摘要
目的:探索医护一体化营养管理模式在食管癌患者放化疗期间对营养状况、放射性急性毒性反应、患者满意度和恢复情况的影响。方法:选取我院2019年7月至2020年7月应用医护一体化营养管理模式的66例食管癌放化疗患者作为实验组,2018年8月至2019年7月在食管癌放化疗期间予常规营养干预的52例患者作对照组。建立医护一体化营养管理模式,在对对照组进行常规营养管理的基础上,根据营养不良三级诊断对实验组患者进行营养评估、诊断及干预。对患者营养指标、放化疗不良反应、住院周期以及满意度进行评价。结果:与对照组相比,实验组骨髓抑制(χ^2=9.011,P=0.003)及放射性食管炎(χ^2=4.575,P=0.032)等并发症的发生率更低,差异有统计学意义,治疗后体重(t=2.426,P=0.017)、治疗后前白蛋白(t=3.307,P=0.001)水平更高,差异均有统计学意义。白蛋白、血红蛋白、血清总蛋白计数变化差异无统计学意义(均P>0.05)。结论:食管癌放化疗患者采用医护一体化营养管理模式是一种可行的食管癌放化疗患者营养落实管理模式,可以改善患者营养状况,提高患者满意度,缩短住院时间。
Objective:To explore the effect of nurse-physician collaboration on nutritional status of and acute radiation toxicity in esophageal cancer patients undergoing radiochemotherapy.Methods:A nurse-physician collaboration mode was established based on routine nutrition management.66 esophageal cancer patients undergoing radiochemotherapy during which nurse-physician collaboration was applied in the nutrition management in our hospital from July 2019 to July 2020 were assigned to the experiment group,while another 52 cases who received routine nutritional intervention during radiochemother-apy were assigned to the control group.Patients were evaluated,diagnosed and intervened according to the three-level diag-nosis criteria for malnutrition.Nutrition indicators,side effects of radiochemotherapy,hospitalization period and satisfaction of patients were evaluated.Results:Differences in incidence of bone marrow suppression(χ^2=9.011,P=0.003),incidence of radiation esophagitis(χ^2=4.575,P=0.032),weight after treatment(t=2.426,P=0.017)and the prealbumin level after treatment(t=3.307,P=0.001)were statistically significant between the two groups.There were no significant differences in the changes in albumin,hemo-globin,and total serum protein levels(P>0.05).Conclusion:Nurse-physician collaboration is feasible in the nutrition management for esophageal cancer patients undergoing radiochemotherapy,which can improve the nutritional status and satis-faction of patients and reduce hospital stay.
作者
江庆华
李吟枫
朱科第
廖洪乙
Jiang Qinghua;Li Yinfeng;Zhu Kedi;Liao Hongyi(Department of Nursing,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610041,Sichuan,China)
出处
《肿瘤预防与治疗》
2020年第9期786-791,共6页
Journal of Cancer Control And Treatment
基金
四川省科技厅重点研发项目(编号:2020 YFS0411)。
关键词
食管癌
放化疗
营养管理
Esophageal cancer
Radiochemotherapy
Nutrition management
