[1]程飞儿,卜黎静,张议丹,等.食管癌术后居家病人营养现状及影响因素分析[J].肠外与肠内营养杂志,2024,(05):300-305311.[doi:DOI : 10.16151/j.1007-810x.2024.05.008]
　CHENG Fei-er,BU Li-jing,ZHANG Yi-dan,et al.Analysis of nutritional status and influencing factors in esophagealcancer patients for home-based care after surgery[J].PARENTERAL & ENTERAL NUTRITION,2024,(05):300-305311.[doi:DOI : 10.16151/j.1007-810x.2024.05.008]
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食管癌术后居家病人营养现状及影响因素分析()
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2024年05期
页码:
300-305311
栏目:
论著
出版日期:
2024-10-10

文章信息/Info

Title:
Analysis of nutritional status and influencing factors in esophagealcancer patients for home-based care after surgery
作者:
程飞儿1; 2; 卜黎静1; 2; 张议丹1; 2; 张爱琴1; 2
1. 南京大学医学院，江苏南京 210093；2. 南京大学医学院附属金陵医院，江苏南京 210002
Author(s):
CHENG Fei-er1; 2;  BU Li-jing1; 2;  ZHANG Yi-dan1; 2;  ZHANG Ai-qin1; 2
1.Medical School of Nanjing University, Nanjing 210093, Jiangsu, China；2.Nanjing Jinling Hospital,Affiliated Hospital of Medical School, Nanjing University, Nanjing 210002, Jiangsu, China
关键词:
食管癌术后 ; 消化道肿瘤 ; 营养不良 ; 影响因素
Keywords:
Postoperative esophageal cancer;  Tumors of the digestive tract;  Malnutrition;  Influencing factors
分类号:
R459.3
DOI:
DOI : 10.16151/j.1007-810x.2024.05.008
文献标志码:
A
摘要:
目的：探究食管癌术后居家病人营养现状并分析其影响因素。 方法：选取 2022 年 7 月至 2023 年 10月就诊于东部战区总医院心胸外科并行手术治疗的 153 例食管癌病人，使用 PG-SGA 量表评估术后 1 月居家病人的营养状况，并分析其营养状况的影响因素。 结果：本研究纳入的 153 例病人中，营养良好病人 47 例，营养不良病人 106 例，其中可疑或中度营养不良病人 71 例，重度营养不良病人 35 例，总体营养不良发生率为 69.3%。二元Logistic 回归分析结果显示，血红蛋白、白蛋白水平、营养途径、营养影响症状（NIS）、口服营养补充剂（ONS）及营养行为是病人营养状况的独立影响因素（P < 0.05）。其中，NIS ≥ 2 个是病人发生营养不良的危险因素；血红蛋白、白蛋白水平正常、管饲营养、使用 ONS、营养行为达标是避免营养不良发生的保护因素。 结论：食管癌术后居家病人营养不良发生率较高，导致营养不良的因素较多，临床应针对相关因素采取措施并进行早期干预。
Abstract:
Objective: To evaluate the nutritional status and its influencing factors in esophageal cancer patientsfor home-based care after surgery. Methods: A total of 153 patients with esophageal cancer who underwent surgerybetween July 2022 and October 2023 in the General Hospital of Eastern Theater Command were enrolled in this study.The nutritional status of the patients at home in 1-month post-surgery was evaluated according to the patient-generatedsubjective global assessment (PG-SGA), and the possible influencing factors were analyzed. Results: Among the 153patients, 47 were well-nourished and 106 were malnourished, with an overall malnutrition rate of 69.3%. For themalnutritional patients, 71 were suspected or moderately malnourished and 35 were severely malnourished. Thehemoglobin levels, serum albumin levels, the route for nutrition support delivery, nutrition impact symptoms (NIS), oralnutritional supplements (ONS) and nutritional behavior were independent influencing factors of nutritional status (P <0.05), in which NIS ≥ 2 was a risk factor for malnutrition in the patients. Normal hemoglobin and albumin levels, enteraltube feeding, oral nutritional supplement and achieving standard of nutritional behavior were protective factors foravoiding the presence of malnutrition. Conclusion: The esophageal cancer patients for home-based care after surgeryhave a high incidence of malnutrition. Many factors, including nutrient delivery route and nutritional behavior, wererelated to the occurrence of in the patients. Certain measures to the related factors should be taken early for preventingmalnutrition in clinical practice.

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备注/Memo

备注/Memo:
基金项目 ：国家临床护理重点专科项目（2016ZDZK001）作者简介 ：程飞儿，硕士研究生，主要从事危重症护理相关研究。E-mail：1595191586@163.com通讯作者 ：张爱琴，E-mail：aq09z@126.com
更新日期/Last Update: 1900-01-01