Effect of medical custom diet on nutritional status and quality of life in patients with metastatic lung cancer
Objective To explore the effects of medical customized diet(HDMTM)on nutritional status,fatigue and quality of life in patients with metastatic lung cancer.Method A prospective selection of 108 patients with metastatic lung cancer admitted to Wuhan Third Hospital between June 2021 and June 2023 was conducted.They were randomly divided into two groups using a random number table method.The control group(54 cases)received routine nutritional support,while the intervention group(54 cases)received HDMTM support.After intervention,the nutritional status of the two groups[serum albumin(ALB),total protein(TP),hemoglobin(Hb)],lung function[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),maximum ventilation volume per minute(MVV)],cancer-related fatigue score,and lung cancer specific quality of life assessment(FACT-L)score)were compared.Result After 14 days of intervention,the nutritional status and lung function of the two groups of patients improved compared to before treatment.The cancer-related fatigue score decreased and the FACT-L score increased,with statistical significance(P<0.05).After 14 days of intervention,the improvement of FEV1(92.84±4.52)%,MVV(91.29±5.45)L/min,FVC(3.55±0.39)L,Hb(111.12±6.57)g/L,ALB(43.11±4.58)g/L,and TP(69.78±3.16)g/L in the intervention group was better than that in the control group,with statistical significance(P<0.05).The scores of emotional fatigue(4.85±1.22),behavioral fatigue(3.13±1.52),physical fatigue(3.38±1.19),and cognitive fatigue(3.15±1.14)after 14 days of intervention were lower than those of the control group,with statistical significance(P<0.05).The FACT-L score(82.85±5.25)and FACT-L score(93.35±4.25)after 7 days of intervention were higher than those of the control group,with statistical significance(P<0.05).Conclusion HDMTM is more targeted and scientific.Compared to conventional nutritional support,it has a more significant effect in patients with metastatic lung cancer.It can not only improve lung function and nutritional status,promote disease recovery,but also alleviate fatigue,improve quality of life,and have higher utilization value.
Medical customized dietMetastatic lung cancerNutritional statusFatigueQuality of life