Exploration on the application effect of nutritional support combined with psychological care in patients with gastric cancer
营养支持联合心理护理在胃癌患者中的应用效果探究

摘要

目的 探讨营养支持联合心理护理干预对胃癌患者生活质量、心理状态及营养指标的影响，为临床护理模式优化提供循证依据。方法 采用前瞻性随机对照设计，纳入2024年2月至2025年2月在我院确诊的120例胃癌患者，通过随机数字表法分为对照组（n=60，常规护理）与观察组（n=60，营养支持+心理护理）。干预周期为6个月，采用QLQ-C30量表评估生活质量，SAS/SDS量表评价焦虑抑郁状态，血清白蛋白、前白蛋白及血红蛋白水平监测营养状况，同时进行护理满意度问卷调查。采用SPSS 26.0进行t检验、χ2检验及重复测量方差分析。结果 干预后两组QLQ-C30总分较基线显著提高（P<0.01），观察组显著优于对照组（P<0.05）。心理干预效果显示，观察组SAS和SDS评分改善幅度均显著优于对照组。营养指标方面，观察组白蛋白、前白蛋白及血红蛋白水平均高于对照组（P<0.05）。护理满意度调查显示，观察组总满意度达98.33%，显著高于对照组的68.33%（P<0.05）。结论 营养支持联合心理护理可显著改善胃癌患者生存质量，有效缓解治疗相关不良情绪，优化营养代谢状态，提升护理服务认可度。该联合干预模式可作为胃癌患者综合管理方案的重要组成部分，建议临床推广应用。

Abstract

Objective To explore the impact of nutritional support combined with psychological nursing intervention on the quality of life, psychological state and nutritional indicators of patients with gastric cancer, and to provide evidence-based basis for the optimization of clinical nursing models.
Methods A prospective randomized controlled design was adopted. A total of 120 patients diagnosed with gastric cancer in our hospital from February 2024 to February 2025 were included and divided into the control group (n=60, conventional care) and the observation group (n=60, nutritional support + psychological care) by random number table method. The intervention period was 6 months. The quality of life was evaluated by the QLQ-C30 scale, the anxiety and depression status was evaluated by the SAS/SDS scale, the nutritional status was monitored by the levels of serum albumin, prealbumin and hemoglobin, and a questionnaire survey on nursing satisfaction was conducted simultaneously. T-test, χ2 test and repeated measures analysis of variance were performed using SPSS 26.0.
Results After the intervention, the total scores of QLQ-C30 in both groups were significantly increased compared with the baseline (P<0.01), and the observation group was significantly better than the control group (P<0.05). The effect of psychological intervention showed that the improvement magnitudes of SAS and SDS scores in the observation group were significantly better than those in the control group. In terms of nutritional indicators, the levels of albumin, prealbumin and hemoglobin in the observation group were all higher than those in the control group (P<0.05). The nursing satisfaction survey showed that the total satisfaction rate of the observation group reached 98.33%, significantly higher than that of the control group (68.33%) (P<0.05).
Conclusion   Nutritional support combined with psychological care can significantly improve the quality of life of patients with gastric cancer, effectively alleviate treatment-related negative emotions, optimize the nutritional metabolic state, and enhance the recognition of nursing services. This combined intervention model can serve as an important component of the comprehensive management plan for patients with gastric cancer and is recommended for clinical promotion and application.