个体化护理模式对晚期胃癌和贲门癌患者化疗后营养状况及生活质量的影响  

Effect of individualized nursing intervention on nutritional status and survival quality of gastric cancer or cardia cancer patients undergoing chemotherapy

作　　者：杨怡[1] 韩艳[1] 

机构地区：[1]新疆医科大学附属肿瘤医院,乌鲁木齐830011

出　　处：《中国肿瘤临床与康复》2015年第9期1083-1087,共5页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨个体化护理模式对晚期胃癌和贲门癌化疗患者营养状况及生存质量的影响。方法选择120例临床确诊为胃癌和贲门癌患者,采用随机数字表法分为对照组和观察组,每组60例。对照组患者行肿瘤化疗常规护理,观察组患者在对照组基础上行个体化护理干预。采用主观综合性营养评价量表和中文版癌症患者生存质量量表分别评估并比较两组患者的营养状况和生存质量。结果个体化护理干预后,观察组患者主观综合性营养评价量表评分明显优于对照组,差异有统计学意义(P<0.05);观察组患者化疗中及化疗后功能领域得分及总体健康状况均明显优于对照组患者(除角色功能外,其余指标均P<0.05);观察组症状领域及单一指标得分低于对照组患者,两组患者化疗中疲乏、恶心呕吐、便秘方面的差异有统计学意义(P<0.05),两组患者化疗后恶心呕吐、失眠、纳差方面的差异有统计学意义(P<0.05)。结论个体化护理干预能为胃癌和贲门癌化疗患者提供更加合理的营养补充,可明显提高患者生活质量。Objective To investigate effect of individualized nursing intervention on nutritional status and survival quality of gastric cancer or cardia cancer patients undergoing chemotherapy. Methods Totally 120 cases of patients with gastric cancer or cardia cancer and undergoing chemotherapy were randomized divided into control group and observation group,and each group has 60 patients. The patients in control group received conventional chemotherapy and normal care,but patients in observation group received individualized nursing intervention on the basis of the control group. Subjective global assessment scale and quality of life scale were used to assess and compare nutritional status and quality of life of patients in two groups. Results After individualized nursing intervention,subjective global nutritional assessment scale scores in observation group were better than that in the control group（ P〈0. 05）. Functional areas and overall health scores of observation group were significantly better than that in the control group during and after chemotherapy（ except role function,the other indicators were P〈0. 05）; Symptom field and single index scores in observation group lower than that in the control group,including fatigue,nauseaand vomiting,constipation with a statistically significant difference during chemotherapy（ P〈0. 05）; Nauseaand vomiting,insomnia and anorexia had a significant difference after chemotherapy between two groups（ P〈0. 05）. Conclusion Individualized nursing intervention could provide a more reasonable nutrition supplement for patients with gastric cancer or cardia cancer and undergoing chemotherapy,and could significantly improve the life of quality of the patients.

关 键 词：胃肿瘤 贲门肿瘤 个体化护理 营养状况 生活质量 

分 类 号：R473.73[医药卫生—护理学]