老年综合评估对老年胃肠道肿瘤患者生活质量和营养状态的影响  

The Effect of Comprehensive Assessment of the Elderly on the Quality of Life and Nutritional Status of Elderly Patients with Gastrointestinal Tumors

作　　者：陈曦 梁蔚蔚[2] CHEN Xi;LIANG Weiwei(Department of Palliative Medicine,Yunnan Cancer Hospital(The Third Affiliated Hospital of Kunming Medical University),Kunming,Yunnan Province,650000 China;Department of General Medicine,the First People's Hospital of Yunnan Province,Kunming,Yunnan Province,650032 China)

机构地区：[1]云南省肿瘤医院(昆明医科大学第三附属医院)姑息医学科,云南昆明650000 [2]云南省第一人民医院全科医学科,云南昆明650032

出　　处：《世界复合医学》2021年第6期155-157,共3页World Journal of Complex Medicine

基　　金：云南省应用基础研究计划项目(2013FZ183)。

摘　　要：目的研究老年综合评估(comprehensive geriatric assessment,CGA)对老年胃肠道肿瘤患者生活质量和营养状态的影响。方法选择该院2017年1月—2019年12月期间就诊的90例老年胃肠道肿瘤患者,根据随机数字表法分为两组,对照组与观察组各为45例,对照组接受肿瘤常规治疗,干预组采用老年综合评估干预,与常规治疗相结合。比较两组老年胃肠道肿瘤患者的生活质量和营养状态。结果两组在年龄、性别、体重指数、文化程度等比较差异无统计学意义(P>0.05)。干预组总体健康状况、功能领域、主要症状领域、单项测定项目评分均优于对照组,差异有统计学意义(P<0.05)。干预组营养评估(MNA)评分(14.32±2.05)分优于对照组,差异有统计学意义(t=8.654,P<0.05)。干预组日常生活活动能力量表(Barthel指数)优于对照组,差异有统计学意义(P<0.05)。结论老年胃肠道肿瘤患者治疗中运用老年综合评估疗效确切,值得临床上进行使用和推广。Objective To study the effect of Comprehensive Geriatric Assessment(CGA)on the quality of life and nutritional status of elderly patients with gastrointestinal tumors.Methods Selected 90 elderly patients with gastrointestinal tumors in the hospital from January 2017 to December 2019,and divide them into two groups according to the random number table method.The control group and the observation group had 45 cases each,and the control group received tumors conventional treatment,the intervention group adopted comprehensive elderly assessment intervention,combined with conventional treatment.The quality of life and nutritional status of the two groups of elderly patients with gastrointestinal tumors were compared.Results There was no significant difference between the two groups in age,gender,body mass index,education level,etc(P>0.05).The overall health status,functional areas,main symptom areas,and individual measurement item scores of the intervention group were better than those of the control group,the difference was statistically significant(P<0.05).The mini nutritional assess ment(MNA)score of the intervention group was(14.32±2.05)points,which was better than that of the control group,the difference was statistically significant(t=8.654,P<0.05).The Intervention group's Activities of Daily Living Scale(Barthel Index)was better than the control group,the difference was statistically significant(P<0.05).Conclusion The comprehensive evaluation of elderly patients with gastrointestinal tumors has a definite curative effect,and it is worthy of clinical use and promotion.

关 键 词：老年综合评估 胃肠道肿瘤 生活质量 营养状态 

分 类 号：R47[医药卫生—护理学]