Effects of a nurse-led individualized mHealth nutrition intervention for post-discharged gastric cancer patients following gastrectomy: A randomized controlled trial

IF 7.5 1区医学 Q1 NURSING

International Journal of Nursing Studies Pub Date : 2025-04-14 DOI:10.1016/j.ijnurstu.2025.105092

Xiao-han Jiang , Xiu-hong Yuan , Jia-min Chen , Hong Yu , Xi-jie Chen , Yong-he Chen , Si-jia Li , Yue-e Wen , Jun-sheng Peng

{"title":"Effects of a nurse-led individualized mHealth nutrition intervention for post-discharged gastric cancer patients following gastrectomy: A randomized controlled trial","authors":"Xiao-han Jiang , Xiu-hong Yuan , Jia-min Chen , Hong Yu , Xi-jie Chen , Yong-he Chen , Si-jia Li , Yue-e Wen , Jun-sheng Peng","doi":"10.1016/j.ijnurstu.2025.105092","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of a nurse-led individualized mHealth nutrition intervention on nutritional status, nutritional intake, cognitive beliefs related to nutritional behavior, weight loss, blood parameters, gastrointestinal symptoms, and quality of life in post-discharged gastric cancer patients following gastrectomy.</div></div><div><h3>Design</h3><div>This was an assessor-blinded parallel-arm randomized controlled trial with a repeated-measures design.</div></div><div><h3>Setting(s)</h3><div>The participants were recruited from inpatient gastric surgery units of two tertiary hospitals in Guangzhou, China.</div></div><div><h3>Participants</h3><div>A total of 108 patients with gastric cancer who underwent gastrectomy and were scheduled to be discharged to their homes were included.</div></div><div><h3>Method</h3><div>Participants were randomly allocated to either the intervention or the control group (n = 54 per group). The intervention group received the nurse-led individualized mHealth nutrition intervention in addition to the usual care, whereas the control group received only usual care. The intervention included face-to-face education before discharge, the use of an applet and phone consultations. Baseline data were collected on the day of discharge from the hospital (T0). The patients' nutritional status, cognitive beliefs related to nutritional behavior, nutritional intake, weight loss, blood parameters, gastrointestinal symptoms and quality of life were repeatedly measured at 4-week (T1) and 12-week (T2) after discharge.</div></div><div><h3>Results</h3><div>Compared with the control group, the intervention group showed significant improvement in nutritional status (<em>ꞵ₄ weeks</em> = −1.08, 95 % CI −2.12 to 0.04, <em>p</em> = 0.042; <em>ꞵ₁₂ weeks</em> = −1.52, 95 % CI −2.57 to −0.47, <em>p</em> = 0.005). Improvements were also observed in energy and protein intake, weight loss, and cognitive beliefs related to nutritional behavior, including risk perception, outcome expectancy, self-efficacy, intention, and action plan (<em>p</em> < 0.05). However, no statistically significant differences were observed in coping plan, gastrointestinal symptoms, blood parameters, and quality of life (<em>p</em> > 0.05).</div></div><div><h3>Conclusions</h3><div>The nurse-led individualized mHealth nutrition intervention was effective for improving the cognitive beliefs related to nutritional behavior, energy and protein intake, and nutritional status, as well as reducing weight loss among post-discharged gastric cancer patients following gastrectomy.</div></div><div><h3>Registration number</h3><div>ChiCTR2200064808.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105092"},"PeriodicalIF":7.5000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0020748925001014","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To evaluate the effects of a nurse-led individualized mHealth nutrition intervention on nutritional status, nutritional intake, cognitive beliefs related to nutritional behavior, weight loss, blood parameters, gastrointestinal symptoms, and quality of life in post-discharged gastric cancer patients following gastrectomy.

Design

This was an assessor-blinded parallel-arm randomized controlled trial with a repeated-measures design.

Setting(s)

The participants were recruited from inpatient gastric surgery units of two tertiary hospitals in Guangzhou, China.

Participants

A total of 108 patients with gastric cancer who underwent gastrectomy and were scheduled to be discharged to their homes were included.

Method

Participants were randomly allocated to either the intervention or the control group (n = 54 per group). The intervention group received the nurse-led individualized mHealth nutrition intervention in addition to the usual care, whereas the control group received only usual care. The intervention included face-to-face education before discharge, the use of an applet and phone consultations. Baseline data were collected on the day of discharge from the hospital (T0). The patients' nutritional status, cognitive beliefs related to nutritional behavior, nutritional intake, weight loss, blood parameters, gastrointestinal symptoms and quality of life were repeatedly measured at 4-week (T1) and 12-week (T2) after discharge.

Results

Compared with the control group, the intervention group showed significant improvement in nutritional status (ꞵ₄ weeks = − 1.08, 95 % CI − 2.12 to 0.04, p = 0.042; ꞵ₁₂ weeks = − 1.52, 95 % CI − 2.57 to − 0.47, p = 0.005). Improvements were also observed in energy and protein intake, weight loss, and cognitive beliefs related to nutritional behavior, including risk perception, outcome expectancy, self-efficacy, intention, and action plan (p < 0.05). However, no statistically significant differences were observed in coping plan, gastrointestinal symptoms, blood parameters, and quality of life (p > 0.05).

Conclusions

The nurse-led individualized mHealth nutrition intervention was effective for improving the cognitive beliefs related to nutritional behavior, energy and protein intake, and nutritional status, as well as reducing weight loss among post-discharged gastric cancer patients following gastrectomy.

Registration number

ChiCTR2200064808.

查看原文本刊更多论文

针对胃切除术后出院胃癌患者的护士主导个性化移动医疗营养干预的效果：随机对照试验

目的评价由护士主导的个体化移动医疗营养干预对胃癌患者胃切除术后营养状况、营养摄入、与营养行为相关的认知信念、体重减轻、血液指标、胃肠道症状和生活质量的影响。方法参与者被随机分配到干预组或对照组（每组54人）。干预组除接受常规护理外，还接受由护士主导的个性化移动医疗营养干预，而对照组仅接受常规护理。干预措施包括出院前的面对面教育、使用小程序和电话咨询。基线数据在出院当天（T0）收集。出院后 4 周（T1）和 12 周（T2），反复测量患者的营养状况、与营养行为相关的认知信念、营养摄入量、体重减轻情况、血液指标、胃肠道症状和生活质量。结果与对照组相比，干预组的营养状况明显改善（ꞵ₄ 周 = - 1.08，95 % CI - 2.12 至 0.04，p = 0.042；ꞵ₁₂ 周 = - 1.52，95 % CI - 2.57 至 - 0.47，p = 0.005）。在能量和蛋白质摄入量、体重减轻以及与营养行为有关的认知信念方面，包括风险认知、结果预期、自我效能、意向和行动计划，也观察到了改善（p < 0.05）。结论护士主导的个体化移动医疗营养干预能有效改善胃切除术后出院胃癌患者与营养行为相关的认知信念、能量和蛋白质摄入以及营养状况，并减少体重减轻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Nursing Studies 医学-护理

CiteScore

15.00

自引率

2.50%

发文量

181

审稿时长

21 days

期刊介绍： The International Journal of Nursing Studies (IJNS) is a highly respected journal that has been publishing original peer-reviewed articles since 1963. It provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy, and research methods relevant to nursing, midwifery, and other health related professions. The journal aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The IJNS is indexed in major databases including PubMed, Medline, Thomson Reuters - Science Citation Index, Scopus, Thomson Reuters - Social Science Citation Index, CINAHL, and the BNI (British Nursing Index).