个体化目标营养管理对肺癌患者癌因性疲乏的干预效果研究  

Intervention Effect of Individualized Targeted Nutritional Management on Cancer-related Fatigue in Patients with Lung Cancer

作　　者：吕燕 孙丽丽[2] 魏玉玲 李云利 李佩 薛敏敏 LÜYan;SUN Li-li;WEI Yu-ling(Nosocomial Infection Management Office,Shouguang Traditional Chinese Medicine Hospital,Weifang,Shandong,262700,China)

机构地区：[1]寿光市中医医院医院感染管理办公室,山东潍坊262700 [2]青岛大学附属医院肿瘤内科,山东青岛266555 [3]青岛大学附属医院心血管内科,山东青岛266555

出　　处：《黑龙江医学》2023年第3期340-342,346,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨个体化目标营养管理对肺癌患者癌因性疲乏的干预效果。方法:选取2019年10月—2020年10月样本医院收治的60例肺癌患者,按照随机数表法分为对照组和观察组,每组各30例。对照组给予常规饮食宣教及护理,观察组在此基础上建立个体化目标营养管理档案,给予具体化饮食管理。化疗3个周期后,采用癌因性疲乏量表及生活质量评价量表对患者进行效果评价。结果:干预后,观察组患者营养指标水平显著高于对照组,差异有统计学意义(t=-5.126,-2.847,P<0.05)。干预后,观察组癌因性疲乏总分及各个维度得分明显低于对照组,差异有统计学意义(P<0.05);干预后,观察组患者生活质量的总体健康状况、躯体功能、情绪功能、认知功能维度得分均高于对照组,差异有统计学意义(t=-3.823,-2.049,-2.439,-2.476,P<0.05)。结论:个体化目标营养管理能够有效改善患者营养状况,缓解肺癌患者的癌因性疲乏,提高患者的生活质量。Objective:To investigate the intervention effect of individualized targeted nutritional management on cancer-related fatigue in patients with lung cancer.Methods:A total of 60 lung cancer patients admitted to the hospital from October 2019 to October 2020 were selected and divided into a control group and an observation group according to the random number table method,with 30 cases in each group. The control group was given routine diet education and nursing, and the observation group was given individualized target nutrition management files on this basis, and given specific diet management. After three cycles of chemotherapy, the cancer-related fatigue scale and the quality of life evaluation scale were used to evaluate the effect of the patients.Results:After the intervention, the nutritional index levels in the observation group were significantly higher than those in the control group,and the difference was statistically significant(t=-5.126,-2.847, P<0.05). After the intervention, the total score of cancer-related fatigue and the scores of each dimension in the observation group were significantly lower than those in the control group, and the difference was statistically significant(P<0.05). After the intervention, the overall health status, physical function, emotional function and cognitive function of the patients in the observation group were higher than those in the control group, and the differences were statistically significant(t=-3.823,-2.049,-2.439,-2.476, P<0.05).Conclusion:Individualized target nutrition management can effectively improve the nutritional status of patients, relieve cancer-related fatigue in patients with lung cancer, and improve the quality of life of patients.

关 键 词：个体化目标营养管理 肺癌患者 癌因性疲乏 生活质量 

分 类 号：R473.73[医药卫生—护理学]