营养干预对老年头颈部肿瘤放疗病人营养状态及情绪的影响  

Effect of nutritional intervention on nutritional status and emotion in elderly patients with head and neck cancer receiving radiotherapy

作　　者：王剑锋[1] 方芳[2] 于雷[3] 

机构地区：[1]吉林大学中日联谊医院放疗科,吉林省长春市130033 [2]吉林大学公共卫生学院营养教研室,吉林省长春市130033 [3]吉林大学第二医院放疗科,吉林省长春市130033

出　　处：《实用老年医学》2017年第9期847-850,共4页Practical Geriatrics

基　　金：吉林省卫生计生科研计划(20152009)

摘　　要：目的探讨营养干预对老年头颈部肿瘤放疗病人营养状态、体质量及情绪的影响。方法 49例接受放疗的老年头颈部恶性肿瘤病人随机分为营养干预组(24例)和对照组(25例),分析比较2组病人在放疗前、放疗开始1月、放疗结束时、放疗结束后1月的营养状况、体质量及焦虑/抑郁指数。结果 (1)放疗前后,营养干预组营养评估分数保持稳定,对照组放疗开始后1月、放疗结束时、放疗结束后1月时的营养评估分数明显高于放疗前;放疗开始后1月、放疗结束时对照组的营养评估分数明显高于相同时间点营养干预组。(2)放疗前后,营养干预组体质量基本保持稳定;对照组在放疗开始1月、放疗结束时平均体质量明显低于放疗前;放疗结束时对照组的平均体质量明显低于相同时间点营养干预组。(3)营养干预组各个时间点焦虑指数与放疗前比较,差异无统计学意义;对照组放疗开始1月、放疗结束时的焦虑指数明显高于放疗前;放疗开始1月、放疗结束时、放疗结束后1月时对照组的焦虑指数明显高于相同时间点营养干预组。(4)放疗前后,营养干预组的抑郁指数保持稳定;对照组放疗开始1月、放疗结束时、放疗结束后1月时的抑郁指数明显高于其放疗前和相同时间点营养干预组。结论营养干预治疗可以维持老年头颈部肿瘤放疗病人的营养状态,缓解焦虑和抑郁情绪。Objective To explore the effect of nutritional intervention on nutritional status and emotion in elderly patients with head and neck cancer receiving radiotherapy. Methods Forty-nine elderly patients with head and neck malignant tumor receiving radiotherapy were randomly divided into nutritional intervention group（ NI group,24 cases） and control group（ CG group,25 cases） according to whether they received the nutrition intervention. The status of nutrition,weight and anxiety/depression index before radiotherapy,1 month after radiotherapy beginning,at the end of radiotherapy,1 month after radiotherapy in two groups were compared. Results（ 1） The nutritional assessment score in NI group showed no significant change before and after radiothrapy. The assessment scores of the nutrition in CG group 1 month after radiotherapy beginning,at the end of radiotherapy,1 month after radiotherapy were significantly higher than that before radiotherapy,and were significantly higher than those in NI group 1 month after radiotherapy beginning,at the end of radiotherapy.（ 2） The average weight in NI group showed no significant change before and after radiotherapy. The average weight in CG group 1month after radiotherapy beginning,at the end of radiotherapy was significantly lower than that before radiotherapy. At the end of radiotherapy,the average weight in CG group was significantly lower than that in NI group.（ 3） The anxiety index and depression index in NI group showed no significant change before and after radiotherapy. The anxiety index and depression index in CG group 1 month after radiotherapy beginning and at the end of radiotherapy were significantly higher than those before radiotherapy. The anxiety index and depression index in CG group 1 month after radiotherapy beginning,at the end of radiotherapy,1 month after radiotherapy were significantly higher than those in NI group. Conclusions Nutritional intervention can effectively maintain the nutritional status of elderly patients with head and neck ca

关 键 词：营养干预 头颈部肿瘤 放疗 老年人 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学]