给予PDCA循环的营养护理模式对食管癌患者放疗期间营养状况及毒副作用的影响

The Effect of the Nutritional Care Model of PDCA Cycle on the Nutritional Status and Side Effects of Patients with Esophageal Cancer During Radiotherapy

目的:探讨PDCA循环的营养护理模式对食管癌患者放疗期间营养状况及毒副作用的影响。方法:选取2017年3月—2020年3月间于安阳市肿瘤医院接受放疗的128例食管癌患者作为研究对象,按不同护理模式分为对照组(63例)和观察组(65例),对照组采用常规营养护理模式,观察组采用PDCA循环的营养护理模式。对比两组营养风险发生率、营养状况及毒副作用的发生情况。结果:观察组干预后营养风险发生率低于对照组,差异有统计学意义(P<0.05)。两组患者干预后血红蛋白(Hb)、血清白蛋白(ALB)、前清白蛋白(PA)、血清总蛋白(TP)较干预前升高,且观察组高于对照组,差异有统计学意义(t=17.328、19.380、36.037、24.526,P<0.05;t=9.207、9.180、27.497、14.653,P<0.05)。观察组患者放疗期间毒副作用发生率低于对照组,差异有统计学意义(χ^(2)=8.458,P<0.05)。结论:在食管癌患者放疗期间,PDCA循环的营养护理模式能有效降低营养风险发生率,改善其营养状况,减少毒副作用。

Objective: To explore the effect of PDCA cycle nutritional nursing mode on the nutritional status and side effects of patients with esophageal cancer during radiotherapy. Methods: A total of 128 patients with esophageal cancer who received radiotherapy in the hospital from March 2017 to March 2020 were selected as the research objects. According to different nursing modes, the patients were divided into control group(63 cases) and observation group(65 cases). The control group adopted conventional nutritional nursing mode, while the observation group adopted the nutritional nursing mode of PDCA cycle. The incidence of nutritional risk, nutritional status and incidence of toxic and side effects were compared between the two groups. Results: The incidence of nutritional risk after intervention in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). After intervention, hemoglobin(Hb), serum albumin(ALB), prealbumin(PA), and total serum protein(TP) in the two groups increased, and the observation group was higher than the control group(t=17.328, 19.380, 36.037,24.526, P<0.05, t=9.207, 9.180, 27.497, 14.653, P<0.05). The incidence of toxic and side effects in the observation group was lower than that in the control group, and the difference was statistically significant(χ^(2)=8.458, P<0.05). Conclusion: During radiotherapy for esophageal cancer patients, the nutritional nursing mode of PDCA cycle can effectively reduce the incidence of nutritional risks, improve their nutritional status and reduce toxic and side effects.