首页|基于风险预测的干预模式在重症监护室肝癌合并再喂养综合征患者中的应用效果

基于风险预测的干预模式在重症监护室肝癌合并再喂养综合征患者中的应用效果

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目的 探讨基于风险预测的干预模式在重症监护室(ICU)肝癌合并再喂养综合征(RFS)患者中的应用效果.方法 根据干预方式的不同将96例ICU肝癌合并RFS患者分为常规组(n=47,常规营养支持干预)和风险预测组(n=49,基于风险预测的干预模式).比较两组患者的电解质指标(磷离子、钾离子、镁离子)、营养指标[血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PAB)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTCQLQ-C30)]及并发症发生情况.结果 干预后第5天,两组患者磷离子、钾离子、镁离子、Hb、ALB、PAB水平均高于本组干预前,风险预测组患者磷离子、钾离子、镁离子、Hb、ALB、PAB水平均高于常规组,差异均有统计学意义(P<0.05).干预后1个月,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,风险预测组患者EORTC QLQ-C30各维度评分均高于常规组,差异均有统计学意义(P<0.05).风险预测组患者并发症总发生率明显低于常规组(P<0.01).结论 基于风险预测的干预模式在ICU肝癌合并RFS患者中的应用效果显著,可改善电解质水平及营养状态,提高生活质量,降低并发症发生率.
Application effect of risk prediction-based intervention model in intensive care unit patients with liver cancer complicated with refeeding syndrome
Objective To explore the application effect of risk prediction-based intervention model in intensive care unit(ICU)patients with liver cancer complicated with refeeding syndrome(RFS).Method A total of 96 ICU patients with liver cancer complicated with RFS were divided into conventional group(n=47,conventional nutritional support in-tervention)and risk prediction group(n=49,risk prediction-based intervention model)according to different intervention methods.The electrolyte indexes(phosphorus ion,potassium ion,magnesium ion),nutritional indexes[hemoglobin(Hb),albumin(ALB),prealbumin(PAB)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]and complications were compared between the two groups.Result On the 5th day after intervention,the levels of phosphorus ion,potassium ion,magnesium ion,Hb,ALB and PAB in the two groups were higher than those before intervention,and the levels of phosphorus ion,potassium ion,magnesium ion,Hb,ALB and PAB in risk prediction group were higher than those in conventional group,and the differences were statisti-cally significant(P<0.05).One month after intervention,the scores of each dimension of EORTC QLQ-C30 in the two groups were higher than those before intervention,and the scores of each dimension of EORTC QLQ-C30 in risk predic-tion group were higher than those in conventional group,and the differences were statistically significant(P<0.05).The total incidence of complications in risk prediction group was significantly lower than that in conventional group(P<0.01).Conclusion The application effect of risk prediction-based intervention model in ICU patients with liver cancer compli-cated with RFS is significant,which can improve the electrolyte levels and nutritional status,improve the quality of life,and reduce the incidence of complications.

intensive care unitliver cancerrefeeding syndromerisk predictionelectrolyte indexnutritional indexquality of life

韩欢欢、荆婵、曲瑞杰

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河南省人民医院感染性疾病科,河南省护理医学重点实验室,郑州大学人民医院,郑州 450003

重症监护室 肝癌 再喂养综合征 风险预测 电解质指标 营养指标 生活质量

河南省医学科技攻关计划联合共建项目中华医学会杂志社护理学科研究课题

LHGJ20210006CMAPH-NRD2022013

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(7)