首页|全病程多学科营养管理联合中等强度步行运动对食管癌放疗患者营养状况及癌因性疲乏的影响

全病程多学科营养管理联合中等强度步行运动对食管癌放疗患者营养状况及癌因性疲乏的影响

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目的 探讨全病程多学科营养管理联合中等强度步行运动对食管癌放疗患者营养状况及癌因性疲乏的影响.方法 选取该院 2022 年 11 月—2023 年 11 月收治的 100 例食管癌放疗患者为研究对象,按随机数字表法将其分为对照组与观察组,各50例.对照组采用常规护理,观察组采用全病程多学科营养管理联合中等强度步行运动.对比两组患者的营养状况、癌因性疲乏程度.结果 干预 4 周后,观察组血清总蛋白、白蛋白、前白蛋白水平均高于对照组,组间差异有统计学意义(P<0.05).观察组疲乏量表的各个维度评分均低于对照组,组间差异有统计学意义(P<0.05).结论 全病程多学科营养管理联合中等强度步行运动能够改善食管癌放疗患者的营养状况,减轻其癌因性疲乏程度.
Effect of Multidisciplinary Nutrition Management Throughout the Entire Disease Course Combined with Moderate Intensity Walking Exercise on the Nutritional Status and Cancer-Related Fatigue of Esophageal Cancer Radiotherapy Patients
Objective Exploring the effects of multidisciplinary nutrition management throughout the entire disease course combined with moderate intensity walking exercise on the nutritional status and cancer-related fatigue of esophageal cancer radiotherapy patients.Methods A total of 100 patients treated with radiotherapy for esophageal cancer in this hospital from November 2022 to November 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received routine nursing,and the observation group received maltidisciplinary nutrition management throughout the entire disease course combined with moderate intensity walking exercise.The nutritional status and the degree of cancer-related fatigue were compared between the two groups.Results After 4 weeks of intervention,the serum total protein,albumin and prealbumin levels in the observation group were higher than those in the control group,with the differences between the groups were statistically significant(P<0.05).The scores of all dimensions of the Fatigue Scale in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of multidisciplinary nutrition management throughout the entire disease course and moderate intensity walking exercise can improve the nutritional status of esophageal cancer radiotherapy patients and reduce cancer-related fatigue.

Esophageal cancerRadiotherapyMultidisciplinary nutrition management throughout the entire disease courseModerate intensity walking exerciseNutritional statusCancer-related fatigue

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上海交通大学医学院附属仁济医院放疗科,上海 浦东 200120

食管癌 放疗 全病程多学科营养管理 中等强度步行运动 营养状况 癌因性疲乏

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(7)