Fitch理论的营养管理健康教育联合团队协同疼痛护理对胃癌术后睡眠的影响

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AbstractObjective：Toobservetheefectsof implementingFitchtheory-basednutritionalmanagementhealth educationcombined with team-basedcolaborativepaincare inpatientsundergoing gastriccancersurgery.Methods：Atotalof88gastriccancer surgerypatientsadmitedtoTheFirstAfliated HospitalofXiamen UniversityfromJune2023toAugust2O24wereselectedas studysubjects.Theyweredivided intoacontrol groupandanobservationgroupusing therandomnumber table method，with44 patients ineach group.Thecontrol groupreceivedroutine postoperativecare，whiletheobservation groupreceivedFitch heorybasednutionalmanagement healtheducationcombinedwith team-basedcolaborativepaincare.Compare thepatient'spainlevel，sleepqualityinsomniasymptoms，andqualityof ife.Results：The VASscoreof thebservationgroupafterursingwaslower thanthatofthecontrol group，ThePSQIscoreof theobservationgroupafternursing waslowerthanthatof thecontrol group，he Athens Insomnia Scale（AIS）andEpworth Slepiness Scale（ESS）insomnia scores intheobservation group were lower thanthose inthecontrolgroupafter nursingcare，The WHOQOL-BREF scoreof theobservationgroup was higher thanthatofthecontrol group after nursing，（ P<0.05 ）.Conclusion：Implementing Fitch theory-based nutritional management health education combined with team-basedcolaborativepaincarefor gastriccancersurgerypatientscanrducepainlevels，improve sleepqualityandenhance quality of life.

KeywordsFitch theory；Nutritional management；Health education；Team-basedcolaborativepaincare；Gastriccancer; Sleep; Quality of life; Insomnia symptoms

中图分类号：R473.73;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.05.039

胃癌属于消化系统肿瘤疾病中最常见类型，致病机制复杂，风险性较高，多数患者确诊时已经较为严重，需接受手术治疗。（剩余5145字）