CAJ | 학술논문

目的：探讨多时间点营养评估对恶性骨肿瘤化疗患者实行个体化宣教的效果。方法选取2012年1月—2013年12月94例恶性骨肿瘤患者作为研究对象,按住院日期先后分为观察组与对照组各47例。对照组进行常规健康教育指导,观察组采用多时点营养评估为患者提供个体化宣教。比较两组患者不同时间段血清白蛋白、肿瘤膳食知识水平及胃肠道并发症发生情况。结果观察组患者入院当天、入院1周血清蛋白水平与对照组比较,差异无统计学意义(P>0.05)；入院4周观察组血清蛋白水平为(33.41±1.31)g/L,与对照组比较差异有统计学意义(t=5.117,P<0.05)。观察组患者入院当天肿瘤膳食问卷评分与对照组比较,差异无统计学意义(P>0.05)；入院1,2周,观察组评分分别为(10.47±1.33),(9.56±1.28)分,高于对照组,差异有统计学意义(t值分别为2.935,3.297；P<0.05)。观察组腹痛、腹泻、腹胀及恶心呕吐发生率均低于对照组,差异有统计学意义(χ2值分别为6.351,4.039,4.663,4.417；P<0.05)。结论多时间点评估个体化健康宣教可以有效改善恶性骨肿瘤患者化疗治疗中的营养状况,降低胃肠道不良反应的发生率。
목적：탐토다시간점영양평고대악성골종류화료환자실행개체화선교적효과。방법선취2012년1월—2013년12월94례악성골종류환자작위연구대상,안주원일기선후분위관찰조여대조조각47례。대조조진행상규건강교육지도,관찰조채용다시점영양평고위환자제공개체화선교。비교량조환자불동시간단혈청백단백、종류선식지식수평급위장도병발증발생정황。결과관찰조환자입원당천、입원1주혈청단백수평여대조조비교,차이무통계학의의(P>0.05)；입원4주관찰조혈청단백수평위(33.41±1.31)g/L,여대조조비교차이유통계학의의(t=5.117,P<0.05)。관찰조환자입원당천종류선식문권평분여대조조비교,차이무통계학의의(P>0.05)；입원1,2주,관찰조평분분별위(10.47±1.33),(9.56±1.28)분,고우대조조,차이유통계학의의(t치분별위2.935,3.297；P<0.05)。관찰조복통、복사、복창급악심구토발생솔균저우대조조,차이유통계학의의(χ2치분별위6.351,4.039,4.663,4.417；P<0.05)。결론다시간점평고개체화건강선교가이유효개선악성골종류환자화료치료중적영양상황,강저위장도불량반응적발생솔。
Objective To explore the effect of individualized multiple-nutritional evaluation for patients with bone cancer. Methods Totals of 94 cases with bone cancer were divided into the control group and observation group(with 47 patients in each group) from January 2012 to December 2013. The control group received conventional nursing during chemotherapy, while the observation group was given individualized multiple-nutritional evaluation. The differences in serum albumin, level of dietary knowledge and the postoperative complications were compared at different periods of time. Results In the observation group, the serum albumin at admission and 1 week after admission were not significantly different (P >0. 05). After 4 weeks, the serum albumin of observation group was (33. 41 ± 1. 31) g/L, which was significantly different with the control group (t=5. 117,P<0. 05). In the observation group, the dietary knowledge at admission was not significantly different (P>0. 05). After 1 and 2 weeks, the dietary knowledge of observation group were (10.47 ±1. 33) and (9.56 ±1.28), which were significantly different with the control group (t =2. 935, 3. 297,respectively;P<0. 05). The complication of abdominal pain, diarrhea, abdominal distension and nausea and vomiting in the observation group were significantly lower than those of the control group (χ2 =6. 351, 4. 039,4. 663,4. 417,respectively;P<0. 05). Conclusions The individualized multiple-nutritional evaluation cannot only effectively improve the nutritional status of patients with bone cancer, but also reduce incidence of gastrointestinal complications.