Influence of new perioperative diet management regimen under family empowerment model on surgical tolerance in patients with glioma

ZHANG Lincong; BAI Bing; XUE Yake

Abstract：Objective To explore the influence of new perioperative diet management regimen under family empowerment model on surgical tolerance in patients with glioma. Methods 97 patients with glioma admitted to the First Affiliated Hospital of Zhengzhou University from March 2022 to March 2024 were selected as the study subjects,randomized into intervention group (50 cases) and conventional group (47 cases). The intervention group received new perioperative diet management regimen under family empowerment model,while the conventional group adopted conventional perioperative diet management. The nutritional status[Patient-Generated-Subjective Global Assessment (PG-SGA)],psychological status[Hospital Anxiety and Depression Scale (HADS)],stress status (systolic blood pressure,diastolic blood pressure and pulse rate),preoperative discomfort reactions (thirst,hunger,hypoglycemia) and postoperative recovery status (postoperative feeding recovery time,first ambulation time,urinary catheter removal time,postoperative hospital stay) were compared between these two groups before and after the intervention. Results Before intervention,there were no statistical differences in the proportions of grade A,B and C nutritional status between groups (P>0.05). After intervention,the proportion of grade A nutritional status in intervention group was higher than that in conventional group while the proportion of grade B nutritional status was lower than that in conventional group (P<0.05). There were no statistically significant differences in HADS scores between groups before intervention (P>0.05). The scores of dimensions of HADS in intervention group after intervention were lower than those in conventional group (P<0.05). Before intervention,no statistical differences were shown in systolic blood pressure,diastolic blood pressure and pulse rate between both groups (P>0.05). The systolic blood pressure,diastolic blood pressure and pulse rate in intervention group after intervention were lower than those in conventional group (P<0.05). The total incidence rate of preoperative discomfort reactions was lower in intervention group than that in conventional group (P<0.05). The postoperative feeding recovery time,first ambulation time,urinary catheter removal time and postoperative hospital stay were shorter in intervention group than those in conventional group (P<0.05). Conclusions New perioperative diet management regimen under family empowerment model can effectively improve the nutritional status of patients with glioma,alleviate the anxiety and depression,relieve the stress and preoperative discomfort,enhance the surgical tolerance,and promote the patient's recovery.