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The feeding care for the patients after gastrectomy -Nursing studies on the abnormality in taste and anorexia after gastrectomy-

胃切除术后患者的喂养护理-胃切除术后味觉异常及厌食的护理研究-

基本信息

批准号：
62480438
负责人：
ANDACHI Hideo
金额：
$ 2.56万
依托单位：
Tottori University
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (B)
财政年份：
1987
资助国家：
日本
起止时间：
1987 至 1989
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-62480438/
关键词：
Abnormality in taste Gastrectomy and anorexia

项目摘要

Anorexia and the reduction of food intake as the complaints among the patients after gastrectomy are frequently observed. It is reasonable to understand that the above mentioned complaints are caused by the post-operative physiometabolic disorder. The patients with the abnormality in taste are found up the above patients.The sense of taste and the state of food intake of 39 patients with gastric cancer-treated by the gastrectomy at 1st Department of Surgery of Tottori University Hospital from January 1, 1985 to December 31, 1988 were investigated. These patients were examined on the sense of taste, especially, both before and after gastrectomy as well as chemotherapy. The studies of the caloric intakes of hospital meals and the complaints after feeding were followed according to the patients records. The post-operative feeding care for the patients with a loss of appetite was studied.The complaints in relation to loss of appetite were based on the sense of stagnation after partial gast … More rectomy and abdominal dilatation after total gastrectogy. At the early days of the post-operative feeding, the caloric values of the hospital meals after the partial gastrectomy were higher than that after the total gastrectomy. However, the caloric values both after the partial and total gastrectomy were gradually increased until they reached a similar level on the 21st day.On the gustometory, the hyper sensitiveness of the sweet and the bitter taste were observed. Absolute thresholds for the sweet taste in aged generations were remarkably reduced as compared with that in young generations. The youth was sensible to the salty taste, while the aged was insensible to it. On the sourness, the hyper sensitiveness of the youth and the dullness of the aged were observed.As the feeding care for the patients with eating disorder and anorexia, it was suggested that the most important care to analyze their sufficient degree of the post-operative feeding and to improve the caloric intake of hospital meals to supply wants in nutrition out of six kinds of major groups based on the standard tables of food composition in Japan. Less

胃切除术后患者厌食、食量减少是常见的主诉。可以合理地理解，上述投诉是由术后生理代谢紊乱引起的。味觉异常的患者见于上述患者。对1985年1月1日至1988年12月31日在鸟取县大学附属医院外科一科行胃切除术的39例胃癌患者的味觉及进食情况进行了调查。这些患者在胃切除术和化疗前后都进行了味觉检查，特别是味觉。根据病历，对住院患者膳食的热量摄入及进食后的抱怨情况进行跟踪调查。对食欲减退患者的术后喂养护理进行了研究。食欲不振的主诉是基于部分胃切除术后的滞止感。全胃切除术后更多的切除和腹部扩张。在术后喂养初期，部分胃切除术后医院餐的热值高于全胃切除术后的热值。然而，胃部分切除和全胃切除后的热量值逐渐增加，直到第21天达到相似的水平。在味觉上，观察到对甜味和苦味的超敏感。与年轻一代相比，老年人对甜味的绝对阈值明显降低。年轻人对咸味很敏感，而老年人却感觉不到。在酸味上，观察到年轻人的超敏感和老年人的迟钝。在饮食失调和厌食症患者的喂养护理中，建议根据日本食物成分标准表，分析其术后喂养的充分程度，提高医院膳食的热量摄入，以满足六大类患者的营养需求。少