河北医科大学学报 ›› 2022, Vol. 43 ›› Issue (4): 439-443.doi: 10.3969/j.issn.1007-3205.2022.04.014

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饮食日记管理对老年食管癌术后出院患者营养状况的影响

  

  1. 河北医科大学第四医院护理部,河北 石家庄 050011
  • 出版日期:2022-04-25 发布日期:2022-04-30
  • 作者简介:薛珊(1996-),女,河北邢台人,河北医科大学第四医院护师,护理学硕士,从事老年护理、肿瘤护理研究。
  • 基金资助:
    河北省重点科技研究计划(ZD 20140253)

Effects of diary for diet management on nutritional status of discharged elderly patients after surgery for esophageal cancer

  1. Department of Nursing, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
  • Online:2022-04-25 Published:2022-04-30

摘要:

目的  探讨饮食日记管理方案对改善老年食管癌术后出院患者营养状况的实际效果。

方法  选取我院收治的首次接受手术治疗的老年食管癌患者100例为研究对象,其中2019210月的50例患者作为对照组,201911月—202010月的50例患者作为试验组。对照组接受常规营养管理,试验组在此基础上接受饮食日记管理方案。比较两组出院后1个月时的体重变化、体重指数变化和血清白蛋白、前白蛋白、血红蛋白水平及营养风险发生率。

结果  干预1个月后,试验组体重和体重指数的下降程度均低于对照组(P0.05);试验组血清白蛋白、血清前白蛋白水平均高于对照组(P0.05);两组血红蛋白水平比较差异无统计学意义(P0.05);试验组营养风险发生率低于对照组(P0.05)。

结论  将饮食日记管理方案应用于老年食管癌术后出院的患者,可在一定程度上改善患者营养状况,使患者获益。

关键词: 食管肿瘤, 营养状况, 饮食日记, 老年患者

Abstract:

Objective  To explore the actual effect of diary for diet management program on improving the nutritional status of discharged elderly patients after surgery for esophageal cancer.

Methods  A total of 100 elderly patients with esophageal cancer who underwent surgery for the first time were selected as the research subjects. Among them, 50 patients treated from February 2019 to October 2019 served as the control group, and 50 patients treated from November 2019 to October 2020 served as the experimental group. The patients in the control group received routine nutrition management and the patients in the experimental group were given diary for diet management program on this basis. The changes in body weight and body mass index(BMI), serum albumin(ALB), prealbumin(PAB), hemoglobin(Hb), and incidence of nutritional risk of the two groups were observed and analyzed at one month after intervention.

Results  At one month after intervention, the body weight and BMI of the experimental group were significantly lower than those of the control group(P0.05). The levels of ALB and PAB in the experimental group were significantly higher than those in the control group(P0.05). There was no significant difference in Hb between two groups(P0.05). The incidence of nutritional risk in experimental group was lower than that in control group(P0.05).

Conclusion  Applying the diary for diet management program to discharged elderly patients after surgery for esophageal cancer can improve the nutritional status of patients to a certain extent and benefit patients.

Key words: esophageal neoplasms, nutritional status, diary for diet, elderly patients