全程营养管理对肺癌放疗患者康复及并发症的影响
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摘要
目的:探讨全程营养管理对肺癌术后放化疗患者不良反应及生活质量的影响。方法:2015年1月~2016年12月选取本院收治的90例肺癌术后行放疗患者,随机将患者等分为观察组及对照组,对照组患者放疗期间行常规护理,观察组患者在对照组基础上放疗期间行全程营养管理,比较两组患者放疗期间不良反应发生情况及生活质量变化情况。结果:观察组患者放疗期间恶心呕吐、骨髓抑制、放射性皮炎、血小板减少发生等患者毒副反应等级低于对照组(P<0.05)。观察组患者干预后生理领域、社会关系领域、心理领域、环境领域及总生活质量评分高于对照组(P<0.05)。结论:全程营养管理能有效减轻肺癌术后放疗患者毒副反应的发生,有助于提高患者生活质量。
Objective: To investigate the effect of whole-course nutrition management on adverse reactions and quality of life in patients with postoperative radiotherapy and chemotherapy of lung cancer. Methods: A total of 90 patients who received radiotherapy after lung cancer operation in our hospital from January 2015 to December 2016 were selected and randomly divided into observation group and control group. The patients in the control group were treated with routine nursing during radiotherapy. The patients in the observation group were treated with whole-course nutrition management on the basis of radiotherapy. The incidence of adverse reactions and quality of life during radiotherapy were compared between the two groups. Results: In the observation group,patients with nausea and vomiting,arrest of bone marrow,radiation dermatitis and thrombocytopenia were lower than those in the control group( P <0. 05). The scores of physiology,social relations,psychological field,environment and total quality of life in the observation group were higher than that in the control group( P < 0. 05). Conclusion: Whole-course nutrition management can effectively reduce the occurrence of toxic and side effects in postoperative radiotherapy of lung cancer patients. It is helpful to improve the quality of life of patients.
Objective: To investigate the effect of whole-course nutrition management on adverse reactions and quality of life in patients with postoperative radiotherapy and chemotherapy of lung cancer. Methods: A total of 90 patients who received radiotherapy after lung cancer operation in our hospital from January 2015 to December 2016 were selected and randomly divided into observation group and control group. The patients in the control group were treated with routine nursing during radiotherapy. The patients in the observation group were treated with whole-course nutrition management on the basis of radiotherapy. The incidence of adverse reactions and quality of life during radiotherapy were compared between the two groups. Results: In the observation group,patients with nausea and vomiting,arrest of bone marrow,radiation dermatitis and thrombocytopenia were lower than those in the control group( P <0. 05). The scores of physiology,social relations,psychological field,environment and total quality of life in the observation group were higher than that in the control group( P < 0. 05). Conclusion: Whole-course nutrition management can effectively reduce the occurrence of toxic and side effects in postoperative radiotherapy of lung cancer patients. It is helpful to improve the quality of life of patients.
引文
[1]顾磊.肺癌患者化疗期间睡眠障碍的影响因素与护理对策[J].护理实践与研究,2016,13(2):110-112.
[2]姜贻乾,郭庆敏,徐小平,等.非小细胞肺癌患者调强放疗期间的营养状况调查[J].医学信息,2015,5(44):124-125.
[3]梁彩霞,吴家园,江丹贤,等.晚期非小细胞肺癌患者的营养状况及营养支持对其化疗的影响[J].现代肿瘤医学,2015,8(22):3246-3250.
[4]徐黎,魏虹.老年肺癌化疗患者行胃肠内外联合营养支持对其营养及免疫功能的影响[J].中国老年学杂志,2016,5(1):123-124.
[5]陈艳,魏娜,刘洁,等.非小细胞肺癌患者术后营养风险评估与生存质量关系研究[J].山西医药杂志,2016,45(21):2544-2546.
[6]钱磊,季爱华,张文剑,等.早期肠内营养在预防肺癌患者术后肺部感染中的作用研究[J].中华医院感染学杂志,2015(2):415-417.
[7]崔贤杰.预后营养指数在小细胞肺癌患者预后判断中的应用[J].肿瘤学杂志,2015,21(7):551-554.
[8]姚倩,冯长艳,杨祖安,等.营养风险筛查和患者主观整体评估在非手术肿瘤患者中的临床运用及意义[J].重庆医学,2016,45(11):1567-1568.
[9]鲁力,谢敏,魏少忠,等.术前与术后早期肠内营养对老年胃癌患者术后免疫功能及营养状态的影响[J].中国肿瘤临床,2014,5(18):1170-1173.
[10]吴乔,王姗,张国强,等.NRS 2002营养风险筛查在胃肠道恶性肿瘤住院患者中的应用[J].西南国防医药,2014,24(9):953-955.
[2]姜贻乾,郭庆敏,徐小平,等.非小细胞肺癌患者调强放疗期间的营养状况调查[J].医学信息,2015,5(44):124-125.
[3]梁彩霞,吴家园,江丹贤,等.晚期非小细胞肺癌患者的营养状况及营养支持对其化疗的影响[J].现代肿瘤医学,2015,8(22):3246-3250.
[4]徐黎,魏虹.老年肺癌化疗患者行胃肠内外联合营养支持对其营养及免疫功能的影响[J].中国老年学杂志,2016,5(1):123-124.
[5]陈艳,魏娜,刘洁,等.非小细胞肺癌患者术后营养风险评估与生存质量关系研究[J].山西医药杂志,2016,45(21):2544-2546.
[6]钱磊,季爱华,张文剑,等.早期肠内营养在预防肺癌患者术后肺部感染中的作用研究[J].中华医院感染学杂志,2015(2):415-417.
[7]崔贤杰.预后营养指数在小细胞肺癌患者预后判断中的应用[J].肿瘤学杂志,2015,21(7):551-554.
[8]姚倩,冯长艳,杨祖安,等.营养风险筛查和患者主观整体评估在非手术肿瘤患者中的临床运用及意义[J].重庆医学,2016,45(11):1567-1568.
[9]鲁力,谢敏,魏少忠,等.术前与术后早期肠内营养对老年胃癌患者术后免疫功能及营养状态的影响[J].中国肿瘤临床,2014,5(18):1170-1173.
[10]吴乔,王姗,张国强,等.NRS 2002营养风险筛查在胃肠道恶性肿瘤住院患者中的应用[J].西南国防医药,2014,24(9):953-955.