CAJ | 학술논문

目的：探讨大肠癌术后患者癌因性疲乏（cancer－related fatigue，CRF）与营养风险状况及其相关性。方法采用方便抽样法，选择159例大肠癌术后患者，采取癌症疲乏量表（cancer fatigue scale， CFS）及患者自评主观－全面评价法（patient－generated subjective global assessment， PG－SGA）进行问卷调查。了解术后7 d患者CRF与营养风险状况及其相关性。结果患者术后CFS总分为（21．28±6．06）分，各维度疲乏发生率从高至低依次为：躯体疲乏、认知疲乏、情感疲乏；患者术后PG－SGA总分为（15．18±5．55）分，94．34％患者需要营养干预或改善症状治疗；患者GFS总分及躯体疲乏维度得分与PG－SGA得分呈正相关（均P＜0．05）。结论大肠癌术后患者普遍存在CRF与营养风险，营养风险与躯体性疲乏水平呈正相关，术后应及时纠正患者营养不良情况，从而减少患者疲乏症状。
목적：탐토대장암술후환자암인성피핍（cancer－related fatigue，CRF）여영양풍험상황급기상관성。방법채용방편추양법，선택159례대장암술후환자，채취암증피핍량표（cancer fatigue scale， CFS）급환자자평주관－전면평개법（patient－generated subjective global assessment， PG－SGA）진행문권조사。료해술후7 d환자CRF여영양풍험상황급기상관성。결과환자술후CFS총분위（21．28±6．06）분，각유도피핍발생솔종고지저의차위：구체피핍、인지피핍、정감피핍；환자술후PG－SGA총분위（15．18±5．55）분，94．34％환자수요영양간예혹개선증상치료；환자GFS총분급구체피핍유도득분여PG－SGA득분정정상관（균P＜0．05）。결론대장암술후환자보편존재CRF여영양풍험，영양풍험여구체성피핍수평정정상관，술후응급시규정환자영양불량정황，종이감소환자피핍증상。
Objective To explore the relationship between postoperative cancer-related fatigue and nutritional risk in patients with colorectal cancer. Method Using convenience sampling method, 159 postoperative colorectal cancer patients were interviewed with cancer-related fatigue scale and PG-SGA 7 days after operation. Results The average score of CRF was (21.28 ± 6.06). The score by PG-SGA was (15.18 ± 5.55). About 94.34%patients were in need of nutritional intervention. The postoperative cancer-related fatigue was positively related to PG-SGA scores(all P<0.05). Conclusions The postoperative colorectal cancer patients are at a high risk of malnutrition, with nutrition risk positively related with somatic cancer-related fatigue. The clinical nursing staff should pay attention to the nutritional status of patients and correct their malnutrition so as to reduce the symptoms of cancer-related fatigue.