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[个体化营养教育项目对接受姑息化疗的结直肠癌患者营养摄入水平及营养状况的影响]

[Effects of individualized nutritional education programs on the level of nutrient intake and nutritional status of colorectal cancer patients undergoing palliative chemotherapy].

作者信息

Park Kwi Ock, Choi-Kwon Smi

机构信息

Center for Cancer Education and Information, Seoul National University Hospital, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2012 Dec;42(6):799-809. doi: 10.4040/jkan.2012.42.6.799.

Abstract

PURPOSE

The purpose of this study was to examine the effects of an individualized nutritional education programs on nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.

METHODS

Forty patients with colorectal cancer (19 experimental and 21 control patients) were recruited from a chemotherapy ward at S University Hospital in Seoul, Korea. The experimental group received two individualized nutritional counseling sessions and two telephone counseling sessions over 6 weeks. The control group received nutritional counseling after completion of data collection. Nutritional education included general guidelines for food intake while receiving chemotherapy, dietary guidelines for patients with colorectal cancer, daily meal schedules to overcome cancer, and dietary guideline for each chemotherapy side effect. Data were analyzed using χ²-test and t-test with the SPSS program 17.0.

RESULTS

Two group comparison revealed that the experimental group had significantly improved calorie (p=.038) and total protein intake (p=.001), and serum albumin percentage change (p=.040). Body weight did not increase but remained the same as the baseline in both groups.

CONCLUSION

Study results indicate that this individualized nutritional education programs are effective in enhancing nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.

摘要

目的

本研究旨在探讨个体化营养教育项目对接受姑息化疗的结直肠癌患者营养摄入和营养状况的影响。

方法

从韩国首尔S大学医院的化疗病房招募了40例结直肠癌患者(19例实验组患者和21例对照组患者)。实验组在6周内接受了两次个体化营养咨询和两次电话咨询。对照组在数据收集完成后接受营养咨询。营养教育包括化疗期间食物摄入的一般指南、结直肠癌患者的饮食指南、战胜癌症的每日饮食计划以及每种化疗副作用的饮食指南。使用SPSS 17.0程序进行χ²检验和t检验来分析数据。

结果

两组比较显示,实验组的热量摄入(p = 0.038)、总蛋白摄入量(p = 0.001)和血清白蛋白百分比变化(p = 0.040)均有显著改善。两组患者体重均未增加,维持在基线水平。

结论

研究结果表明,这种个体化营养教育项目能有效提高接受姑息化疗的结直肠癌患者的营养摄入和营养状况。

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