Effect of a Whole-course Nutritional Management Plan for Patients with Pancreatic Malignant Tu-mors in Perioperative Period
Objective To explore the effect of an evidence-based whole-course nutritional management plan for patients with pancreatic malignant tumors in the perioperative period.Methods A total of 58 patients with pancreatic malignant tumors were selected by convenience sampling who received surgical treatment in the Pancreatic Surgery Department of a Grade Ⅲ-A hospital in Shanghai from April to August 2023.They were divided into the control group(n=30)and the observation group(n=28)using a random number table.The control group was given routine nutritional care for malignant tumors,while the observation group was given evidence-based expert-guided nutrition management.Body mass index(BMI),serum albumin,serum prealbumin,hemoglobin,blood glucose and the scores of Nutrition Risk Screening 2002(NRS-2002),Patient-Generated Subjective Global Assessment(PG-SGA)and EORTC QLG Core Questionnaire(EORTCQLQ-C30)were compared between the two groups at discharge and 1 month after discharge.Results At discharge,the PG-SGA scores and BMI values in the observation group were superior to those in the control group(P<0.05);1 month after discharge,the NRS-2002 and PG-SGA scores and BMI values in the observation group were also superior to those in the control group,with significant differences(P<0.05).At discharge and 1 month after discharge,the scores of quality of life across 5 dimensions(general health,fatigue,physical function,pain and insomnia)increased in both groups than those before intervention(P<0.05).At discharge,the scores of fatigue and general health in the observation group were superior to those in the control group,with significant differences(P<0.05);1 month after discharge,the scores of physical function,nausea and vomiting,loss of appetite,fatigue and general health in the observation group were superior to those in the control group,with significant differences(P<0.05).Conclusion The evidence-based whole-course nutritional management plan for patients with pancreatic malignant tumors in the perioperative period can significantly enhance the nutritional status of patients within 1 months after surgery and somewhat improve the quality of life of patients within 1 month after surgery,demonstrating substantial clinical practical value.
万方数据
维普
