Suicidal Ideation and Attempts during Middle Childhood: Associations with Subjective Quality of Life and Depression

Background: Confronted to the increasing suicide rate in children, clinicians have to better understand and predict suicide-related behaviours (SRBs) in children with and without depressive symptoms. Aims: To investigate associations among suicidal tendencies (thoughts and/or attempts), depression and children’s perceptions of subjective quality of life. Methods: This was a cross-sectional study of 157 children of 6 - 13-year-old. Results: Children who attempted or thought of suicide reported goodless subjective quality of life than nonsuicidal children did, and children who thought of or attempted suicide reported higher levels of depressive symptoms than nonsuicidal children. Limitations: A more rigorous approach to investigating suicidal ideation and depressive symptomatology as a diagnostic interview based on the DSM-IV-TR will be valuable to future progress in understanding children’s suicidality. Conclusions: Results may reflect the confirmation of depressive symptoms as risk factors for suicidality and underline the high importance of social and emotional life context among suicidal children. For this reason, more effective recognition and comprehension of the underlying affective and social conditions of children with suicidality have special importance to prevent future suicidal behaviour during adolescence.

Subjective Cognitive Concerns and Attitudes toward Genetic Testing Are Associated with Depressive Symptoms and Quality of Life after Genetic Testing for the Cerebral Cavernous Malformation Common Hispanic Mutation (CCM1)

Purpose: This study aimed to characterize mood and quality of life and to examine the associations of these areas with subjective cognitive concerns and attitudes toward genetic testing for the Common Hispanic Mutation, a gene that has been associated with increased risk for CCM1. Method: Fifty-four adults with previous genetic testing for the Common Hispanic Mutation completed a mail survey that included assessments of the above identified areas. Results: Self-reported depressive symptoms and quality of life did not differ between those with positive and negative genetic test results. The negative group expressed a more favorable attitude toward genetic testing (p p = 0.06). Using generalized linear regression, more subjective cognitive concerns were associated with poorer quality of life and more depressive symptoms (p p Conclusions: Subjective cognitive concerns and negative attitudes toward genetic testing may influence emotional well-being after genetic testing for the Common Hispanic Mutation. Additional research is needed that uses objective neuropsychological measures to understand the associations of subjective cognitive concerns, emotional well-being, and cognitive test performance in individuals with CCM1. There is also a need for research that focuses on protective factors and resiliency following genetic testing for CCM1 and the development of mental health interventions to preempt psychosocial difficulties.

Malnutrition and Quality of Life in Chinese Cancer Patients: a Clinical Study of 23,994 Subjects

Background Malnutrition is common in patients with cancer,and can negatively impact their quality of life(QoL)and even survival.However,there is currently no large data available on the prevalence of malnutrition in Chinese cancer patients.This study evaluated the prevalence of malnutrition and the QoL of Chinese patients with locoregional,recurrent or metastatic cancer.Methods We conducted a nationwide observational,multi-center,hospital-based cross-sectional study within the Chinese Society of Nutritional Oncology(CSNO)Network.All of the patients were diagnosed with one of the following 18 different types of malignant tumors:lung cancer,gastric cancer,liver cancer,colorectal cancer,breast cancer,esophageal cancer,cervical cancer,endometrial cancer,nasopharyngeal carcinoma,malignant lymphoma,leukemia,pancreatic cancer,ovarian cancer,prostate cancer,bladder cancer,brain cancer,biliary tract malignant tumors or gastrointestinal stromal tumors.These patients were enrolled from 72 hospitals located in different regions of China.The patients’nutritional status was evaluated based on the body mass index(BMI),loss of bodyweight,laboratory measurements and patient generated-subjective global assessment(PG-SGA)scores.The cancer patients’physical status and QoL were assessed by the Karnofsky Performance Status(KPS)questionnaire and the European Organization for Research and Treatment of Cancer(EORTC)QLQ-C30 questionnaire,respectively.Results From December 2013 to April 2016,23,994 patients hospitalized for cancer treatment(such as surgery,chemotherapy or radiotherapy)were enrolled in the study.The patients included 12,494(52.9%)males and 11,124(47.1%)females.The mean age was 55.8±13.7 years.The proportions of patients in cancer stagesⅠ,Ⅱ,Ⅲ,Ⅳand uncertain were 11.5%,20.3%,27.5%,30.2%and 10.5%,respectively.Among the 23,994 inpatients,the proportions of patients who were underweight(BMI<18.5 kg/m2),normal(18.5 kg/m2<BMI<24 kg/m2),overweight(24 kg/m2≤BMI<28 kg/m2)and obese(BMI≥28 kg/m2)were 9.3%,59.9%,26.1%and 4.7%,respectively.A total of 18.3%(4,101/22,424)of patients had lost 5%or more of their bodyweight within the past month and 19.6%(2,463/12,538)of patients had lost 10%or more of their bodyweight within the past 6 months.According to the PG-SGA scores,26.6%of the patients were severely malnourished(score≥9),31.3%were moderately malnourished(scores 4~8).A total of 22.2%of patients had a serum albumin level lower than 35g/L.Only 8.6%(2056/23,991)of the patients had severe KPS scores(≤60).The patients with these severe KPS scores were most frequently among those with cancers of the brain(19.7%),prostate(18.0%),pancreas(15.5%)and bladder(15.0%).Based on the QLQ-C30 score,11.6%of patients had a poor QoL.The PG-SGA score and global QoL were correlated(r=-0.593,P<0.001).Conclusion The prevalence of malnutrition in patients with cancer is relatively high,and is related to a poorer QoL.The present findings should be kept in mind when assessing cancer patients,because addressing the patient’s problems in nutritional status would be expected to improve both the clinical outcomes and QoL in cancer patients with malnutrition.

Malnutrition negatively impacts the quality of life of patients with cirrhosis: An observational study

AIM To verify how malnutrition is related to health-related quality of life(HRQL) impairment in patients with cirrhosis.METHODS Data was retrospectively abstracted from medical records and obtained by direct interview. We included patients with cirrhosis from any etiology, evaluated at the Liver Clinic from Gastroenterology Department in a tertiary healthcare center, from June 2014 to June 2016. Child-Pugh score, data about complications, and demographic, clinical and anthropometric characteristics of patients were obtained. Nutritional status was evaluated by the Subjective Global Assessment(SGA). HRQL was evaluated through the Chronic Liver Disease Questionnaire. Patients were requested to assess their global HRQL with the following code: 0 = impairment of HRQL, when it was compared with other healthy subjects; 1 = good HRQL, if it was similar to the quality of life of other healthy subjects. To compare the primary outcome between malnourished and well-nourished groups, the χ~2 test, Fisher's exact test or Student's t-test were used, based on the variable type. Associations between predictor variables and deterioration of HRQL were determined by calculating the hazard ratio and 95% confidence interval using Cox proportional hazards regression. RESULTS A total of 127 patients with cirrhosis were included, and the mean age was 54.1 ± 12.3 years-old. According to Child-Pugh scoring, 25(19.7%) were classified as A(compensated), 76(59.8%) as B, and 26(20.5%) as C(B/C = decompensated). According to SGA, 58(45.7%) patients were classified as well-nourished. Sixty-nine patients identified HRQL as good, and 76 patients(59.8%) perceived impairment of their HRQL. Multivariate analysis to determine associations between predictor variables and self-perception of an impairment of HRQL found strong association with malnutrition(P < 0.0001). The most important impaired characteristics in malnourished patients were: Presence of body pain, dyspnea on exertion with daily activities, decreased appetite, generalized weakness, trouble lifting or carrying heavy objects, and decreased level of energy(P < 0.0001).CONCLUSION Malnutrition is a key factor related to impairment of HRQL in patients with cirrhosis.

Living Kidney Donation – Subjective Experiences of Donors before and Two Years after Donation

Little is known about long-term quality of life of kidney donors. We studied subjective experiences of donors before and two years after kidney donation using in-depth interviews of eleven subjects. Interviews were audiotaped, transcribed, and analyzed by qualitative content analysis (grounded theory). Resulting categories of this process were grouped in order to construct ideal types of subjective experiences after kidney donation. Of our donors, 64% were female, mean age was 40.4 years. Donors reported that they had had no medical problems after donation. Most displayed psychological problems, e. g. difficulties adjusting to the new situation, hypochondriacal complaints, and fear of rejection of the recipient’s kidney. Psychological complaints were particularly troublesome in case of complications of the recipient. All donors wished extended counselling after kidney donation. Identifying problems of kidney donors may be easier when doctors are trained in typical experiences. This may also guide the tailoring of individual psychological interventions.

何以提升参训农民主体积极性?——以高素质农民培训实践为例

高素质农民培训是破解乡村振兴内生动力不足的关键,而实践中农民培训面临着参训农民主体性缺失问题,主要表现在参训农民在培训需求研究中处在“旁观者”地位、培训目标设计时居于“局外人”身份、培训内容创生中缺乏“话语权”、培训效果评价时饰演“虚无化”角色等,这是农民的主体特征与主观意愿、培训设计、组织与实施等内外因素共同作用的结果。解决这些问题可以通过为农民赋能、赋利、赋权等内外结合的方式,激发农民参训的积极性与主动性,提升农民培训效能。

精细尺度下郑州市城市居民福祉的测度——基于主客观比较的视角

基于对郑州市城市体检多源异构大数据的融合,以郑州市主城区为研究单元,通过构建多尺度统计模型、非补偿性聚合等方法对城市内部社区、街道尺度的居民主、客观福祉匹配性及空间差异特征进行分析。结果表明:在城市内部空间尺度,居民的主、客观福祉测度结果具有显著的地理匹配性,匹配程度由城市中心向郊区逐渐降低。在街道尺度,不同街道的居民主、客观福祉匹配性表现出明显的空间分异特征,位于城市中心和东部的街道居民主观幸福感和客观生活质量水平匹配性高于其他街道。

数字普惠金融对农村家庭生活质量的影响研究

以马斯洛需求层次理论为指导,建立主客观相结合的生活质量评价指标体系,分析数字普惠金融对我国农村家庭生活质量的影响及农民合作社的中介作用。研究发现,数字普惠金融能显著提高农村居民家庭生活质量,其三个子维度也具有显著正向效应,其中数字化程度效应最明显。异质性分析发现,数字普惠金融对农村家庭生活质量的提高效应呈“U”型,且对家庭负担较重的农村家庭生活质量提高效应更强。作用机制分析发现,数字普惠金融能够通过优化农民合作社经营方式、提升合作社经营质量提高农村家庭生活质量,且优化经营方式的作用更明显。提出进一步发展数字普惠金融,鼓励农民合作社开展实体加工、电子商务、休闲农业和乡村旅游等业务,完善农民合作社利益分配制度等建议。

在线消费与农民主观福祉:机制探索及其鸿沟效应分析

在数字乡村迅速发展的背景下,不断促进在线消费是提升农村居民主观福祉,实现共同富裕的重要途径,但发生机制和效应差异却仍有待探索。文章基于社会比较理论,阐明在线消费促进农民主观福祉的理论逻辑和主观社会经济地位的机制作用。实证结果表明,在线消费提升了农民主观福祉,主要体现在家庭经济、社交和文娱生活满意度三个方面;在线消费通过提升农民主观社会经济地位,进而改善其主观福祉;在线消费影响下的农民主观福祉在收入、年龄和地区分组中存在鸿沟效应。因此,一方面,政府要进一步加快农村消费数字化转型,引导在线消费绿色化和健康化,这有利于促进全体农民的主观福祉提升;另一方面,政府要加大欠发达地区在线消费相关基础设施建设,进一步提升农民的数字素养,以弥合地区间和农民群体内在线消费的主观福利差异。

基于患者自评-主观全面评定量表的个性化营养干预在胃癌术后化疗患者中的应用效果

目的探讨基于患者自评-主观全面评定量表(PG-SGA)的个性化营养干预在胃癌术后化疗患者中的应用效果。方法根据干预方式的不同将132例胃癌术后化疗患者分为对照组(n=65)和观察组(n=67),对照组患者采取常规干预,观察组患者在对照组的基础上采取基于PG-SGA的个性化营养干预。比较两组患者的胃肠功能恢复指标、营养指标[血红蛋白(Hb)、白蛋白(ALB)、总蛋白(TP)]、免疫功能指标[免疫球蛋白(Ig)A、IgM、IgG、CD3^(+)、CD4^(+)、CD8^(+)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]以及不良反应发生情况。结果观察组患者腹胀改善时间、首次排气时间及肠鸣音恢复时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者Hb、ALB、TP水平均高于本组干预前,观察组患者Hb、ALB、TP水平均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者IgA、IgG、IgM、CD3^(+)、CD4^(+)水平均高于本组干预前,CD8^(+)水平均低于本组干预前,观察组患者IgA、IgG、IgM、CD3^(+)、CD4^(+)水平均高于对照组,CD8^(+)水平低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者EORTC QLQ-C30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的不良反应总发生率低于对照组(P﹤0.05)。结论基于PG-SGA的个性化营养干预应用于胃癌术后化疗患者,能够改善患者的营养状态及免疫功能,促进患者胃肠功能恢复,提高患者生活质量,降低不良反应发生率。

休闲农业对农民生活质量的影响探究

鉴于2022年中央一号文件提出的持续推进农村一、二、三产融合发展,明确提出要增进民生福祉,提高人民的生活质量。休闲农业作为三产融合发展的典型,研究其对农民的生活质量的影响具有重要意义。文章先采用熵权法确定指标权重,再利用Logistic回归模型对2009—2019年全国休闲农业以及农民生活质量相关数据进行分析。研究结果表明:休闲农业发展系统里休闲农业营业收入、休闲农业接待人次、休闲农业星级企业(园区)和休闲农业经营主体个数权重占比分别为25.25%,26.06%,48.69%;农民生活质量的综合评价系统里面农民人均可支配收入、人均教育支出、适龄劳动力就业率、人均居住支出、每万人拥有卫生技术人员数、每万人拥有社会福利收养床位数占比分别为15.77%,17.84%,20.66%,17.11%,17.71%,10.91%。通过Logistic回归分析得出,休闲农业综合发展对农民生活质量有影响,且休闲农业综合发展每增加1个百分点平均说来农民生活质量将增加0.9032%。文章尝试给出以下政策建议:①加快提升休闲农业星级企业(园区)和休闲农业经营主体个数;②提高农民就业率;③加强农村教育、居住、医疗建设。

内镜下内痔套扎术患者生命质量影响因素及其与主观幸福感、病耻感的关系

目的探讨影响内镜下内痔套扎术患者生命质量的因素,分析生命质量与主观幸福感、病耻感的关系。方法对2020年1月-2023年12月在青岛市胶州中心医院行内镜下内痔套扎术的530例患者进行生命质量评定量表(SF-36)、总体幸福感量表(GWB)、慢性疾病病耻感量表(SSCI)调查,分析影响内镜下内痔套扎术患者生命质量的因素以及其与主观幸福感、病耻感的关系。结果内痔套扎术患者生命质量得分为(71.53±8.96)分,便秘、痔核大小、疾病严重程度、术后感染情况不同的内痔套扎术患者生命质量得分差异有统计学意义(P<0.05),多元线性回归分析结果提示,便秘、痔核过大、术后感染均是内痔套扎术患者生命质量的影响因素(P<0.05)。Pearson相关性结果显示,内痔套扎术患者生命质量得分与主观幸福感得分呈正相关(r=0.553,P<0.001),与病耻感得分呈负相关(r=-0.608,P<0.001)。结论便秘、痔核过大、术后感染均可能是内痔套扎术患者生命质量的影响因素,临床需密切注意患者术后恢复情况,及时采取干预措施改善患者生命质量,降低其病耻感,提高主观幸福感。

现象描述式教育联合正向激励对前列腺癌患者恐惧疾病进展及主观幸福感的影响

目的:探讨现象描述式教育联合正向激励对前列腺癌患者恐惧疾病进展及主观幸福感的影响,为临床护理提供依据。方法:选取2020年6月—2022年6月福建医科大学附属第一医院收治的130例前列腺癌患者作为研究对象,采用随机数表法将其分为对照组与观察组,每组各65例。对照组患者采用常规护理干预,观察组患者在常规护理基础上实施现象描述式教育联合正向激励进行干预。比较两组患者恐惧疾病进展[恐惧疾病进展简化量表(FoP-Q-SF)评分]、主观幸福感[幸福感指数量表(IWB)评分]、生命质量[前列腺癌特异性补充量表(EORTC QLQ-PR25)评分]情况。结果:干预后,观察组患者FoP-Q-SF中生理健康、社会家庭维度评分及总分均明显低于对照组,差异有统计学意义(t=17.042、17.214、7.241,P<0.05)。干预后,观察组患者IWB中情感指数、生活满意度维度评分及总分均明显高于对照组,差异有统计学意义(t=4.751、3.732、4.879,P<0.05)。干预后,观察组患者EORTC QLQ-PR25中尿路症状、肠道症状、治疗相关症状评分均低于对照组,性生活状况评分高于对照组,差异有统计学意义(t=8.480、14.544、13.532、5.565,P<0.05)。结论:对前列腺癌患者实施现象描述式教育联合正向激励干预,能够明显降低患者恐惧疾病进展,提高患者主观幸福感,改善患者生命质量。

从规模扩张到提质增效:高素质农民培育政策的演进与优化

高素质农民是乡村振兴的主力,高素质农民培育是政府主导的农村人力资本开发项目,其离不开国家政策的支持。通过对高素质农民培育政策的梳理发现,我国高素质农民培育政策主要经历开启探索试点、注重规模扩张和关注提质增效三个阶段,表现为培育目标由注重“数量指标”转向提升“培育效能”,培育对象由面向“重点人群”转向“经营主体”,培育内容由侧重“单项技能”转向“综合素质”的特征。高素质农民培育政策在高素质农民队伍建设、素质提升和职业发展等方面都起到了积极效应,然而由于联动机制、竞争机制、评估标准、项目设计和配套政策等缺位、错位和不到位,使得高素质农民培育资源分散、动力不足、效果不明。因此,从资金支持、政策扶持、制度保障三个层面提出支持高素质农民培育项目开发前的调研、学员遴选标准的建设、学员信息管理系统的完善、制度建设和能力建设并重的项目开发;整合高素质农民培育资源的政策制度、规范高素质农民培育市场的政策制度、支持高素质农民形成与成长的差异化政策;开发高素质农民培育效果评估标准、制定高素质农民培育效果的政策扶持联动机制等完善建议。

人的现代化视域下我国职业教育高质量发展研究

现代职业教育与人的现代化具有内在逻辑的统一性,聚焦人的现代化是现代职业教育高质量发展的必然选择,要围绕市场供求中的人增强教育的实践性,围绕资源集散中的人增强教育的协同性,围绕职业发展中的人增强教育的贯通性。立足人的现代化加快推动职业教育高质量发展,从体系设定上看,要将人的生命主体价值作为职业教育高质量发展的出发点,将人的人力资源价值作为职业教育赋能的落脚点,将人的技能创新需求作为职业教育增值发力点。基于人的现代化推动职业教育高质量发展要增强自适应性,强化政策导向;优化资源配置,推动协同共生;发挥跨界作用,促进内外循环;培养新型人才,强化数字赋能。

高压氧治疗职业性噪声聋患者的临床效果

目的探讨高压氧治疗职业性噪声聋患者的临床效果。方法选取2021年1月—2022年12月广东省职业病防治院职业健康监护所的98例职业性噪声聋患者,随机分为两组,各49例。对照组常规治疗,研究组在此基础上应用高压氧治疗。比较两组的纯音听阈指标变化情况、主观症状发生率以及生活质量评分情况,评价其临床疗效。结果研究组治疗后500、2000、4000 Hz听阈均优于对照组(P<0.05);研究组主观症状总发生率为6.12%,低于对照组的42.86%(P<0.05);研究组治疗后各项生活质量评分均高于对照组(P<0.05)。结论职业性噪声聋患者应用高压氧治疗可以降低患者的主观症状发生率,降低纯音听阈,提高患者生活质量。

南疆四地州农村产业融合模式对农民生活质量 影响效应研究

随着乡村振兴战略的实施,农村产业融合成为促进农民生活质量提升的新动力。该文基于农村产业融合模式构建评价指标体系,采用熵值法计算2011—2020年南疆四地州33个县的产业融合发展指数,并进一步运用系统GMM模型分析农村产业融合不同模式对农民生活质量的影响。结果表明,南疆四地州县域农村产业融合水平明显提高,但产业融合发展总体水平还需要提高。农村产业融合模式对农民生活质量提升具有显著正向影响,其中农业产业链延伸融合模式和农业多功能拓展融合模式影响最为显著;不同地州农村产业融合模式对于农民生活质量的效应也具有区域差异性。因此,要充分发挥当地资源禀赋,创新农村产业融合模式,进而推动农村产业融合深层次发展,有效提升农民生活质量。

互联网使用对老年人主观生活质量的影响——来自中国老年社会追踪调查(CLASS)的证据

经济增长和政府治理的最终目标是增加国民福祉,提高老年人的生活质量是我国民生领域的重要工作之一。基于2016~2018年中国老年社会追踪调查数据的研究发现,互联网使用能够显著提高老年人的主观生活质量。采用稳健性估计与工具变量克服内生性问题后,该研究结论依然成立。互联网使用对不同老年群体主观生活质量的影响存在异质性,社会网络是互联网影响老年人主观生活质量的中介变量,即互联网使用通过维系和扩大老年人社会网络提高了主观生活质量。因此,应加快互联网等信息技术基础设施建设,提高老年人的互联网使用能力,进一步强化互联网使用对老年群体的幸福激励作用。

农村老年人生活方式现状及其对生命质量的影响研究

目的了解农村老年人生活方式现状及其对生命质量的影响,为政府提高农村老年人的生命质量、科学制定老年人健康促进政策提供理论依据。方法基于2018年中国老年健康影响因素跟踪调查数据,纳入4430名65岁及以上农村老年人的应答资料,采用描述性统计、潜在类别分析、单因素分析和Ordered Logistic模型进行分析。结果农村老年人生活方式的健康程度总体较差,具体可以划分为负向型、趋向负向型、混合型和正向型4个类别,占比分别为14.5%、24.5%、9.0%、52.0%。Ordered Logistic模型分析结果显示,相对于生活方式不健康组,生活方式为健康组的农村老年人的主观生命质量(OR=1.299,95%CI:1.158~1.457)、健康相关生命质量(OR=1.477,95%CI:1.320~1.654)均更好。结论农村老年人生活方式复杂多样,生活方式类别对农村老年人的生命质量有显著的正向影响。未来政府应采取有效措施引导农村老年人转变不良生活行为,从而提高其生命质量。

基于PG-SGA量表的全程个体化营养支持对晚期胃癌化疗患者的应用效果分析

目的探讨基于患者参与的主观全面评定工具(patient-generated subjective global assessment tool,PG-SGA)的全程个体化营养支持对晚期胃癌化疗患者的应用效果。方法选取2021—2022年江南大学附属医院收治的92例晚期胃癌化疗患者为研究对象,随机数字表法分为观察组(n=46)和对照组(n=46)。观察组为基于PG-SGA量表的全程个体化营养干预,对照组为常规营养干预。比较两组患者营养干预前及干预后3个月的营养状况、免疫功能及生活质量。结果观察组患者营养干预后PG-SGA评分、营养风险筛查2002(nutrition risk screening 2002,NRS 2002)评分均明显低于营养干预前水平,上臂肌围(arm muscle circumference,AMC)、肱三头肌皮肤褶皱厚度(triceps skinfold thickness,TSF)、血白蛋白(Alb)与转铁蛋白(TRF)、免疫球蛋白(immunoglobulin,Ig)M、IgG、IgA、CD3^(+)T淋巴细胞、CD4^(+)T淋巴细胞水平均明显高于营养干预前水平(均P<0.05);对照组患者上述指标营养干预前后均相近(均P>0.05)。观察组与对照组患者营养干预后EORTC QLQ-C30量表的功能领域评分均明显高于营养干预前水平(均P<0.05)、症状领域评分均明显低于营养干预前水平(均P<0.05)。观察组患者营养干预后PG-SGA评分、NRS 2002评分、EORTC QLQ-C30量表的症状领域评分均明显低于同期对照组水平(均P<0.05),而AMC、TSF、血Alb、TRF、IgM、IgG、IgA、CD3^(+)T淋巴细胞、CD4^(+)T淋巴细胞水平明显高于同期对照组水平(均P<0.05)。结论基于PG-SGA的全程个体化营养支持能有效改善晚期胃癌化疗患者的营养状况与免疫功能,提高生活质量。