胃癌根治术后患者化疗期营养风险的动态评估及饮食指导启示

发布时间：2017-12-28 01:09

本文关键词：胃癌根治术后患者化疗期营养风险的动态评估及饮食指导启示　出处：《世界华人消化杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的调查胃癌根治术后患者化疗期的营养状况,为患者提供及时有效的饮食指导提供依据.方法选取从2014-09/2016-03在郑州大学第一附属医院胃肠外科行胃癌根治性切除术后接受完整化疗的患者,每次化疗入院后48 h内进行营养状况相关评估,填写患者主观整体营养状况评量表,化疗结束后填写胃癌患者化疗不良反应调查问卷,对化疗期患者化疗初期、化疗中期、化疗结束时进行动态营养评估.结果患者化疗前期、中期、后期的营养不良发生率分别为56.3%、66.02%、73.79%,不同阶段的营养状况差异有统计学意义(P0.05);食欲减退是发生率最高的化疗不良反应,化疗前期、中期、后期的发生率分别为:34.95%、56.31%、75.73%;患者获取饮食知识的途径主要为医护人员,化疗前期、中期、后期的所占比例分别为:92.23%、79.61%、75.73%.结论胃癌根治术后患者随着化疗进行营养状况越来越差,建议医护人员针对患者的营养状况及时给予饮食指导,改善患者的营养状况提高疾病预后.
[Abstract]:Investigation of the nutritional status of the patients during chemotherapy after radical resection of gastric cancer, to provide timely and effective diet guidance for patients to provide the basis. Methods from 2014-09/2016-03 in the First Affiliated Hospital of Zhengzhou University Department of gastrointestinal surgery for gastric cancer after radical resection received chemotherapy, to assess the nutritional status of each chemotherapy within 48 h after admission, fill in nutritional status the overall subjective rating scale for patients after chemotherapy, chemotherapy in patients with gastric cancer in the adverse reaction of chemotherapy in patients with questionnaire, chemotherapy and chemotherapy, chemotherapy early mid end dynamic nutrition assessment. The results of chemotherapy in patients with early, middle and late malnutrition rate were 56.3%, 66.02%, 73.79%, there was statistical significance of nutritional status the differences at different stages (P0.05); anorexia is the highest incidence of adverse reaction of chemotherapy, chemotherapy early, middle and late The incidence rate was 34.95%, 56.31%, 75.73%; the main way the patients obtain dietary knowledge for the medical staff, chemotherapy early, middle and late proportion were 92.23%, 79.61% and 75.73%. conclusion in patients after radical gastrectomy with chemotherapy the nutritional condition is getting worse, the medical staff for advice the nutritional status of patients in a timely manner given the diet guidance, improve the nutritional status of the patients to improve the prognosis of the disease.
【作者单位】：郑州大学第一附属医院护理部;郑州大学第一附属医院胃肠外科;
【基金】：河南省高校重点科研基金资助项目,No.15A320026~~
【分类号】：R473.73
【正文快照】： ■背景资料胃癌的治疗,倡导以手术为主、围手术期辅助放化疗为重要组成部分的综合治疗.肿瘤患者的营养状况也是导致患者死亡的主要原因之一.有文献报道,大约有1/4的肿瘤患者的不是由于肿瘤本身而是营养状况较差导致的死亡.早期评估患者的营养状况,已经越来越受到肿瘤领域学者

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