“互联网+”化疗患者营养全程管理体系在胃癌化疗患者中的应用

"Internet+"Whole Course Nutrition Management System for Chemotherapy Patients Application in Gastric Cancer Patients With Chemotherapy

目的观察基于“互联网+”背景下的肿瘤化疗患者营养全程管理体系对胃癌化疗患者生活质量、营养状态的影响。方法选取2020年6月—2021年12月至厦门大学附属第一医院肿瘤内科化疗的100例胃癌化疗的患者。厦门大学附属第一医院肿瘤内科于2021年3月联合多学科成立了营养支持专科小组,成员包括各级医生、护士,并且充分利用互联网的各种优势,对厦门大学附属第一医院肿瘤内科化疗患者实行全程营养支持管理。将2020年6月—2021年2月营养全程管理体系成立前的50例胃癌化疗患者设为对照组,实行常规的营养支持管理;将2021年3—12月营养全程管理体系成立后的50例胃癌化疗患者设为观察组,实行基于“互联网+”背景下的肿瘤化疗患者个性化的营养全程管理。比较2组患者营养状况、生活质量评分。结果干预后,2组患者的主观整体营养风险评估(subjective nutrition assessment for cancer patients,PG-SGA)评分均较干预前明显降低,且对照组PG-SGA明显低于观察组(P<0.05)。对照组患者的身体质量指数(body mass index,BMI)(18.59±2.60)kg/m^(2)、血清白蛋白(33.00±5.01)g/L、血红蛋白(110.00±18.02)g/L,均低于观察组BMI(20.65±1.51)kg/m^(2)、血清白蛋白(38.00±8.00)g/L、血红蛋白(135.00±20.01)g/L(P<0.05)。对照组的生活质量Karnofsky评分(75.77±7.01)分明显低于观察组(81.59±7.21)分(P<0.05)。结论基于“互联网+”背景下的肿瘤化疗患者营养全程管理体系应用于胃癌患者化疗过程中,可明显改善患者的营养状态,提高患者的生活质量。

Objective To observe the effect of the"Internet+"based whole-course nutrition management system on the quality of life and nutritional status of patients with gastric cancer chemotherapy.Methods A total of 100 patients with gastric cancer receiving chemotherapy in the Department of Oncology of the First Affiliated Hospital of Xiamen University from June 2020 to December 2021 were selected.The Department of Oncology of the First Affiliated Hospital of Xiamen University established a multidisciplinary nutrition support specialist team in March 2021.The members include doctors and nurses at all levels,and make full use of the advantages of the Internet to implement the whole-course nutrition support management for patients with chemotherapy in the Department of Oncology of the First Affiliated Hospital of Xiamen University.From June 2020 to February 2021,50 patients with gastric cancer undergoing chemotherapy before the establishment of the nutrition wholeprocess management system were set as the control group and received routine nutrition support management.A total of 50 patients with gastric cancer chemotherapy after the establishment of the nutrition whole-course management system from March to December 2021 were set as the observation group,and the personalized nutrition whole-course management for cancer chemotherapy patients based on the background of"Internet+"was implemented.Then the nutritional status and quality of life scores were compared between the two groups.Results After the intervention,Subjective nutrition assessment for cancer patients(PG-SGA)scores of the two groups were significantly lower than those before the intervention,the PGSGA in the control group was significantly worse than that in the observation group(P<0.05).The body mass index(BMI)(18.59±2.60)kg/m^(2),serum albumin(33.00±5.01)g/L and hemoglobin level(110.00±18.02)g/L of control group were lower than those of observation group of BMI(20.65±1.51)kg/m^(2),serum albumin(38.00±8.00)g/L and hemoglobin level(135.00±20.01)g/L(P<0.05).The Karnofsky score of the control group(75.77±7.01)points was significantly lower than that of the observation group(81.59±7.21)points(P<0.05).Conclusion The wholecourse nutrition management system for cancer patients undergoing chemotherapy based on the background of"Internet+"can be applied to the process of chemotherapy for gastric cancer patients,which can significantly improve the nutritional status and quality of life of patients.