摘要
目的:了解新疆某三级甲等肿瘤专科医院胃癌住院患者营养风险发生状况,分析其相关影响因素,并对营养干预策略进行探讨,旨在为该类人群制定个性化营养护理方案提供参考依据。方法:通过应用营养风险筛查2002(NRS-2002)这个调查工具对225例胃癌住院患者进行营养风险筛查和体质指数的测定,依据营养状况受损、疾病严重程度和年龄三个方面的内容对营养风险进行综合评定,NRS总评分≥3分判定为存在营养风险,并对影响因素进行统计分析。结果:接受此次调查的胃癌住院患者中,Ⅰ、Ⅱ期胃癌患者营养风险发生率为52.00%,Ⅲ、Ⅳ期的胃癌患者营养风险发生率为92.67%。而营养不足的发生率为25.33%。患者发生营养风险的概率与年龄、肿瘤分期及病程等因素有关。结论:对胃癌患者应该进行常规性地营养风险筛查,开展营养教育和膳食指导工作,在确切的抗肿瘤治疗过程中,重视和规范营养支持治疗,并对患者营养状况的变化趋势实施监测,呼吁尝试以医院和社区卫生服务工作站相结合的多层次多方位的服务体系,以期达到增强抗肿瘤治疗的耐受性、提高患者生活质量、改善临床结局的目的。
Objective：To understand nutrition risk situation of hospitalized patients with gastric cancer in a level 3 grade tumor specialized subject hospital of Xinjiang,analyze its related factors,and discuss the nutrition intervention strategy,aimed at establishing personalized nutrition care plan for the crowd to provide the reference basis.Method：Nutritional risk screening and body mass index determination of 225 cases of hospitalized with gastric cancer by application of nutritional risk screening 2002（NRS-2002）,the comprehensive evaluation of nutritional risk were taken based on nutritional status damage,the severity of disease and age three aspect. NRS total score greater than or equal to 3 points was determined nutritional risk,and the influence factors were analyzed.Result：In the investigation of hospitalized patients with gastric cancer,nutritional risk incidence of stage Ⅰ,Ⅱ gastric cancer patients was 52.00%,nutritional risk incidence of stage Ⅲ,Ⅳ gastric cancer patients was 92.67%.And the incidence of malnutrition was 25.33%.Patients with nutritional risk probability were related with age,tumor stage,and length of the course of the disease.Conclusion：Patients with gastric cancer should be regularly nutritional risk screening,carry out nutrition education and dietary guidance,in the process of the exact anti-tumor treatment,emphasis on nutrition support treatment and specification,and the change tendency of the nutritional status of patients to implement monitoring,called for trying to work in hospitals and community health service station look combined with multi-level all-round service system,in order to achieve enhanced tolerance of the anti-tumor treatment,improve patients’ quality of life,purpose to improve the clinical outcome.
出处
《中国医学创新》
CAS
2016年第29期80-83,共4页
Medical Innovation of China
关键词
胃癌
营养风险
营养不足
影响因素
营养干预策略
Gastric carcinoma
Nutritional risk
Nutritional insufficiency
Influencing factor
Nutrition intervention strategy
