abPG-SGA评分结合多学科协作营养干预在宫颈癌同步放化疗患者中的应用

Application of abPG-SGA Score Combined with Multidisciplinary Collaborative Nutritional Intervention in Patients with Cervical Cancer Undergoing Concurrent Radiotherapy and Chemotherapy

目的:探讨改良版患者自评主观整体营养评估量表(abPG-SGA)评分结合多学科协作营养干预在宫颈癌同步放化疗患者中的应用效果。方法:选取2020年1月1日~2021年12月31日134例宫颈癌同步放化疗患者随机分为观察组和对照组各67例,对照组给予常规护理干预,观察组在此基础上给予abPG-SGA评分结合多学科协作营养干预。比较两组干预前后的营养指标、自我效能、生存质量以及并发症发生情况。结果:两组干预后血清白蛋白(ALB)、血清前白蛋白(PAB)、血红蛋白(Hb)水平优于干预前(P<0.05),观察组干预后ALB、PAB、Hb水平优于对照组(P<0.01),观察组营养不良发生率低于对照组(P<0.05);两组干预后癌症患者自我管理效能感量表(SUPPH)、癌症患者生命质量测定量表(FACT-G)评分高于干预前(P<0.05),观察组干预后SUPPH、FACT-G评分高于对照组(P<0.01);观察组并发症发生率低于对照组(P<0.05)。结论:将abPG-SGA评分结合多学科协作营养干预应用于宫颈癌同步放化疗患者中,可有效改善患者的营养状况,提高患者的自我效能感水平及生存质量,降低并发症发生率。

Objective:To explore the effect of the modified version of the subjective overall nutritional assessment scale(abPG-SGA)score combined with multidisciplinary collaborative nutritional intervention in patients with cervical cancer undergoing concurrent radiotherapy and chemotherapy.Methods:During January 1,2020 to December 31,2021,134 cases of cervical cancer patients with chemoradiation were randomly divided into the observation group and the control group each with 67 cases,the control group was given routine nursing intervention,while the the observation group on the above basis was given abPG-SGA score in combination with multidisciplinary collaboration nutrition intervention,comparison was made between the two groups before and after the intervention on nutritional indexes,self-efficacy,quality of life,and complications.Results:After the intervention,the albumin(ALB),prealbumin(PAB),and hemoglobin(Hb)levels were better in both groups than those before intervention(P<0.05),and those in the observation group after the intervention were better than those in the control group(P<0.01),the incidence of malnutrition in the observation group was lower than that in the control group(P<0.05).After the intervention,the cancer patient self-management self-efficacy scale(SUPPH),the cancer patient quality of life determination scale(FACT-G)scores in both groups were higher than those before the intervention(P<0.05),the SUPPH and FACT-G scores in the observation group after the intervention were higher than those in the control group(P<0.01).The complication incidence in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of abPG-SGA score combined with multidisciplinary collaborative nutritional intervention in patients with cervical cancer undergoing concurrent radiotherapy and chemotherapy can effectively improve nutritional status,improve self-efficacy and quality of life,and reduce complications.