多途径延续护理对食管癌患者放射治疗营养状况的效果评价

Effect of Multi Route Continuous Nursing on Nutritional Status of Radiotherapy for Patients With Esophageal Carcinoma

目的研究多途径延续护理对食管癌患者放射治疗出院后的营养效果评价。方法选取肿瘤科2016年1—7月的75例食管癌放射治疗患者,随机分为研究组和对照组,研究组利用多种途径在出院后1周内、2周、1个月、3个月均进行延续护理,对照组患者仅在出院后1周内进行电话回访,观察两组患者出院时、1个月、3个月的NRS2002评分、SGA评分,出院3个月后进行满意度调查。结果出院时两组患者的NRS 2002评分,SGA评分差异无统计学意义(P>0.05),1个月后,研究组患者NRS 2002、SGA评分下降,3个月后NRS2002、SGA评分下降,3个月后研究组患者满意度上升,两组间数据差异具有统计学意义(P<0.05)。结论通过多途径延续护理,食管癌患者营养不良的状况得到改善,减低住院率,减轻经济负担,极大提高患者满意度。

Objective To study the nutritional effects of multi route continuous nursing care on patients with esophageal cancer after radiotherapy. Methods 75 patients with radiation therapy for esophageal cancer were selected from oncology department from January to July 2016, the study group and control group were randomly divided into two groups, the study group used various ways to extend the nursing care within 1 weeks, 2 weeks, 1 month and 3 months after discharge, patients in ~he control group received telephone calls only within 1 weeks after discharge, the NRS 2002 score and SGA score were observed in two groups at discharge, 1 month and 3 months, satisfaction was investigated 3 months after discharge. Results At discharge, the two groups had NRS 2002 score, there was no significant difference in SGA score （P 〉 0.05）, 1 month later, patients in the study group had decreased NRS 2002 and SGA scores, after 3 months, the NRS 2002 and SGA scores decreased, after 3 months, the satisfaction of the patients in the study group increased, The difference between the two groups was statistically significant （P 〈 0.05）. Conclusion Through multi route continuous nursing, the malnutrition status of the patients with esophageal cancer is improved, the hospitalization rate is reduced, the economic burden is reduced, and the satisfaction degree of the patient is greatly improved.