[4] 陈静儒, 张振香, 郭瑾, 等. 照顾者对食管癌患者营养照护的质性研究[J].中国实用护理杂志, 2018, 34(2):126-130. DOI:10.3760/cma.j.issn.1672-7088.2018.02.011.
[5] 周倩, 王园园, 蒋婷婷, 等. 肿瘤化疗患者营养照护现状及影响因素的调查研究[J].肿瘤代谢与营养电子杂志, 2022, 9(1):89-94.
[6] Veldorale-Griffin A, Darling CA.Adaptation to parental gender transition: stress and resilience among transgender parents[J]. Archives of Sexual Behavior, 2016, 45(3): 607-617. DOI: 10.1007/s10508-015-0657-3.
[7] 刘爽, 朱路路, 王晓云, 等. 老年慢性心力衰竭患者居家期间灵性照护需求及照护体验的研究[J]. 护理学报, 2019, 26(9):6-9. DOI:10.16460/j.issn1008-9969.2019.09.006.
[8] 冯彩云,于恺英,石汉平. 营养影响症状[J]. 肿瘤代谢与营养电子杂志, 2023, 10(2):172-176. DOI:10.16689/j.cnki.cn11-9349/r.2023.02.002.
[9] 朱晓丹, 谢茗珠, 刘寒雪. 病人参与式全程营养管理对改善直肠癌新辅助治疗病人营养状况的研究[J]. 肠外与肠内营养, 2021, 28(6):352-356,361. DOI:10.16151/j.1007-810x.2021.06.007.
[10] Harrison R, Raman M, Walpola RL, et al.Preparing for partnerships in cancer care: an explorative analysis of the role of family-based caregivers[J]. BMC Health Services Research, 2021,21(1).DOI: 10.1186/s12913-021-06611-0.
[11] 程珂,曹希,黎燕红,等.结直肠癌患者经济毒性的危险因素分析[J]. 中华肿瘤防治杂志, 2023, 30(16):984-989. DOI:10.16073/j.cnki.cjcpt.2023.16.05.
[12] 王碧轩, 屈清荣, 张宽新, 等. 胃癌患者术后化疗期间主要照顾者营养照护体验的质性研究[J]. 河南医学研究, 2020, 29(33):6175-6179. DOI:10.3969/j.issn.1004-437X.2020.33.009.
[13] 邓润菊, 陈俊英, 徐小玲, 等. 原发性肝癌营养不良患者主要照护者营养干预培训方案的应用及效果评价[J]. 护理实践与研究, 2022,19(18):2794-2798. DOI:10.3969/j.issn.1672-9676.2022.18.023.
[14] 陈远远, 崔巍巍, 邝雨洁,等. 食管癌术后病人主要照顾者营养照护知信行及营养知识需求的调查分析[J]. 全科护理, 2020, 18(31):4371-4374. DOI:10.12104/j.issn.1674-4748.2020.31.049.
[15] 王林,石汉平. 把营养进行到底[J].肿瘤代谢与营养电子杂志, 2022,9(6):693-695. DOI:10.16689/j.cnki.cn11-9349/r.2022.06.002.
[16] 李苏宜,张小田,丛明华,等. 规范化肿瘤营养治疗示范病房标准[J]. 肿瘤代谢与营养电子杂志, 2019, 6(1):35-40. DOI:10.16689/j.cnki.cn11-9349/r.2019.01.006.
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