恶性肿瘤患者营养不良与心理痛苦的现状及其相关性  

Status and correlation of malnutrition and psychological distress in patients with malignant tumors

作　　者：张萍[1] 赵云[1] 孟爱凤[2] 王叶苹[1] 王梅香[2] 吴冰[1] 羊波[1] ZHANG Ping;ZHAO Yun;MENG Aifeng;WANG Yeping;WANG Meixiang;WU Bing;YANG Bo(Department of Analgesia,Jiangsu Cancer HospitalJiangsu Institute of Cancer Researchthe Affiliated Cancer Hospital of Nanjing Medical University,Jiangsu Province,Nanjing210009,China;Department of Nursing,Jiangsu Cancer HospitalJiangsu Institute of Cancer Researchthe Affiliated Cancer Hospital of Nanjing Medical University,Jiangsu Province,Nanjing210009,China)

机构地区：[1]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院镇痛科,江苏南京210009 [2]江苏省肿瘤医院,江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院护理部,江苏南京210009

出　　处：《中国医药导报》2020年第27期70-73,共4页China Medical Herald

基　　金：江苏省干部保健科研项目(BJ18032);江苏省肿瘤医院科研基金项目(ZT201702)。

摘　　要：目的调查恶性肿瘤患者营养不良与心理痛苦的现状,并分析两者的相关性。方法采用便利抽样法选取2018年4月—2019年1月在江苏省肿瘤医院住院的恶性肿瘤患者352例作为研究对象。应用一般情况调查表、心理痛苦温度计(DT)、患者主观整体评估量表(PG-SGA)及营养风险筛查工具2002(NRS 2002)进行调查,分析营养不良与心理痛苦的相关性。结果本调查共发放问卷352份,回收有效问卷345份,有效回收率为98.01%。患者心理显著痛苦检出率为41.45%。PG-SGA及NRS 2002量表筛查出营养不良发生率分别为55.36%、48.99%。PG-SGA、NRS 2002得分与DT得分呈显著正相关(P<0.05)。平行试验显示,两者存在显著相关性(P<0.01),但在连续试验中,差异无统计学意义(P>0.05)。结论恶性肿瘤患者营养不良与心理痛苦水平呈正相关,将来可考虑开展以食物为基础的营养干预来改善患者的心理状态。Objective To investigate the status quo of malnutrition and psychological pain in patients with malignant tumors,and to analyze the correlation between them.Methods The convenience sampling method was used to select a total of 352 malignant tumor patients who were hospitalized in Jiangsu Cancer Hospital from April 2018 to January 2019 as the research objects.The general situation questionnaire,psychological distress thermometer(DT),patient subjective overall assessment scale(PG-SGA)and nutritional risk screening tool 2002(NRS 2002)were used to investigate the correlation between malnutrition and psychological distress.Results A total of 352 questionnaires were issued in this survey,and a total of 345 valid questionnaires were returned.The effective response rate was 98.01%.The detection rate of patients with significant psychological pain was 41.45%.The incidence of malnutrition screened by PG-SGA and NRS 2002 were 55.36%and 48.99%,respectively.The scores of PG-SGA and NRS 2002 were significantly positively correlated with DT scores(P<0.05).Parallel trials showed that there was a significant correlation between them(P<0.01),however in continuous trials,the difference was not statistically significant(P>0.05).Conclusion The malnutrition of patients with malignant tumors is positively correlated with the level of psychological pain.In the future,food-based nutritional interventions can be considered to improve the psychological state of patients.

关 键 词：恶性肿瘤 营养不良 心理痛苦 相关性 

分 类 号：R473.73[医药卫生—护理学]