头颈癌手术患者住院期间体质量减轻对术后一个月功能的预测研究  

The weight loss predicts the function impairment 1 month after surgery in head and neck cancer patients with surgical treatment

作　　者：胡紫宜 冯先琼[1] Mei R Fu 余蓉[1] 赵会玲[1] Hu Ziyi;Feng Xianqiong;Fu Mei R;Yu Rong;Zhao Huiling(Department of Thyroid Surgery,West China Hospital/West China Medical School of Sichuan University,Chengdu 610041,China;New York University,New York 10010,USA)

机构地区：[1]四川大学华西医院甲状腺外科,成都610041 [2]New York Universtiy,New York 10010,USA

出　　处：《中国实用护理杂志》2019年第35期2750-2755,共6页Chinese Journal of Practical Nursing

摘　　要：目的 探究头颈癌手术患者住院期间体质量减轻对其术后1个月功能的预测作用.方法 运用一般资料问卷、欧洲癌症研究和治疗组织生命质量核心量表功能子量表对2017年8-11月四川大学华西医院耳鼻咽喉-头颈外科符合纳入、排除标准的122例头颈癌患者在住院期间、术后1个月进行问卷调查.结果 头颈癌患者术后1个月功能得分为86.67(73.33,93.33)~100.00 (100.00,100.00)分,其中躯体功能得分较低;住院期间体质量减轻的患者术后1个月躯体功能、角色功能、社会功能得分较低(P<0.05);年龄(OR=6.262,P<0.05)、住院期间体质量减轻(OR=4.363, P<0.05)是头颈癌患者术后1个月躯体功能的危险因素,住院期间体质量(OR=3.306,P<0.05)是头颈癌患者术后1个月社会功能的危险因素.结论 头颈癌手术患者住院期间体质量减轻能够预测术后1个月功能的下降.临床医护人员应当重视头颈癌患者尤其是老年患者的围手术期营养问题,采取有效干预措施控制住院期间体质量,改善患者术后功能与生命质量.Objective To explore the prediction of weight loss to the function 1 month after surgery in head and neck cancer(HNC)patients with surgical treatment.Methods During August to November 2017,122 HNC patients from a tertiary hospital in Chengdu were included and investigated by the General Information Questionnaire and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30.Results 1 month after surgery,the function scores of HNC patients ranged from 86.67(73.33,93.33)to 100.00(100.00,100.00),and the physical function score was the lowest.Patients with weight loss during hospitalization had lower score in physical,role and social function(P<0.05).According to the results of Logistic regression analysis,age(OR=6.262,P<0.05)and Weight loss during hospitalization(OR=4.363,P<0.05)were risk factors for the physical function of HNC patients 1 month after surgery.For social function 1 month after surgery,weight loss during hospitalization(OR=3.306,P<0.05)was the risk factor.Conclusions Weight loss during hospitalization in HNC patients with surgical treatment can predict the impairment of function 1 month after surgery.Healthcare providers should pay more attention to perioperative nutritional problems of HNC patients,especially the elder patients,and take effective interventions to control the weight during hospitalization to improve patients′function and quality of life.

关 键 词：头颈癌 体质量减轻 功能 

分 类 号：R47[医药卫生—护理学]