基于预后营养指数的分级营养护理对宫颈癌同步放化疗患者营养指标、不良反应及睡眠质量的影响  

The Impact of Graded Nutritional Care Based on Prognostic Nutritional Index on Nutritional Indicators,Adverse Reactions,and Sleep Quality in Patients with Cervical Cancer Undergoing Synchronous Radiotherapy and Chemotherapy

作　　者：陈雪春 陈小英[1] 江梅英[1] CHEN Xuechun;CHEN Xiaoying;JIANG Meiying(Department of Gynecological Oncology and Radiotherapy,Clinical Oncology School of Fujian Medical University,Fujian Cancer Hospital,Fuzhou 350014,China)

机构地区：[1]福建省医科大学肿瘤临床医学院/福建省肿瘤医院妇科肿瘤放疗科,福州350014

出　　处：《世界睡眠医学杂志》2023年第10期2341-2343,共3页World Journal of Sleep Medicine

摘　　要：目的:探讨宫颈癌患者于同步放化疗期间应用基于预后营养指数的分级营养护理对于不良反应、营养指标以及睡眠质量所产生的影响。方法:选取2022年3月至2023年5月福建省医科大学肿瘤临床医学院接受同步放化疗的宫颈癌患者63例作为研究对象,按照随机数字表法随机分为对照组(n=32)和观察组(n=31)。对照组应用常规护理,观察组应用基于预后营养指数的分级营养护理,比较2组患者营养指标、不良反应发生率及睡眠质量。结果:护理前,2组患者营养指标比较,差异无统计学意义(P>0.05);护理后,观察组营养指标参数均高于对照组(P<0.05);测定组间不良反应发生率,观察组低于对照组(P<0.05);观察组睡眠质量评分均高于对照组(均P<0.05)。结论:宫颈癌患者于同步放化疗期间为其提供基于预后营养指数的分级营养护理可降低不良反应发生率,不仅可以改善机体营养状态还能够提升睡眠质量,具有较高借鉴价值。Objective:To explore the impact of graded nutritional care based on prognostic nutritional index on adverse reactions,nutritional indicators,and sleep quality in cervical cancer patients during synchronous radiotherapy and chemotherapy.Methods:Cervical cancer patients who underwent synchronous radiotherapy and chemotherapy in our hospital from March 2022 to May 2023 were randomly selected as the research objects.A sample size of 63 patients were randomly selected and divided into a control group(n=32)and an observation group(n=31)using random number table method.The former received routine care,while the latter received graded nutritional care based on prognostic nutritional index.The nutritional indicators,incidence of adverse reactions,and sleep quality of the two groups of patients were compared.Results:Before nursing,there was no significant difference in nutritional indicators between the two groups of patients(P>0.05).After the implementation of nursing,the nutritional index parameters of the observation group were higher than those of the control group(P<0.05).The incidence of adverse reactions between groups was measured,and the observation group was lower than the control group(P<0.05).The measured values of sleep quality scores in the observation group were higher than those in the control group(P s<0.05).Conclusion:Providing graded nutritional care based on prognostic nutritional index for cervical cancer patients during synchronous radiotherapy and chemotherapy can reduce the incidence of toxic side effects,not only improve the body′s nutritional status but also improve sleep quality,which has high reference value.

关 键 词：基于预后营养指数的分级营养护理 宫颈癌 同步放化疗 营养指标 不良反应 睡眠质量 

分 类 号：R711.74[医药卫生—妇产科学] R338.63[医药卫生—临床医学]