Investigation on nutritional risk and nutritional treatment status of malignant tumor patients in a secondary hospital in in mountainous area of Chongqing under the background of rural revitalization
Objective To investigate and analyze the nutritional risk and nutritional treatment status of malignant tumor patients in a secondary hospital in Chongqing mountainous area under the background of ru-ral revitalization.Methods A total of 2986 malignant tumor patients admitted to the hospital from July 2021 to July 2023 were selected as the study subjects.The clinical information such as general data,incidence of nu-tritional risk,types and methods of nutritional therapy were collected retrospectively,and the rationality of clinical nutritional treatment was judged.Results Among the 2986 patients,2516 cases were identified with nutritional risk,resulting in an overall incidence rate of 84.8%.Among those at nutritional risk,732 patients received nutritional therapy,accounting for 29.1%(732/2516).Specifically,186 patients received enteral nu-trition(EN)therapy(the EN group,25.4%of 732),403 received parenteral nutrition(PN)therapy(the PN group,55.1%of 732),and 143 received combined enteral and parenteral nutrition(the combined therapy group,19.5%of 732).The incidence rates of nutritional risk and malnutrition were significantly lower in mid-dle-aged and young patients[80.75%(910/1127)and 39.57%(446/1127)respectively]compared to elderly patients[87.24%(1606/1841)and 57.41%(1057/1841)respectively],with all differences being statistical-ly significant(P<0.05).After nutritional therapy,nutritional indicators including body mass index,serum to-tal protein,hemoglobin,and plasma albumin levels significantly improved in the 732 treated patients.Patients in the combined therapy group showed better outcomes in all nutritional indicators compared to those in the EN and PN groups,and the EN group showed better outcomes compared to the PN group,with all differences being statistically significant(P<0.05).Conclusion The nutritional risk of malignant tumor patients in a secondary hospital in Chongqing mountainous area is high,the incidence of malnutrition is high,and the status of nutritional treatment is not optimistic.
国家科技期刊平台
NSTL
万方数据
