肿瘤化疗住院患者的营养状况及其影响因素  

Study on the Influential Factors of Nutrition Status for Inpatients with Cancer

作　　者：盛小燕[1,2] 缪景霞[2] 谭桂香[3] 师佳佳[1,2] 蔡文智[1] 

机构地区：[1]南方医科大学护理学院,广东广州510515 [2]南方医科大学附属南方医院肿瘤科,广东广州510515 [3]英德市人民医院肿瘤科,广东清远513000

出　　处：《解放军护理杂志》2013年第7期12-16,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：广东省自然科学基金项目(2007005163)

摘　　要：目的了解肿瘤化疗住院患者的营养状况,并探讨其影响因素,为制定有针对性的护理干预提供参考依据。方法采用便利抽样的方法,收集广州市5所医院的400例肿瘤化疗住院患者的临床资料,包括人口统计学资料、营养摄入相关资料、营养相关症状及实验室相关指标。结果营养不良是肿瘤化疗住院患者的常见症状,本次调查的400例患者中,171例患者存在营养不良,营养不良的发生率为65.0%;多因素分析结果显示,年龄、进食肉类和蛋类、静脉滴注氨基酸、使用激素类化疗药物、症状总得分是肿瘤化疗患者营养不良的影响因素(P<0.05)。结论营养不良严重影响肿瘤化疗患者的治疗耐受性、生存期及预后,医护人员应给予患者及家属必要的、有针对性的营养支持指导,减少影响患者营养状况的不良因素,提高其生活质量。Objective To understand the prevalence status and explore influencing factors of nutrition status for inpatients with cancer with chemotherapy in Guangzhou so as to provide reference for targeted interventions. Methods General information of 400 tumor inpatients from 5 hospitals in Guangzhou were collected using self-designed questionnaire, including general demographic information, nutrition related factors, nutrition related symptoms and conventional laboratory test results, etc. Results Malnutrition was the most common symptom in inpatients with cancer. The incidence was up to 65.0% （117/400）. Age, eating meat and eggs, intravenous administration of amino acid, using chemotherapeutic drugs such as hormone and the total score of nutrition related symptoms were influencing factors of malnutrition（P; 0.05）. Conclusion Malnutrition affects the inpatient with cancer with chemotherapy seriously, such as decreasing the treatment tolerance, shortening life time, and deteriorating prognosis. We recommended to reduce the adverse factors and to improve the inpatients; nutritional status.

关 键 词：肿瘤化疗住院患者 营养状况 营养不良 因素分析 

分 类 号：R730.53[医药卫生—肿瘤]