Objective To study the effect of nutritional intervention on nutrition knowledge of inpatients with digestive system malignants tumor, and to provide medical advice for further nutritional intervention. Methods One hundred and one perioperative patients with digestive system malignant tumor were randomly divided into the study group and the control group. The patients in the study group was monitored nutritional indexes, treated with personalized nutritional support program and nutrition consultant before surgery, after surgery and during recovery stage. During their hospitalization, their nutritional assessment and nutrition files were created. The patients in the control group were educated by the traditional method. All the patients were investigated by questionnaire four weeks after admission and intervention. Results Before intervention, there are no statistically significant difference between the two groups in the awareness rate of nutrition knowledge, eating habits, desire for nutritional intervention and compliance behavior. After four weeks of intervention, the awareness rate of nutrition knowledge, eating habits, desire for nutritional intervention and compliance behavior showed statistically significant difference between the two groups (x2=19.691, 19.691, 11.387, 8.312, respectively, P<0.01). Conclusion Nutritional intervention can improve the nutrition knowledge and compliance behavior of patients with digestive system malignant tumor.%目的 了解营养干预对消化系统恶性肿瘤患者营养认知水平的影响,为进一步营养干预提供科学依据.方法 选取101例消化系统恶性肿瘤围手术期患者,随机分为两组,住院期间对干预组50例患者进行营养不良状况评估、建立营养档案,并对术前、术后、康复期进行个性化营养指导、营养指标监测、营养咨询等干预措施;对照组51例患者按传统方法进行健康教育,不施加营养干预.于入院、干预4周后分别对两组患者进行营养知识与行为问卷调查.结果 干预前两组患者营养知识知晓率、饮食习惯、营养干预需求及遵医行为率差异无统计学意义,干预4周后两组营养知识知晓率比较,χ2=19.691,P<0.01;两组饮食习惯比较,χ2=19.691,P<0.01;两组营养干预需求率比较,χ2=11.387,P<0.01;两组遵医行为比较,χ2=8.312,P<0.01;两组患者干预前后营养认知差异有统计学意义.结论 营养干预对改善消化系统恶性肿瘤患者营养态度及提高其对营养干预的依从性具有积极意义.
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