目的 探讨序贯营养干预模式改善胃癌患者术后早期营养状况的效果.方法 采用便利抽样法选取2022年6月—8月于宁波市第二医院胃肠外科行胃癌根治术的30例患者为试验组,回顾性选取2021年9月—2022年1月行胃癌根治术的30例患者为对照组,试验组接受胃肠外科品管圈活动构建的序贯营养干预模式,对照组接受常规营养支持,评估出院1个月时两组患者的营养状况及生活质量.结果 干预前,两组患者主观整体营养评估(Patient-Generated Subjective Global Assessment,PG-SGA)评分、血清白蛋白、血清前白蛋白、体重、癌症患者生活质量量表(Quality of Life Questionnaire Core 30,QLQ C30)评分差异均无统计学意义(P＞0.05).干预后,两组患者PG-SGA评分、血清白蛋白、血清前白蛋白均较干预前改善(P＜0.05);试验组体重无明显变化(P＞0.05),对照组体重有所下降(P＜0.05);试验组QLQ C30评分改善(P＜0.05),对照组无明显变化(P＞0.05).与对照组干预后相比,试验组干预后PG-SGA评分[(7.97±1.65)vs.(8.83±1.26)分]、血清白蛋白水平[(40.61±1.30)vs.(39.93±0.78)g/L]、血清前白蛋白水平[(0.266±0.030)vs.(0.229±0.051)g/L]、体重[(63.12±7.39)vs.(58.17±9.18)kg]与QLQ C30评分[(62.63±9.01)vs.(57.23±7.13)分]更佳,差异均有统计学意义(P＜0.05).结论 序贯营养干预模式有助于改善胃癌根治术患者术后早期营养状况,提高其生活质量,具有临床推广价值.
Clinical effect of sequential nutritional intervention model on improving early nutritional status of patients with gastric cancer after operation
Objective To explore the effect of sequential nutritional intervention mode on improving early postoperative nutritional status in patients with gastric cancer.Methods A total of 30 patients who underwent radical gastrectomy for gastric cancer in the Department of Gastrointestinal Surgery,Ningbo No.2 Hospital between June and August 2022 were selected as the tiral group by convenience sampling,and another 30 patients who underwent radical gastrectomy for gastric cancer between September 2021 and January 2022 were retrospectively selected as the control group.The trial group received the sequential nutritional intervention model constructed by quality control circle activities in the Department of Gastrointestinal Surgery,and the control group received routine nutritional support.The nutritional status and quality of life of the two groups were evaluated one month after discharge.Results Before intervention,there was no statistically significant difference in the Patient-Generated Subjective Global Assessment(PG-SGA)score,serum albumin,serum prealbumin,body weight,or Quality of Life Questionnaire Core 30(QLQ C30)score between the two groups(P＞0.05).After intervention,both groups showed improvements in PG-SGA score,serum albumin,and serum prealbumin compared to before intervention(P＜0.05);there was no significant change in body weight in the trial group(P＞0.05),while the control group experienced a decrease in body weight(P＜0.05);the trial group showed an improvement in QLQ C30 score(P＜0.05),whereas the control group did not show significant change in QLQ C30 score(P＞0.05).Compared to the control group after intervention,the trial group showed better PG-SGA score(7.97±1.65 vs.8.83±1.26),serum albumin level[(40.61±1.30)vs.(39.93±0.78)g/L],serum prealbumin level[(0.266±0.030)vs.(0.229±0.051)g/L],body weight[(63.12±7.39)vs.(58.17±9.18)kg],and QLQ C30 score(62.63±9.01 vs.57.23±7.13),with all differences being statistically significant(P＜0.05).Conclusion Sequential nutritional intervention model is helpful to improve the early nutritional status and quality of life of patients after radical gastrectomy,and has clinical promotion value.
Gastric cancersequential nutritional interventionquality control circle activitiesnutrition managementquality of life
万方数据
维普
