鼻咽癌同期放化疗患者实施营养临床护理路径对生活质量的影响  

Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy

作　　者：吴江[1] 代水芬 刘琴[2] 杨寿涛 张江 杨娇[4] 关琼瑶[4] WU Jiang;DAI Shuifen;LIU Qin;YANG Shoutao;ZHANG Jiang;YANG Jiao;GUAN Qiongyao(Dept.of Radiotherapy,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China;Stomach and Small Intestine Surgery,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China;Dept.of Breast Surgery,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China;Dept.of Nursing,The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118,China)

机构地区：[1]昆明医科大学第三附属医院放射治疗科,云南昆明650118 [2]昆明医科大学第三附属医院胃与小肠外科,云南昆明650118 [3]昆明医科大学第三附属医院乳腺外三科,云南昆明650118 [4]昆明医科大学第三附属医院护理部,云南昆明650118

出　　处：《昆明医科大学学报》2023年第5期185-190,共6页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目(202001AY070001-078)。

摘　　要：目的探讨鼻咽癌同期放化疗患者实施营养临床护理路径对生活质量的影响情况。方法便利选取接受放化疗的162例NPC患者为研究对象,将患者随机分为对照组和实验组各81例。对照组实施常规鼻咽癌同期放化疗营养干预;实验组采用鼻咽癌同期放化疗营养临床护理路径。比较2组治疗前后生活质量中的生理状况、社会/家庭状况、情感状况和功能状况差异。结果实验组患者功能状况评分及附加关注评分高于对照组,差异具有统计学意义(P<0.001),社会家庭情况评分明显高于对照组,差异具有统计学意义(P<0.001)。结论该营养临床护理路径改善了患者的功能状况评分、头颈部肿瘤附加关注评分,在改善社会家庭状况上也有一定作用,在一定程度上,能有效提高鼻咽癌同期放化疗患者生活质量。Objective To explore the effect of nutrition clinical nursing pathway for nasopharyngeal carcinoma patients(NPC)undergoing concurrent radiotherapy and chemotherapy.Methods A total of 162 patients with NPC who received the concurrent radiotherapy and chemotherapy were randomly divided into the control group(n=81)and experimental group(n=81).The control group was received routine nutrition management,while the exprimental group received nutrition clinical nursing pathway intervention.Physiological condition,social/family status,emotional status and functional status of quality of life between the two groups before and after the interven-tion were assessed and compared.Results The scores of functional status and additional attention in the experimental group were significantly higher than those in the control group(P<0.001),The score of social/family statusin the experimental group was also significantly higher than that in the control group(P<0.001).Conclusion The nutritional clinical nursing pathway can improve the functional status scores and additional attention scores for head and neck tumors,and also played a certain role in improving social/family status scores.To a certain extent,it can effectively improve the quality of life of patients with NPC undergoing radiotherapy.

关 键 词：鼻咽癌 放疗 化疗 营养筛查 临床护理路径 生活质量 

分 类 号：R473.73[医药卫生—护理学]