首页|鼻咽癌放化疗患者营养补充认知度的影响因素及其重要性矩阵分析

鼻咽癌放化疗患者营养补充认知度的影响因素及其重要性矩阵分析

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目的 分析鼻咽癌同期放化疗患者营养补充认知度的影响因素及其重要性矩阵。方法 选取216例鼻咽癌同期放化疗患者为研究对象。采用问卷调查鼻咽癌放化疗患者营养补充认知度,收集患者一般资料。采用多元线性回归分析法分析鼻咽癌放化疗患者营养补充认知度的影响因素,并对各因素进行重要性矩阵分析。结果 放化疗2个月时,鼻咽癌患者的血红蛋白、前白蛋白水平低于放化疗前和放化疗结束后2个月,营养状况评分、营养不良发生率高于放化疗前和放化疗结束后2个月,差异有统计学意义(P<0。01)。问卷评估结果显示,鼻咽癌患者营养补充认知总分为(37。44±6。10)分。年龄、农村居住、回避应对、肿瘤分期、社会支持、学历和心理弹性是鼻咽癌患者营养补充认知度的影响因素(P<0。05)。重要性矩阵分析结果显示,回避应对、心理弹性、社会支持重要性较高,改善难度较低,进入优先改进区域;年龄、农村居住、肿瘤分期、学历的重要性、改善难度均较高,进入次优改进区域。结论 鼻咽癌患者的营养补充认知度的影响因素为农村居住、年龄、回避应对、学历、心理弹性、肿瘤分期和社会支持,临床工作中应针对上述因素改善患者营养认知行为。
Influencing factors of nutritional supplementation awareness in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy and analysis in importance matrix
Objective To analyze the influencing factors of nutritional supplementation awareness in patients with nasopharyngeal carcinoma undergoing concurrent radiochemotherapy and perform an importance matrix analysis.Methods A total of 216 patients with nasopharyngeal carcinoma undergo-ing concurrent radiochemotherapy were selected as the study subjects.A questionnaire survey was con-ducted to assess patients'awareness of nutritional supplementation during radiochemotherapy for naso-pharyngeal carcinoma,and general patient information was collected.Multiple linear regression analy-sis was used to analyze the influencing factors of nutritional supplementation awareness in patients un-dergoing radiochemotherapy for nasopharyngeal carcinoma,and an importance matrix analysis was per-formed for each factor.Results At 2 months of radiochemotherapy,the hemoglobin and prealbumin levels of patients with nasopharyngeal carcinoma were lower than those before and 2 months after radio-chemotherapy,while the nutrition status score and malnutrition incidence were higher than those before and 2 months after radiochemotherapy(P<0.01).The questionnaire assessment showed that the total score of nutritional supplementation awareness among patients with nasopharyngeal carcinoma was(37.44±6.10).Age,rural residence,avoidance coping,tumor stage,social support,education lev-el and psychological resilience were the influencing factors of nutritional supplementation awareness in patients with nasopharyngeal carcinoma(P<0.05).Importance matrix analysis showed that avoidance coping,psychological resilience and social support were more important and had lower difficulty in improvement,were included the priority improvement area.Age,rural residence,tumor stage and education level had more difficulty in improvement,and were included in the suboptimal improve-ment area.Conclusion The influencing factors of nutritional supplementation awareness in patients with nasopharyngeal carcinoma include rural residence,age,avoidance coping,education level,psychological resilience,tumor stage and social support.Clinical work should target these factors to improve patients'nutritional cognition and behavior.

nasopharyngeal carcinomanutritional supplementation awarenessradiochemo-therapyincidence of malnutritionimportance matrix

邵晴

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江苏省连云港市第一人民医院肿瘤放疗科,江苏连云港,222000

鼻咽癌 营养补充认知度 放化疗 营养不良发生率 重要性矩阵

江苏省优势学科建设工程项目

YSHL0120-44

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(13)
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