预防性护理干预在肿瘤恶病质患者中的应用效果  

Application effect of preventive nursing intervention on patients with cancer cachexia

作　　者：吴建霞[1] 王美华[1] 沈王琴 朱向阳[1] WU Jianxia;WANG Meihua;SHEN Wangqin;ZHU Xiangyang(Department of Internal Medicine,Nantong Tumor Hospital,Nantong,Jiangsu,226006,China;Department of Nursing,Nantong University Medical School,Nantong,Jiangsu,226007,China)

机构地区：[1]南通市肿瘤医院内科,江苏南通226006 [2]南通大学医学院护理系,江苏南通226007

出　　处：《中西医结合护理（中英文）》2021年第12期25-28,共4页Journal of Clinical Nursing in Practice

基　　金：2019年度南通市市级科技计划—民生科技计划项目(MSZ19214)。

摘　　要：目的探讨预防性护理干预对肿瘤恶病质患者营养状况和体力状态的影响。方法选取2020年4~12月南通市肿瘤医院收治的80例肿瘤恶病质患者作为研究对象,遵循随机数字表法分成对照组(40例)及观察组(40例)。2组患者均接受抗肿瘤治疗及常规护理,对照组患者应用常规营养支持,观察组患者在常规营养支持的基础上加用预防性护理。比较2组患者的营养状况指标,以及埃德蒙顿症状评估量表(ESAS)、主观整体评估(PG-SGA)和WHO体力状况评分。结果2组在护理12周后的PG-SGA各项评分均较护理前低,且观察组的各项评分均较对照组更低,比较均有统计学差异(P均<0.05)。2组在护理4周和12周后的WHO体力状况和ESAS各条目评分均低于护理前,且观察组均较对照组更低,差异均有统计学意义(P均<0.05)。2组在护理4周和12周后的血清白蛋白、血清总蛋白和血红蛋白水平均较护理前升高,且观察组的各项营养指标水平均较对照组更高,比较均有统计学差异(P均<0.05)。结论预防性护理干预可改善肿瘤恶病质患者的营养状况和体力状态,缓解其临床症状,提升整体康复效果。Objective To explore the effect of preventive nursing intervention on nutritional and physical status of patients with cancer cachexia.Methods A total of 80 patients with cancer cachexia who were admitted to Nantong Tumor Hospital from April to December 2020 were enrolled and divided into a control group(40 cases)and an observation group(40 cases)by the random number table method.Both groups received anti-tumor therapy and routine nursing.The control group received routine nutritional support,and the observation group received preventive nursing on the basis of routine nutritional support.The nutritional status indicators and the scores of Edmonton symptom assessment scale(ESAS),patient-generated subjective global assessment(PG-SGA),and WHO performance status were compared between the two groups.Results The scores of various items of PG-SGA in the two groups after 12 weeks of nursing were lower than those before nursing,and the scores of the observation group were lower than those of the control group,with significant differences(all P<0.05).The scores of WHO performance status and various items of ESAS in the two groups after 4 weeks and 12 weeks of nursing were lower than those before nursing,and the scores of the observation group were lower than those of the control group,with significant differences(all P<0.05).The levels of serum albumin,total serum protein,and hemoglobin in the two groups after 4 weeks and 12 weeks of nursing were higher than those before nursing,and the levels of various nutritional indicators in the observation group were higher than those in the control group,with significant differences(all P<0.05).Conclusion Preventive nursing intervention can improve the nutritional and physical status of patients with cancer cachexia,relieve their clinical symptoms,and improve the overall recovery effect.

关 键 词：肿瘤恶病质 预防性护理 体力状况 营养状况 

分 类 号：R473.73[医药卫生—护理学]