CAJ | 학술논문

[目的]探讨综合营养干预对消化道肿瘤病人化疗不同时间点的营养状况和生存质量的影响，为临床护理改善其营养状况、提高其生存质量提供实践依据。[方法]采用便利抽样法选取符合入选标准病人84例，用随机数字法分为对照组和干预组，每组42例，对照组实施肿瘤化疗护理常规，干预组在此基础上实施综合营养干预措施。分别在化疗不同时间点(化疗前、化疗中、化疗后)用主观全面营养状态评价量表和癌症病人生存质量评价量表第3版中文版对病人营养状况和生存质量的变化进行调查，分析综合营养干预的效果。[结果]随着化疗的进行，干预组营养状况和生存质量显著优于对照组，差异有统计学意义(P<0.05)；经重复测量方差分析，不同时间及组间评分比较，差异有统计学意义(P<0.05)。[结论]消化道肿瘤病人化疗期间在常规肿瘤化疗护理基础上实施有效的综合营养干预，可以改善病人营养状况，提高病人的生存质量。
[목적]탐토종합영양간예대소화도종류병인화료불동시간점적영양상황화생존질량적영향，위림상호리개선기영양상황、제고기생존질량제공실천의거。[방법]채용편리추양법선취부합입선표준병인84례，용수궤수자법분위대조조화간예조，매조42례，대조조실시종류화료호리상규，간예조재차기출상실시종합영양간예조시。분별재화료불동시간점(화료전、화료중、화료후)용주관전면영양상태평개량표화암증병인생존질량평개량표제3판중문판대병인영양상황화생존질량적변화진행조사，분석종합영양간예적효과。[결과]수착화료적진행，간예조영양상황화생존질량현저우우대조조，차이유통계학의의(P<0.05)；경중복측량방차분석，불동시간급조간평분비교，차이유통계학의의(P<0.05)。[결론]소화도종류병인화료기간재상규종류화료호리기출상실시유효적종합영양간예，가이개선병인영양상황，제고병인적생존질량。
Objective:Toprobeintotheinfluenceofcomprehensivenutri-tion intervention on quality of life and nutritional status of patients with gastrointestinal tumor receiving chemotherapy at different time points,so as to provide a practical basis for clinical care workers to improve the pa-tients′nutritional status and their quality of life.Methods:The convenience sampling method was used to select 84 cases of patients who met the inclu-sion criteria,and they were randomly divided into control group and experi-mental group by using random number method,42 cases in each;patients in control group implemented nursing routine of tumor chemotherapy,pa-tients in experimental group received comprehensive nutrition interventions on this basis.The nutritional status and their quality of life were surveyed by using SGA and EORTC QLQ C30(version3.0)at chemotherapy differ-ent time points (before chemotherapy,during and after chemotherapy), then to analyze the effect of comprehensive nutrition interventions.Re-sults:During chemotherapy,the nutritional status and quality of life in in-tervention group were significantly better than that in control group,and the difference was statistically significant (P<0.05 ).After repetitive measurement and analysis of variance,the difference was statistically sig-nificant between different times and groups (P<0.05 ).Conclusion:The comprehensive nutrition interventions on the basis of chemotherapy routine care can improve the nutritional status and quality of life of patients with gastrointestinal tumor chemotherapy.