护士主导的多学科协作鼻咽癌同步放化疗患者营养管理  

Nurse-led multidisciplinary nutritional support for patients with nasopharyngeal carcinoma undergoing concurrent radiochemotherapy

作　　者：夏莉娟[1] 张曦 刘莎[1] 史学琴 马志芳[1] 闵佳[1] 刘静[1] 刘艳艳 Xia Lijuan;Zhang Xi;Liu Sha;Shi Xueqin;Ma Zhifang;Min Jia;Liu Jing;Liu Yanyan(The Second Division of Department of Radiotherapy,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院放疗科二病区,宁夏银川750004 [2]宁夏医科大学总医院护理部,宁夏银川750004

出　　处：《护理学杂志》2021年第4期82-85,共4页Journal of Nursing Science

摘　　要：目的改善鼻咽癌患者放化疗期间的营养状况及其放化疗不良体验。方法将74例鼻咽癌患者按住院时间分为对照组36例和观察组38例。两组均行根治性调强放疗加同期化疗,行常规临床护理;对照组实施常规营养管理,观察组实施由护士主导的多学科团队协作的营养管理。放化疗疗程完成后(7周)评价效果。结果放化疗完成后观察组PG-SGA评分、BMI、总蛋白、白蛋白、血红蛋白值显著优于对照组(P<0.05,P<0.01);观察组放化疗相关并发症及重度营养不良发生率显著低于对照组(均P<0.01)。结论护士主导的多学科协作营养管理可有效改善鼻咽癌同步放化疗患者营养状况,降低放化疗相关不良反应发生率。Objective To improve nutritional status and poor experience of radiochemotherapy in nasopharyngeal carcinoma patients undergoing concurrent radiochemotherapy.Methods Seventy-four nasopharyngeal carcinoma patients were divided into a control group of 36 and an intervention group of 38 according to their admission time.Patients of both groups underwent intensity-modulated radiotherapy with concurrent chemotherapy,as well as routine nursing care.The control group received conventional nutritional support,while their counterparts in the intervention group were subjected to nurse-led multidisciplinary nutritional support.The effect was evaluated at completion of the radiochemotherapy course(7 weeks).Results The PG-SGA score,Body Mass Index,total serum protein,albumin and hemoglobin in the intervention group were significantly better than those in the control group(P<0.05,P<0.01).The incidence of complications of radiochemotherapy and severe malnutrition in the intervention group were significantly lower than those in the control group(P<0.01 for all).Conclusion Nurse-led multidisciplinary nutritional support for patients with nasopharyngeal cancer undergoing concurrent radiochemotherapy,can improve nutritional status of patients and reduce adverse reactions.

关 键 词：鼻咽癌 放疗 化疗 营养不良 并发症 护士主导 多学科协作 营养管理 

分 类 号：R473.76[医药卫生—护理学] R459.3[医药卫生—临床医学]