基于营养风险等级的多学科营养管理模式在胃癌患者中的应用研究  

Application research of multidisciplinary nutrition management model based on nutritional risk levels in gastric cancer patients

作　　者：李婷[1] 陈蕾[1] 徐燕飞[1] LI Ting;CHEN Lei;XU Yanfei(Department of Internal Medicine,Nantong Cancer Hospital Affiliated Cancer Hospital of Nantong University,Jiangsu Province,Nantong 226361,China)

机构地区：[1]南通市肿瘤医院南通大学附属肿瘤医院内科,江苏南通226361

出　　处：《中国医药导报》2024年第12期156-160,共5页China Medical Herald

基　　金：南通市基础科学研究和社会民生科技计划项目(MSZ2022138)。

摘　　要：目的 探讨基于营养风险等级的多学科营养管理模式在胃癌患者中的应用。方法 选取2022年3月至2023年3月南通市肿瘤医院接受治疗的120例胃癌患者,根据随机数字表法将其分为对照组和观察组,每组60例。对照组进行常规护理,观察组实施基于营养风险等级的多学科营养管理模式。比较两组干预前及干预6个月时(干预后)营养指标、食欲、生活质量的差异。结果 干预后,两组营养指标均高于干预前,且观察组高于对照组(P<0.05)。两组食欲评分高于干预前,且观察组高于对照组(P<0.05)。两组生活质量中躯体功能、角色功能、情绪功能、社会功能、认知功能及总体健康状况评分高于干预前,且观察组的躯体功能、角色功能、情绪功能、总体健康状况高于对照组(P<0.05);对照组疲倦、疼痛评分高于干预前,观察组疲倦评分低于干预前,疼痛评分高于干预前(P<0.05);两组恶心、呕吐、气促、失眠、食欲丧失、经济困难、腹泻、便秘评分低于干预前,且观察组的疲倦、恶心、呕吐、失眠、食欲丧失、经济困难、腹泻、便秘评分低于对照组(P<0.05)。结论 基于营养风险等级的多学科营养管理模式能有效提高胃癌患者营养和食欲及生存质量,为患者提供了一个新的、有效的营养管理方法。Objective To explore the application of multidisciplinary nutrition management model based on nutritional risk levels in gastric cancer patients.Methods A total of 120 patients with gastric cancer who received treatment in Nantong Cancer Hospital from March 2022 to March 2023 were selected,they were divided into control group and observation group according to random number table method,with 60 cases in each group.The control group received routine nursing,and the observation group received multidisciplinary nutrition management model based on nutritional risk level.The differences of nutritional indexes,appetite,and quality of life were compared between the two groups before intervention and after six months of intervention(after intervention).Results After intervention,the nutritional indexes of both groups were higher than those before intervention,and those of the observation group were higher than those of the control group(P<0.05).The appetite score of the two groups was higher than that before intervention,and that of the observation group was higher than that of the control group(P <0.05).The scores of physical function,role function,emotional function,social function,cognitive function and general health status in the two groups were higher than these before intervention,and the physical function,role function,emotional function and general health status of the observation group were higher than those of the control group(P<0.05).The fatigue and pain scores of control group were higher than before intervention,the fatigue scores of observation group was lower than those before intervention,and the pain scores was higher than those of before intervention(P<0.05).The scores of nausea,vomiting,shortness of breath,insomnia,loss of appetite,economic hardship,diarrhea and constipation in both groups were lower than those before intervention,and the scores of fatigue,nausea,vomiting,insomnia,loss of appetite,economic hardship,diarrhea and constipation in the observation group were lower than those in the contro

关 键 词：胃癌 营养风险等级 多学科管理 营养管理 

分 类 号：R473[医药卫生—护理学]