基于知信行理论的乳腺癌化疗患者营养干预方案构建和应用研究

中华护理教育 ›› 2025, Vol. 22 ›› Issue (11): 1371-1376.

基于知信行理论的乳腺癌化疗患者营养干预方案构建和应用研究

李树坪(), 杨其洲, 张蕾, 陈静, 武昭君, 王楠迪, 马丽媛, 周江红()

730000 兰州市甘肃省肿瘤医院

收稿日期:2025-04-23 出版日期:2025-11-15 发布日期:2025-11-17
通讯作者: 周江红
作者简介:李树坪，女，硕士，护士，E-mail：1415272457@qq.com
基金资助:
兰州市科技计划项目(2024-9-54)

Application of nutrition education program for breast cancer patients undergoing chemotherapy based on Knowledge，Belief，Practice Theory

LI Shuping(), YANG Qizhou, ZHANG Lei, CHEN Jing, WU Zhaojun, WANG Nandi, MA Liyuan, ZHOU Jianghong()

Received:2025-04-23 Online:2025-11-15 Published:2025-11-17
Contact: ZHOU Jianghong

摘要/Abstract

摘要： 目的探讨基于知信行理论的营养干预方案在乳腺癌化疗患者中的应用效果。方法采用便利抽样法，选取2024年10月—12月在甘肃省某三级甲等医院行化学治疗的女性乳腺癌患者为研究对象，按照病区划分为试验组和对照组。试验组采用基于知信行理论的营养干预方案；对照组采用常规营养护理宣教。比较干预后两组体重、血清白蛋白、血红蛋白、营养知信行水平和生活质量的差异。结果试验组最终纳入患者48例，对照组纳入患者50例。干预后，试验组体重无明显变化（P>0.05），而对照组体重则出现下降情况（P<0.05）。干预后，试验组的血清白蛋白、营养知信行水平和生活质量得分均优于对照组，差异具有统计学意义（P<0.05）。结论基于知信行理论的乳腺癌化疗患者营养干预方案有助于维持化疗期乳腺癌患者体重，提高患者的营养知信行水平和生活质量，未来还需进一步追踪调查干预方案对患者营养相关指标的远期影响。

关键词: 乳腺癌, 化疗, 营养教育, 知信行模式

Abstract:

Objective To investigate the effect of a nutrition intervention program based on the Knowledge-Attitude-Practice（KAP） theory in breast cancer patients undergoing chemotherapy. Methods A convenience sampling method was adopted to select female patients with breast cancer receiving chemotherapy at a Grade Ⅲ Class A hospital in Gansu Province from October to December 2024 as participants. They were divided into intervention group and control group based on wards. The intervention group received KAP-based nutrition intervention，while the control group received conventional nutritional nursing education. Differences in weight，serum albumin，hemoglobin，KAP levels，and quality of life between the two groups after intervention were compared. Results A total of 48 patients and 50 patients were included in the intervention and control group，respectively. After intervention，the intervention group showed no significant change in weight （P>0.05），whereas the control group experienced a significant decrease（P<0.05）. The intervention group demonstrated significantly higher serum albumin levels，KAP scores，and quality of life scores compared to the control group（P<0.05）. Conclusion The KAP-based nutrition intervention program effectively maintains body weight，improves KAP levels，and enhances quality of life in breast cancer patients during chemotherapy. Further long-term follow-up studies are warranted to assess the intervention’s long-term impact on patients’ nutrition-related outcomes.

Key words: Breast Cancer, Chemotherapy, Nutrition Education, Knowledge，Belief，Practice

李树坪, 杨其洲, 张蕾, 陈静, 武昭君, 王楠迪, 马丽媛, 周江红. 基于知信行理论的乳腺癌化疗患者营养干预方案构建和应用研究[J]. 中华护理教育, 2025, 22(11): 1371-1376.

LI Shuping, YANG Qizhou, ZHANG Lei, CHEN Jing, WU Zhaojun, WANG Nandi, MA Liyuan, ZHOU Jianghong. Application of nutrition education program for breast cancer patients undergoing chemotherapy based on Knowledge，Belief，Practice Theory[J]. Chinese Journal of Nursing Education, 2025, 22(11): 1371-1376.

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