早期营养护理对鼻咽癌放疗后吞咽困难患者的影响  

Effect of early nutritional nursing on nutritional status,self-esteem and subjective well-being in patients with nasopharyngeal carcinoma and radiation-induced late dysphagia

作　　者：贺凌燕[1] 李宏慧 HE Ling-yan;LI Hong-hui(Department of Otolaryngology;Department of Oncology,Yulin Second Hospital,Yulin 719000,China)

机构地区：[1]陕西省榆林市第二医院耳鼻喉科,榆林719000 [2]陕西省榆林市第二医院肿瘤科,榆林719000

出　　处：《中国肿瘤临床与康复》2019年第10期1266-1269,共4页Chinese Journal of Clinical Oncology and Rehabilitation

基　　金：陕西省卫生厅科研基金项目(2008K15)

摘　　要：目的探讨早期营养护理对鼻咽癌放疗后吞咽困难患者营养状态、自尊状况及主观幸福感的影响。方法选取2016年1月至2019年1月陕西省榆林市第二医院收治的接受鼻咽癌放疗的98例患者,采用随机数表法分为常规干预组和早期营养护理组,每组49例。比较两组患者入院时和放疗结束后4周时的营养状态、自尊状况及主观幸福感。结果入院时,两组患者的上臂围、上臂肌围、血红蛋白(Hb)和白蛋白(ALB)水平比较,差异无统计学意义(P>0.05)。放疗结束后4周,两组患者的上述指标均较入院时降低,而早期营养护理组患者上述指标均高于常规干预组患者,差异均有统计学意义(均P<0.05)。入院时,两组患者的自尊量表评分(RSES)比较,差异无统计学意义(P>0.05)。放疗结束后4周,两组患者的RSES评分均低于入院时,而早期营养护理组患者的RSES评分值高于常规干预组患者,差异有统计学意义(P<0.05)。入院时,两组患者的总体幸福感量表(GWB)各维度评分比较,差异无统计学意义(P>0.05)。放疗结束后4周,两组患者GWB各维度评分值均低于入院时,而早期营养护理组患者GWB各维度评分均高于常规干预组患者,差异均有统计学意义(均P<0.05)。结论早期营养护理可改善鼻咽癌放疗后吞咽困难患者的营养状况,有助于提升患者的自尊状况及主观幸福感。Objective To explore the effect of early nutritional nursing on nutritional status,selfesteem and subjective well-being in patients with dysphagia caused by radiotherapy for nasopharyngeal carcinoma.Methods A total 98 patients with nasopharyngeal carcinoma who underwent radiotherapy at Yulin Second Hospital between January 2016 and January 2019 were selected as the research subjects,according to random number table method,all patients were divided into a conventional inervention group and an early nutrition group with 49 patients in each group.The nutritional status,self-esteem and subjective well-being of two groups at admission and 4 weeks after radiotherapy were compared.Results At admission,there was no significant difference in upper arm circumference,upper arm muscle circumference,hemoglobin(Hb)and albumin(Alb)between the two groups(P>0.05).At 4 weeks after the radiotherapy,levels the above indexes decreased in both groups with the early nutrition group higher than the conventional intervention group(P<0.05).A admission,there was no significant difference in Rosenberg self-esteem scale(RSES)score between the two group(P>0.05).At 4 weeks after the radiotherapy,RSES was higher in the early nutrition group than in the conventioanl intervention group(P<0.05).There was no significant difference in the scores of all dimensions of the general well-being scale(GWB)between the two groups at admission(P>0.05).At 4 weeks after the radiotherapy,GWB was lower than at admission and GWB were higher in the early nutrition group than in the conventioanl intervention group(all P<0.05).Conclusion Early nutritional nursing can improve the nutritional status and self-esteem and subjective well-being in patients with dysphagia after radiotherapy for asopharyngeal carcinoma.

关 键 词：鼻咽癌放疗后吞咽困难 早期营养护理 营养状态 自尊状况 主观幸福感 

分 类 号：R739.62[医药卫生—肿瘤]