首页|基于风险量表的营养干预在吞咽障碍鼻咽癌患者中的应用

基于风险量表的营养干预在吞咽障碍鼻咽癌患者中的应用

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目的 探究基于营养风险筛查量表2002(NRS2002)评估结果的针对性营养干预对鼻咽癌合并吞咽障碍患者放化疗期间营养状态及生命质量的影响.方法 选取本院2019年1月-2022年12月收治的200例鼻咽癌合并吞咽障碍患者为研究对象,采用随机数字表法将200例患者分为对照组(100例)与观察组(100例).对照组患者接受常规干预,观察组患者接受基于NRS2002评估结果的针对性营养干预.干预后,采用肿瘤患者营养评估量表(PG-SGA)评估患者营养状况;干预前后,检测患者血清白蛋白、血红蛋白及白细胞水平,采用癌症患者生命质量测定量表(FACT-G)评估患者生命质量水平并比较.结果 干预后,2组患者营养状况等级比较,差异有统计学意义,且观察组患者营养状况优于对照组(P<0.05).干预前,2组患者白蛋白、血红蛋白及白细胞水平比较,差异均无统计学意义(P>0.05);干预后,2组患者的白蛋白、血红蛋白及白细胞水平显著高于干预前,且观察组显著高于对照组(P<0.05).干预前,2组患者FACT-G中生理状况、社会/家庭状况、情感状况、功能状况评分比较,差异均无统计学意义(P>0.05);干预后,2组患者FACT-G中生理状况、社会/家庭状况、情感状况、功能状况评分均显著高于干预前,且观察组显著高于对照组(P<0.05).结论 与常规干预相比,采用基于NRS2002评估结果的针对性营养干预效果更佳,对鼻咽癌合并吞咽障碍患者营养状况以及营养指标改善显著,有利于提高患者生命质量,具有临床推广价值.
Application of nutritional intervention based on the nutritional risk assessment in nasopharyngeal carcinoma patients with dysphagia
Objective To explore the impact of targeted nutritional intervention based on the Nutritional Risk Screening 2002(NRS2002)assessment on the nutritional status and quality of life of nasopharyngeal carcinoma patients with dysphagia dur-ing radiochemotherapy.Methods A total of 200 nasopharyngeal carcinoma patients with dysphagia admitted to our hospital from January 2019 to December 2022 were selected as the research participants.They were randomly assigned to a control group(100 cases)and an observation group(100 cases)using the random number table method.The control group received routine intervention,while the observation group received targeted nutritional intervention based on the NRS2002 assess-ment.After intervention,the nutritional status of the patients was evaluated using the Patient-Generated Subjective Global Assessment(PG-SGA)scale;the levels of serum albumin,hemoglobin,and white blood cells were detected,and the quali-ty of life of the patients was assessed using the Functional Assessment of Cancer Therapy-General(FACT-G)scale and compared before and after intervention.Results After intervention,statistically significant differences were noted in the nu-tritional status levels between the two groups,and the nutritional status of the patients in the observation group was better than that in the control group(P<0.05).Before intervention,no statistically significant difference was found in the levels of albumin,hemoglobin,and white blood cells between the two groups(P>0.05).The levels of albumin,hemoglobin,and white blood cells in both groups were significantly increased after intervention,and the observation group was signifi-cantly higher than the control group(P<0.05).Before intervention,no statistically significant difference was found in the FACT-G scores for physical condition,social/family condition,emotional condition,and functional condition between the two groups(P>0.05).The FACT-G scores for physical condition,social/family condition,emotional condition,and func-tional condition in both groups were significantly increased after the intervention,and the observation group was significantly higher than the control group(P<0.05).Conclusion Compared with routine intervention,targeted nutritional intervention based on the NRS2002 assessment is more effective,markedly improves the nutritional status and nutritional indicators of nasopharyngeal carcinoma patients with dysphagia,and is conducive to raising the quality of life of patients,justifying a wi-der clinical promotion.

Nasopharyngeal carcinomaDysphagiaRadiochemotherapyNutritional risk screening scaleNutritional inter-ventionNutritional statusQuality of life

张亚亚、陈雪、杨丹、吕超、胡春兰、李娟

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重庆大学附属三峡医院肿瘤早期诊治中心,重庆 404000

重庆大学附属三峡医院耳鼻咽喉科,重庆 404000

鼻咽癌 吞咽障碍 放化疗 营养风险筛查量表 营养干预 营养状态 生命质量

重庆市自然科学基金

CSTB2023NSCQ-BHX0047

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(5)
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