专科门诊延续跟进式营养管理应用于鼻咽癌放疗患者的效果研究

Study on the effect of continuous follow-up nutrition management in specialized outpatient clinics for nasopharyngeal carcinoma radiotherapy patients

目的探讨专科门诊延续跟进式营养管理对鼻咽癌放疗患者营养指标、希望水平的影响。方法选取2021年10月至2022年12月河南省人民医院收治的鼻咽癌放疗患者(150例),按随机数字表法,均分为对照组(常规护理)、观察组(专科门诊延续跟进式营养管理+常规护理),干预2个月。比较2组相关指标。结果相较于对照组的满意度[76.00%(57/75)]、依从总优良率[77.33%(58/75)],干预后观察组的满意度[93.33%(70/75)]、依从总优良率[94.67%(71/75)]较高(χ^(2)=8.679、9.358,P<0.05);相较于干预前,干预后2组希望水平各项评分(与他人保持亲密关系、采取积极行动、面对现实与未来的积极态度)均升高,且观察组[(12.25±1.23)、(12.37±1.56)、(13.48±1.35)分]高于对照组(t=7.338、7.919、9.885,P<0.05);相较于干预前,2组干预后血清清蛋白、前清蛋白、血红蛋白水平均降低,但观察组[(40.58±4.34)g/L、(249.55±16.57)mg/L、(123.78±14.56)g/L]高于对照组(t=11.434、14.150、7.513,P<0.05)。结论鼻咽癌放疗患者应用专科门诊延续跟进式营养管理,可有助于减小放疗对患者营养状况的影响,提高希望水平及依从性,进而改善预后,提升满意度。

Objective To explore the effect of continuous follow-up nutrition management in specialized outpatient clinics on nutritional index and hope level of nasopharyngeal carcinoma radiotherapy patients.Methods From October,2021 to December,2022,a total of 150 patients with nasopharyngeal carcinoma who received radiotherapy in Henan Provincial People′s Hospital were divided into two groups:the control group(routine nursing)and the observation group(continuous follow-up nutrition management in specialized outpatient clinics+routine nursing)by random number table method,and the intervention lasted for two months.The related indicators of the two groups were compared.Results Compared with the satisfaction rate[76.00%(57/75)]and the total excellent and good rate of compliance[77.33%(58/75)]ofthe control group,after intervention,the satisfaction rate[93.33%(70/75)]and the total excellent and good rate of compliance[94.67%(71/75)]of the observation group were higher(χ^(2)=8.679,9.358,P<0.05);Compared with before intervention,all the scores of hope level(maintaining close relationship with others,taking positive actions,facing reality and future positivity)of the two groups were increased after intervention,and compared between the groups,the observation group[(12.25±1.23),(12.37±1.56),(13.48±1.35)points]was higher than the control group(t=7.338,7.919,9.885,P<0.05);Compared with before intervention,serum ALB,PA and HB levels in both groups were decreased(after intervention),but compared between the groups,the observation group[(40.58±4.34)g/L,(249.55±16.57)mg/L,(123.78±14.56)g/L]was higher than the control group(t=11.434,14.150,7.513,P<0.05).Conclusion The application of continuous follow-up nutrition management in specialized outpatient clinicsfor nasopharyngeal carcinoma radiotherapy patients can help to reduce the influence of radiotherapy on the nutritional status of patients,improve the hope level and compliance,and then improve the prognosis and satisfaction.