采用自评与主观全面评定量表营养干预在结肠癌化疗患者中的应用效果观察

Observation on the application effect of nutritional intervention using patient-generated subjective global assessment in patients with colon cancer chemotherapy

目的探讨自评-主观全面评定量表(PG-SGA)的营养干预应用在结肠癌化疗患者中的效果。方法选取2019年1—6月本院收治的结肠癌化疗患者70例,随机等分为对照组和试验组。对照组给予常规护理干预,试验组给予PG-SGA的营养干预,比较两组生化指标变化、营养摄入量及各项生活质量评分。结果试验组在第1,2,3周的营养摄入量明显优于对照组(P<0.05);试验组清蛋白、总蛋白、血红蛋白、红细胞计数及铁元素等指标均高于对照组(P<0.05)。试验组躯体功能、角色功能、情感功能、认知功能及社会功能等评分明显优于对照组(P<0.05)。结论在结肠癌化疗中应用PG-SGA的营养干预能促进营养物质摄入,可改善各项生化指标,提高生活质量。

Objective To investigate the effect of nutritional intervention using patient-generated subjective global assessment(PG-SGA)in patients with colon cancer chemotherapy.Methods To select 70 cases of patients with colon cancer chemotherapy treated in our hospital from January to June 2019.They were randomly divided into a control group and a test group.The control group was given routine nursing intervention,and the experimental group was given PG-SGA nutritional intervention.The changes of biochemical indicators,nutrition intake,and various scores of quality of life were compared between the two groups.Results The nutritional intake of the test group in the first,second,and third weeks was significantly better than that of the control group(P<0.05);the albumin,total protein,hemoglobin,red blood cell count and iron elements,etc.indexes in the test group were higher than those in the control group(P<0.05).The physical function,role function,emotional function,cognitive function and social function,ect.scores in the test group were significantly better than those in the control group(P<0.05).Conclusion The application of nutritional intervention with PG-SGA in colon cancer chemotherapy could promote nutrient intake,improve various biochemical indicators and improve quality of life.