营养护理在老年肺癌合并肺结核患者中的应用效果

Application effect of nutrition nursing in elderly patients with lung cancer complicated with pulmonary tuberculosis

目的探讨营养护理在老年肺癌合并肺结核患者中的应用效果。方法选取2020年1月至2023年1月九江市第三人民医院肿瘤科收治的老年肺癌合并肺结核患者90例作为研究对象,采用随机数字表法分组,将其分为对照组和观察组,每组各45例。对照组采用常规护理,观察组在此基础上,采用营养护理干预。比较两组的营养指标、免疫指标、生活质量评分。结果观察组护理后的体重高于对照组,差异有统计学意义(P<0.05)。两组护理后的白蛋白、血红蛋白、前白蛋白水平比较,差异无统计学意义(P>0.05)。观察组护理后的CD3^(+)、CD4^(+)高于对照组,差异有统计学意义P<0.05)。两组护理前后的生活质量评分比较,差异无统计学意义(P>0.05),观察组护理后的生活质量评分高于对照组护理后,差异有统计学意义(P<0.05)。结论对老年肺癌合并肺结核患者而言,营养护理干预措施,便于改善营养指标水平,提高机体免疫功能与生活质量,值得临床采纳。

Objective To explore the implementation strategy of nutritional care in elderly patients with lung cancer and pulmonary tuberculosis.Methods A total of 90 elderly patients with lung cancer combined with tuberculosis admitted to the Department of Cancer Oncology,Jiujiang Third People's Hospital from January 2020 to January 2023 were selected as the study objects.They were divided into control group and observation group by random number table method,with 45 cases in each group.The control group received routine nursing,and the observation group received nutritional nursing intervention on the basis of this.The nutritional indexes,immune indexes and quality of life scores of the two groups were compared.Results The body weight of the observation group after nursing was higher than that of the control group,the difference was statistically significant(P<0.05).There were no significant differences in levels of albumin,hemoglobin and prealbumin after nursing between the two groups(P>0.05).The levels of CD3^(+)and CD4^(+)in the observation group after nursing were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the quality of life score between the two groups before and after nursing(P>0.05),and the quality of life score of the observation group after nursing was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion For elderly patients with lung cancer and pulmonary tuberculosis,nutritional nursing interventions can improve nutritional indicators,immune function,and quality of life,and are worthy of clinical adoption.