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Practice of follow-up nutrition nursing program in patients with non-small cell lung cancer undergoing chemotherapy |
BAI Lina TAO Zhenwen AN Runhua WANG Guochao GUO Wenjuan |
Ward One, Department of Thoracic Radiotherapy, Shanxi Province Cancer Hospital Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences Cancer Hospital Affiliated to Shanxi Medical University, Shanxi Province, Taiyuan 030013, China |
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Abstract Objective To analyze the practice of follow-up nutrition nursing program in patients with non-small cell lung cancer (NSCLC) after chemotherapy. Methods A total of 150 patients with NSCLC during chemotherapy treated in Shanxi Provincial Cancer Hospital from March 2019 to February 2021 were selected. According to the random number table method, they were divided into control group and observation group, with 75 cases in each group. The control group implemented the routine diet nursing scheme, and the observation group implemented the follow-up nutrition nursing scheme, the nutritional indexes (total protein [TP], albumin [Alb], hemoglobin [Hb]) and anthropometric indexes (body mass index [BMI], middle arm muscle circumference [MAMC], and triceps brachii thickness skin fold [TSF]) were compared between the two groups before and after 12 weeks of nursing, and the degree of adverse reactions to chemotherapy of patients was counted. Results After 12 weeks of nursing, TP, Alb, and Hb in both groups were lower than those before nursing, but the observation group was higher than the control group (P < 0.05); after 12 weeks of nursing, the BMI, MAMC, and TSF of the control group were lower than those before nursing (P < 0.05), there were no significant differences in BMI, MAMC, and TSF between the observation group and the observation group before nursing for 12 weeks (P > 0.05), and the BMI, MAMC and TSF of the observation group were higher than those of the control group (P < 0.05); the adverse reactions of appetite loss, vomiting, and diarrhea in the observation group were lower than those in the control group (P < 0.05). Conclusion The follow-up nutrition nursing scheme can significantly improve the nutritional status of NSCLC patients during chemotherapy and reduce the their adverse reactions of chemotherapy.
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[1] 董琪,李金花,丁清清.患者参与式饮食干预对老年肺癌化疗患者营养状态和疲乏的改善效果[J].河北医药,2021, 43(17):2598-2601.
[2] 姚岚,包中会,蒋义,等.早期营养及心理干预联合同步放化疗治疗局部晚期非小细胞肺癌的临床研究[J].检验医学与临床,2021,18(14):2075-2078.
[3] 李豆敏,谢静.追踪营养护理方案在食管癌术后放疗患者中的应用研究[J].中国肿瘤临床与康复,2020,27(9):1124-1128.
[4] 黄晓英,彭孔梅.追踪护理模式对老年股骨粗隆间骨折患者术后营养状况的改善作用[J].护士进修杂志,2020, 35(7):644-647.
[5] 中华医学会,中华医学会肿瘤学分会,中华医学会杂志社.中华医学会肺癌临床诊疗指南(2018版)[J].中华肿瘤杂志,2018,40(12):935-964.
[6] 姜文奇,张晓实,朱孝峰,等.肿瘤生物治疗学[M].广州:广东科学技术出版社,2005:843-847.
[7] 毛玲红,陈姬雅,高娅芬.肺癌患者化疗期间营养不良风险及影响因素研究[J].中华现代护理杂志,2019,25(15):1933-1937.
[8] 朱艳,王瑞凯,李阿敏,等.培美曲塞联合顺铂治疗晚期非小细胞肺癌患者对CEA等标志物表达的影响[J].疑难病杂志,2021,20(10):982-986.
[9] 赵新,韩鲁军,张淼,等.图像引导放疗对支气管阻塞性非小细胞肺癌患者疾病控制的作用[J].疑难病杂志,2021, 20(6):574-578.
[10] 随意,邢凤梅,朱亮,等.中晚期肺癌化疗患者营养状况及影响因素研究[J].护理管理杂志,2018,18(11):799- 803.
[11] 宋春洋,祝淑钗,高丝娜,等.老年营养风险指数与接受根治性放化疗的老年食管癌患者的预后关系研究[J].中华放射医学与防护杂志,2020,40(12):926-931.
[12] 张海霖,张含凤,江格非,等.全程营养管理对食管癌同步放化疗患者肠内营养干预的效果分析[J].重庆医学,2019,48(9):1594-1596.
[13] 宗晓梅,蓝家荣.精细营养护理在首次化疗胃癌患者中的应用研究[J].护理管理杂志,2021,21(1):50-53.
[14] 林贵山,骆华春.动态观察预后营养指数对局部进展期食管鳞癌放化疗患者预后评估的价值[J].临床肿瘤学杂志,2019,24(1):38-43.
[15] 王艳,胡娟,邹宗颖,等.追踪方法学在神经外科肠内营养相关性腹泻护理中的应用[J].护理学杂志,2019,34(21):83-85,95.
[16] 李艾虹,吴爵,张春燕,等.综合护理干预对炎症性肠病患者营养状况和生活质量的影响[J].中国医药导报,2017, 14(14):131-134.
[17] 王噹噹.个体化肠内营养护理对口腔癌术后合并高血糖患者的干预效果观察[J].检验医学与临床,2019,16(24):3702-3704.
[18] 王凤,杨红生,王沈玲.延续性护理用于食管狭窄术后对营养状态的影响[J].现代消化及介入诊疗,2018,23(2):269-272.
[19] 白献红,买轩,舒晓,等.追踪护理模式对异基因造血干细胞移植患者营养状况的影响[J].中国实用护理杂志,2017,33(31):2444-2447.
[20] 宁洁,舒玉珍,林爱珍,等.结直肠癌手术患者基于预后营养指数评估的营养护理[J].护理学杂志,2021,36(23):93-95.
[21] 李佳,魏善斋,孙杰,等.血液透析患者血清klotho蛋白水平与营养状况的关系[J].中国医药导报,2019,16(34):96-99.
[22] 卞凌云,徐亚光,李杰云.追踪护理模式在血液透析病人营养状态全程管理中的应用[J].护理研究,2016,30(5):581-582.
[23] 卢少萍,徐永能,任晓晓,等.延续性营养护理服务对改善老年卧床患者营养状况的效果[J].中国护理管理,2018, 18(12):1678-1681.
[24] 赵越,钟萍,贾承玲.追踪方法学用于老年患者经鼻空肠营养支持护理流程优化的实践[J].护理学杂志,2017, 32(18):73-75,79.
[25] 蒋洁,徐洪燕.营养护理干预在妊娠期糖尿病患者中的应用效果[J].临床与病理杂志,2020,40(11):2950-2955.
[26] 马艳会,白献红,范雪莉,等.追踪护理模式对食管癌放疗患者营养状况的影响[J].中华现代护理杂志,2017, 23(4):493-496. |
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