追踪护理模式对食管癌放疗患者营养状况的影响

Effects of tracking nursing model on nutritional status of patients with esophageal cancer and radiotherapy

目的 探讨追踪护理模式对食管癌放疗患者营养状况的影响.方法 选取2015年1月—2016年1月期间收治的食管癌放疗患者92例为研究对象,采用随机数字表法将患者分为对照组和观察组,各46例.对照组患者给予常规护理,观察组患者给予追踪护理.护理6个月后比较两组患者的主观综合性营养评估（SGA）分级评定、各项生化指标和人体测量学指标.结果 干预后观察组和对照组患者SGA-C发生率分别为4.35%和15.23%,观察组低于对照组,差异有统计学意义（P〈0.05）.干预后观察组患者的总胆固醇、三酰甘油和血磷低于对照组患者,清蛋白、前清蛋白高于对照组患者,差异有统计学意义（P〈0.05）.干预后观察组患者的BMI、肱三头肌皮褶厚度（TSF）和肌肉周经（MAMC）均高于对照组患者,差异有统计学意义（P〈0.05）.结论 给予食管癌放疗患者追踪护理模式较常规护理模式能够改善营养状况,提高各项身体指标.

Objective To explore the effects of tracking nursing model on nutritional status of patients with esophageal cancer and radiotherapy.Methods From January 2015 to January 2016,totally 92 patients with esophageal cancer admitted in our hospital and treated with radiotherapy were selected as the research object. Patients were randomly divided into the control group and the observation group according to random number table,with 46 cases in each group. Patients in the control group were given routine nursing,while patients in the observation group received tracking nursing model. Six months after nursing intervention,the subjective global assessment （SGA） grading assessment,biochemical indicators and anthropometric indicators of patients were compared between two groups.Results After intervention,the incidence of SGA-C of patients in the observation group were 4.35%,which was significantly lower than 15.23% in the control group （P〈0.05）. After intervention,the total cholesterol,triglyceride and blood phosphorus of patients in the observation group were lower than those in the control group,while the albumin and prealbumin of patients in the observation group were higher than those in the control group （P〈0.05）. After intervention,the body mass index （BMI）, triceps skin fold （TSF） and mid-arm muscle circumference （MAMC） of patients in the observation group were higher than patients in the control group （P〈0.05）.Conclusions Tracking nursing model given to patients with esophageal cancer can significantly improve patients＇ nutritional status and their health indicators.