首页|预防性回肠造口患者膳食炎症指数与其症状的相关性研究

预防性回肠造口患者膳食炎症指数与其症状的相关性研究

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目的:探讨膳食炎症指数(DII)与直肠癌预防性回肠造口患者胃肠道相关症状严重程度的相关性,为指导直肠癌预防性回肠造口患者科学饮食、改善症状、提高生活质量提供理论依据.方法:选择 2023 年12月至 2024 年3月接受预防性回肠造口术的555 例直肠癌患者作为研究对象,使用一般资料问卷、简化版膳食频率问卷、安德森症状量表-胃肠道肿瘤模块收集患者数据,采用Spearman相关性检验探索DII与患者胃肠道相关核心症状严重程度的相关性.结果:根据三分位法将DII分为三个等级,低DII患者184人(DII<167.82),中DII患者186人(DII为167.82~233.08),高DII患者185人(DII>233.08);DII与核心症状呈负相关(P<0.05),与症状困扰无相关性(P>0.05),与量表总分呈负相关(P<0.05);DII与腹泻或造口水样便症状得分呈正相关(P<0.05).结论:直肠癌预防性回肠造口患者的DII与症状存在相关性,基于DII实施预防性回肠造口患者饮食指导,有望改善其胃肠道相关症状,提高生活质量.
Correlation study between the Dietary Inflammatory Index and symptoms in patients with prophylactic ileostomy
Objective:To explore the correlation between the Dietary Inflammation Index(DII)and the severity of gastrointestinal-related core symptoms in patients with prophylactic ileostomy for rectal cancer,and to scientifically guide diets,improve symptoms and life quality of those patients.Methods:A total of 555 rectal cancer patients who underwent prophylactic ileostomy from December 2023 to March 2024 were selected for the study.Data were collected using a general information questionnaire,a simplified version of the Dietary Frequency Questionnaire(FFQ25),and MD Anderson Symptom Inventory with gastrointestinal cancer(MDASI-GI).Additionally,the Spearman correlation test was used to explore the correlation between the dietary inflammation indices and the severity of patients'gastrointestinal-related core symptoms.Results:The dietary inflammation index was categorized into three levels using the trichotomous method:low level(184 patients with a DII<167.82),medium level(186 patients with a DII between 167.82 and 233.08),and high level(185 patients with a DII>233.08).The DII was negatively correlated with patients'core symptoms and the total score of the scale(P<0.05),not correlated with symptom interference(P>0.05)and positively correlated with their diarrhea scores(P<0.05).Conclusion:The symptoms of rectal cancer patients with prophylactic ileostomy were correlated with the DII.Dietary guidance according to the DII for patients with prophylactic ileostomy could be implemented to relieve gastrointestinal symptoms and improve their quality of life.

ileostomyDietary Inflammatory Indexsymptomquality of life

蔡一波、刘亚婷、陈猛猛、梁冠冕、马巧平、谢玲女

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浙江省肿瘤医院护理部,310022 杭州市

温州医科大学

回肠造口 膳食炎症指数 症状 生活质量

浙江省中医药科技计划

2023ZL287

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(6)
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