CAJ | 학술논문

目的探讨喉癌患者术后焦虑情绪与营养状况的关系.方法采用焦虑自评量表(SAS)在术后24 ～48 h内对150例喉切除术患者进行焦虑的调查分析,筛选出参与研究的焦虑患者78例,根据焦虑程度分为轻度、中度、重度3个组.分别对3组患者于术前1d、术后10 d应用营养风险筛查2002(NRS2002)进行营养指标的测量,同时测量淋巴细胞计数及伤口拆线时间、拔除胃管时间、术后住院时间(指自手术结束至术后伤口愈合出院时间)的比较.结果 3组患者术后10 d的营养和免疫指标中身体质量指数(BMI)、血清白蛋白(ALB)、淋巴细胞计数比较差异均有统计学意义(F分别为58.540,88.062,61.581；P＜0.01)；伤口拆线时间、拔除胃管时间、住院时间比较差异有统计学意义(F分别为113.31,23.77,37.10;P＜0.01)；焦虑程度越高的患者其术后营养状况越差,手术预后越差.结论喉癌患者术后焦虑程度与营养状况关系密切,焦虑程度越高其术后营养状况越差,伤口愈合越差,住院时间延长,降低喉癌患者术后的焦虑程度可以提高患者的营养状况,做好喉癌患者的心理干预可以提高患者的预后.
목적 탐토후암환자술후초필정서여영양상황적관계.방법 채용초필자평량표(SAS)재술후24 ～48 h내대150례후절제술환자진행초필적조사분석,사선출삼여연구적초필환자78례,근거초필정도분위경도、중도、중도3개조.분별대3조환자우술전1d、술후10 d응용영양풍험사사2002(NRS2002)진행영양지표적측량,동시측량림파세포계수급상구탁선시간、발제위관시간、술후주원시간(지자수술결속지술후상구유합출원시간)적비교.결과 3조환자술후10 d적영양화면역지표중신체질량지수(BMI)、혈청백단백(ALB)、림파세포계수비교차이균유통계학의의(F분별위58.540,88.062,61.581；P＜0.01)；상구탁선시간、발제위관시간、주원시간비교차이유통계학의의(F분별위113.31,23.77,37.10;P＜0.01)；초필정도월고적환자기술후영양상황월차,수술예후월차.결론 후암환자술후초필정도여영양상황관계밀절,초필정도월고기술후영양상황월차,상구유합월차,주원시간연장,강저후암환자술후적초필정도가이제고환자적영양상황,주호후암환자적심리간예가이제고환자적예후.
Objective To discuss the relationship between anxiety and nutriture of postoperative patients with laryngeal carcinoma.Methods SAS was used to investigate and analyze 150 patients 24-48 hours after laryngectomy of their anxiety,and 78 cases were chosen for further study and divided into the mile group,moderate group and severe group according to their anxiety degree.NRS2002 was used to evaluate their nutriture a day before and 10 days after operation,and lymphocyte count,stitches removal time,extubation time and hospitalization time after surgery were compared.Results There were statistically significant differences of BMI,ALB,lymphocyte count 10 days after surgery,stitches removal time,extubation time and hospitalization time after surgery among three groups (F =58.540,88.062,61.581,113.31,23.77,37.10,respectively; P ＜ 0.01).Patients with higher degree of anxiety had worse nutriture and worse prognosis.Conclusions There is close relationship between anxiety and nutriture in postoperative patient with laryngeal carcinoma.Patients with higher level of anxiety had worse nutriture,worse wound healing and longer hospitalization time,alleviating their anxiety can help improve their nutriture,and psychological intervention can improve their prognosis.