Effect of hospital-community-family-based nutrition management program on patients with head and neck cancer undergoing radiotherapy and chemotherapy
Objective To explore the impact of hospital-community-family-based nutritional management program on the nutritional status of head and neck cancer radiotherapy patients.Method 150 head and neck cancer patients who received radiotherapy in Jiangsu Provincial People's Hospital from February 2022 to March 2023 were selected as the study subjects,and the patients were divided into the intervention group and the control group using the random number method,with 75 patients in each group.The control group was given routine nutritional management,and the intervention group was given a hospital-community-family-based nutritional management program,and three months after the intervention,the patients were evaluated using the patient-generated subjective global assessment(PG-SGA),nutritional risk screening(NRS 2002)to assess the nutritional level of the two groups of patients,and t-test/X2 test was used to compare the BMI,total protein,albumin,complication rate and severity of the two groups of patients after admission to the hospital and the end of radiotherapy treatment.Result Total protein[(67.62±6.09)g/L vs(61.75±5.28)g/L],albumin[(37.78±4.12)g/L vs(33.17±3.98)g/L],prealbumin[(214.23±45.19)g/L vs(191.08±42.58)g/L],and lymphocyte count[(1.13±0.39)× 109/L vs(0.74±0.43)×109/L]were higher than those in the control group(P＜0.05);the complication rate(30.67％vs 54.67％)and severity[(25.33％vs 56.67％);(5.33％vs 8.00％)]were lower than those in the control group(P＜0.05);and the proportion of patients with low nutritional risk in the intervention group was higher than that in the control group(86.67％vs 77.33％,P＜0.05),and the proportion of patients with high nutritional risk was lower than that of the control group(13.33％vs 22.67％,P＜0.05);PG-SGA score[(6.98±5.17)points vs(7.42±4.63)points]and BMI[(20.93±2.74)kg/m2 vs(19.62±2.81)kg/m2]were both better than that of the control group(P＜0.05).Daily energy intake for enteral nutrition was higher in the intervention group than in the control group after the intervention[(691.83±264.29)kcal vs(348.12±153.28)kcal,P＜0.05].Conclusion The hospital-community-family-based nutritional management program has a good intervention effect on patients with head and neck cancer radiotherapy,which can significantly improve the nutritional status and severity of complications.
Hospital-community-family nutritional managementHead and neck cancerRadiotherapy and chemotherapyNutritional status
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