医院社区家庭全程营养在日间病房消化道恶性肿瘤患者的应用  

Application of hospital-community-home nutritional management model to patients with gastrointestinal malignant tumor receiving therapy in a day ward

作　　者：张海燕[1] 徐芸 张帆[1,2] 王芳[3] 王天霞[1] 张伟[1] Zhcing Haiyan;Xu Yun;Zhang Fan;Wang Fung;Wang Tianxia;Zhang Wei(The First Affiliated Hospital of Anhui Medical University ,Hefei 230022 ,China)

机构地区：[1]安徽医科大学第一附属医院日间病房,安徽合肥230022 [2]安徽医科大学第一附属医院肿瘤放疗科,安徽合肥230022 [3]安徽医科大学第一附属医院肿瘤内科,安徽合肥230022

出　　处：《护理学杂志》2019年第7期92-94,共3页Journal of Nursing Science

基　　金：国家自然科学基金青年科学基金项目(81602115)

摘　　要：目的探讨医院、社区、家庭全程营养管理在日间病房消化道恶性肿瘤患者的应用效果。方法将80例日间病房治疗的消化道恶性肿瘤患者随机分成对照组和干预组各40例,分别实施常规肿瘤营养管理和医院、社区、家庭全程营养管理。结果干预后,出院时、出院3个月两组PG-SGA评分比较,差异有统计学意义(均P<0.01);干预组住院时间和营养干预依从性显著短于和优于对照组(均P<0.01)。结论日间病房消化道恶性肿瘤患者实施医院、社区、家庭全程营养管理,能有效改善患者的营养状态,提高营养治疗的效果。Objective To evaluate the effect of hospital-community-home(HCH) nutritional management model in patients with gastrointestinal malignant tumor receiving therapy in a day ward.Methods A total of 80 patients diagnosed with gastrointestinal cancer and receiving treatment in a day care ward were evenly randomized into 2 groups.The control group received routine nutritional care, while the intervention group was subjected to an HCH nutritional management model.Results The intervention lasted 3 months. Patient-Generated Subjective Global Assessment(PG-SGA) scores at discharge, and 3 months after discharge had significant differences between the 2 groups(P<0.01 for both). The total length of stay in the day care ward was shorter, and adhe-rence to nutrition intervention was higher, in the intervention group, than in the control group(P<0.01 for both).Conclusion Application of HCH nutritional management model to patients with gastrointestinal cancer receiving treatment day care wards can significantly improve the nutritional status of patients, and the effect of nutritional therapy.

关 键 词：营养不良 医院、社区、家庭 营养管理 消化道恶性肿瘤 日间病房 

分 类 号：R473.2[医药卫生—护理学]