全程动态管理对螺旋断层放射治疗鼻咽癌患者营养状态的影响  

Effect of Whole-Course Dynamic Management on the Nutritional Status of Patients With Spiral Tomography Radiotherapy for Nasopharyngeal Carcinoma

作　　者：黄小媛 江岱琪 黄重 蒋茂雨 HUANG Xiaoyuan;JIANG Daiqi;HUANG Chong;JIANG Maoyu(Department of Oncology,Kaiyuan Langdong Hospital of Guangxi Medical University,Nanning Guangxi 530000,China)

机构地区：[1]广西医大开元埌东医院肿瘤科,广西南宁530000

出　　处：《中国卫生标准管理》2023年第17期181-185,共5页China Health Standard Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190152)。

摘　　要：目的 探讨全程动态管理对改善螺旋断层放射治疗(tomotherapy,TOMO)鼻咽癌患者营养状态的改善效果。方法选择2019年12月—2022年12月广西医大开元埌东医院肿瘤科进行TOMO放射治疗的80例鼻咽癌患者,其中2019年12月—2021年6月期间治疗的40例患者作为非全程动态管理组;2021年7月—2022年12月期间治疗的40例患者作为全程动态管理组非全程动态管理组实行常规营养护理,全程动态管理组在前者的营养护理方式上,实行全程动态管理。对两组的营养状况、口腔黏膜炎发生率、生活质量以及依从性进行对比。结果 全程动态管理组患者的体质量、身体质量指数(body mass index,BMI)、血红蛋白、血清白蛋白等营养相关指标明显高于非全程动态管理组(P <0.05)。全程动态管理组患者的口腔黏膜炎发生率为20.00%(8/40),明显低于非全程动态管理组[42.50%(17/40)],差异有统计学意义(P <0.05)。干预前,两组生活质量各指标对比,差异无统计学意义(P> 0.05);干预后全程动态管理组生活质量各指标均优于非全程动态管理组(P <0.05)。全程动态管理组功能锻炼总依从性(95.00%)高于非全程动态管理组(77.50%)(P <0.05)。结论 予以行TOMO放疗的鼻咽癌患者全程动态营养管理,可改善其营养状况,降低营养不良发生率、减轻放疗不良反应,提高患者生活质量及治疗依从性,改善治疗效果。Objective To explore the effect of full dynamic management on improving the nutritional status of nasopharyngeal carcinoma(NPC) patients with spiral tomography radiation therapy(tomotherapy,TOMO).Methods From December 2019to December 2022,a total of 80 patients with nasopharyngeal carcinoma who received TOMO radiotherapy in the department of oncology,Kaiyuan Langdong Hospital of Guangxi Medical University were randomly divided Among them,a total of 40patients treated from December 2019 to June 2021 served as a nonfull dynamic management group;From July 2021 to December 2022,40 patients were treated as the whole dynamic management group.The non-whole-course dynamic management group carried out routine nutritional care,while the whole-course dynamic management group carried out whole-course dynamic management on the former nutritional care mode.The nutritional status,incidence of oral mucositis,quality of life and compliance of the two groups were compared.Results Nutrition-related indexes such as body mass,body mass index(BMI),hemoglobin and serum albumin in the whole dynamic management group were significantly higher than those in the non-whole dynamic management group(P<0.05).The incidence of oral mucositis in the whole dynamic management group was 20.00%(8/40),which was significantly lower than that in the non-whole dynamic management group [42.50%(17/40)],and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in quality of life between the two groups(P>0.05).After the intervention,the quality of life of the whole dynamic management group was better than that of the non-whole dynamic management group(P<0.05).The total compliance of functional exercise in the whole dynamic management group(95.00%) was higher than that in the non-whole dynamic management group(77.50%)(P<0.05).Conclusion The whole-process dynamic nutritional management of NPC patients undergoing TOMO radiotherapy can improve their nutritional status,reduce the incidence of malnutrition,

关 键 词：全程动态管理 鼻咽癌 营养状态 螺旋断层放射治疗 生活质量 依从性 

分 类 号：R473[医药卫生—护理学]