首页|全程营养护理管理在食管癌同步放化疗患者中的应用价值分析

全程营养护理管理在食管癌同步放化疗患者中的应用价值分析

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目的 分析食管癌同步放化疗患者开展全程营养护理管理的应用价值.方法 随机选取2021年1-12月泰安市中心医院收治的80例食管癌同步放化疗患者为研究对象,以不同护理方法分为常规组(40例,常规营养护理管理)和观察组(40例,常规护理管理+全程营养护理管理),对比分析两组患者能量摄入依从性优良率及护理干预前后的营养状态评分、营养不良风险程度评分、健康调查简表评分及护理满意度.结果 观察组放化疗期间的能量摄入优良率、对护理服务的满意度评价分别为97.50%(39/40)、97.50%(39/40),高于常规组的80.00%(32/40)、77.50%(31/40),差异有统计学意义(χ2=4.057、7.314,P均<0.05).干预后,观察组健康调查简表评分高于常规组,整体营养状况定量表评分和营养不良-炎症量表评分均低于常规组,差异有统计学意义(P均<0.05).结论 全程营养护理管理是一种新型护理方案,更侧重营养管理,尤其应用于食管癌同步放化疗患者中可提高患者机体免疫力,减少同步放化疗相关不良反应风险,以此取得理想护理效果.
Application Value of Whole Nutrition Nursing Management in Patients with Esophageal Cancer Undergoing Simultaneous Chemoradiotherapy
Objective Analyanalyze the application value of whole nutrition nursing management in esophageal cancer.Methods A total of 80 patients with esophageal cancer undergoing simultaneous chemoradiotherapy admitted to Tai'an Central Hospital from January to December 2021 were randomly selected as the research objects.They were di-vided into routine group(40 cases,routine nutrition nursing management)and observation group(40 cases,routine nursing management+whole nutrition nursing management)according to different nursing methods.The excellent and good rate of energy intake compliance,nutritional status score,malnutrition risk score and health survey summary score before and after nursing intervention and nursing satisfaction were compared and analyzed between the two groups.Results The excellent and good rate of energy intake during radiotherapy and chemotherapy and the satisfac-tion evaluation of nursing service in the observation group were 97.50%(39/40)and 97.50%(39/40),respectively,which were higher than 80.00%(32/40)and 77.50%(31/40)in the routine group,and the differences were statistically significant(χ2=4.057,7.314,both P<0.05).After intervention,the MOS Item Short From Health Survey scores in ob-servation was higher than that in the routine group,the Patient-generated Subjective Global Assessment scores and the Malnutrition-Inflammation Score were lower than those in the routine group,the differences were statistically sig-nificant(all P<0.05).Conclusion Whole-process nutrition nursing management is a new nursing program,which fo-cuses more on nutrition management,especially in patients with synchronous radiotherapy and chemotherapy of esophageal cancer,which can improve the immunity of patients and reduce the risk of adverse reactions related to syn-chronous radiotherapy and chemotherapy,so as to achieve ideal nursing effect.

Esophageal cancerSimultaneous chemoradiotherapyWhole nutrition nursing

陈胜利、司家锋、路敏

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泰安市中心医院(青岛大学附属泰安市中心医院、泰山医养中心)化疗科,山东 泰安 271000

山东省第二康复医院儿科,山东 泰安 271000

泰安市中心医院(青岛大学附属泰安市中心医院、泰山医养中心)农大门诊部,山东 泰安 271000

食管癌 同步放化疗 全程营养护理

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(24)