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结直肠癌患者营养知识知晓情况调查及营养管理的应用效果研究

Awareness of nutrition knowledge and effects of nutrition management among colorectal cancer patients
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摘要 目的调查结直肠癌患者营养知识知晓情况,探讨营养管理改善患者营养状况的效果。方法采用方便抽样的方法,选取2016年1—12月徐州市中心医院肿瘤内外科住院的80例结直肠癌患者为研究对象,应用自行设计的结直肠癌患者营养知识调查问卷对其营养知识知晓情况进行调查,分析患者营养知识知晓情况。采用随机数字表法将患者分为观察组(n=40)及对照组(n=40),对照组进行常规营养指导,观察组行全程营养管理,比较两组患者干预前后营养状况。结果结直肠癌患者营养知识知晓率为60.0%(48/80),不同年龄、学历、结直肠癌家族史、是否为首发病例及是否接受过营养宣教的患者营养知识知晓率差异有统计学意义(P<0.05)。观察组患者术后血清总蛋白、血清白蛋白、血红蛋白水平均高于对照组,NRS 2002评分低于对照组,差异均有统计学意义(P<0.05)。结论结直肠癌患者营养知识知晓率较低,通过对患者加强营养管理将有助于改善患者营养状况,降低患者营养风险。 Objective To investigate the awareness of nutrition knowledge among colorectal cancer patients and to explore the effects of nutrition management on patients' nutrition. Methods From January 2016 to December 2016, we selected 80 colorectal cancer inpatients of internal and surgical department of oncology in Xuzhou Central Hospital as subjects by convenience sampling. The self-designed nutritional knowledge questionnaire for colorectal cancer patients was used to investigate their awareness of nutrition knowledge. All of the patients were divided into observation group (n=40) and control group (n=40) with the random number table. Control group received routine nutrition guidance. Observation group carried out whole-course nutrition management. And then, the nutrition of patients in two groups was compared before and after intervention. Results The awareness rate on nutrition knowledge of colorectal cancer patients was 60.0% (48/80) . There were statistical differences in the awareness rate on nutrition knowledge among patients with different ages, education, family history of colorectal cancer, whether it was the first case and whether they received nutrition education (P<0.05) . Patients' total serum protein, serum albumin and hemoglobin of observation group were higher than those of control group;the score of nutrition risk screening-2002 (NRS 2002) of observation group was higher than that of control group;the differences were all statistical (P<0.05) . Conclusions The awareness rate on nutrition knowledge of colorectal cancer patients is low. Strengthening nutrition management for patients will contribute to improving patients' nutrition and nutrition risk.
作者 张春兰 郑文静 雷桂军 Zhang Chunlan;Zheng Wenjing;Lei Guijun(The First Department of Oncology,Xuzhou Central Hospital,Xuzhou 221009,China;The Second Department of Oncology,Xuzhou Central Hospital,Xuzhou 221009,China)
出处 《中华现代护理杂志》 2018年第34期4193-4196,共4页 Modern Nursing
关键词 结直肠肿瘤 营养知识 知晓情况 营养管理 Colorectal neoplasms Nutrition knowledge Awareness Nutrition management
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