早期经口进食策略对食管癌术后患者生活质量的影响。
Effect of an Early Oral Food Intake Strategy on the Quality of Life of Postoperative Patients With Esophageal Cancer.
作者信息
Yang Renmei, Yuan Wenxiu, Li Zhengfang, Yang Manrong, Jiang Yuequan
机构信息
Department of Thoracic Tumor Center, Chongqing University Cancer Hospital, Chongqing, China.
出版信息
Front Surg. 2022 Jun 16;9:872221. doi: 10.3389/fsurg.2022.872221. eCollection 2022.
OBJECTIVE
To explore the early oral food intake on the quality of life of postoperative patients with esophageal cancer.
METHODS
A total of 100 patients with esophageal cancer were randomized into an observation group and a control group, with 50 patients in each group. The patients in the control group were routinely indwelt with a gastric tube and fasted for seven days. If no abnormality was found in examinations, the patients were instructed to attempt drinking water and gradually try eating liquid, semi-liquid, and common foods. The patients in the observation group were subjected to the early oral food intake strategy. The recovery and gastrointestinal symptoms of the patients were evaluated using the six-minute walk test and gastrointestinal symptom rating scale (GSRS) at discharge. The quality of life of patients was evaluated using the QLQ-C30 scale and QLQ-OES18 scale during the return visit to the hospital one month after discharge.
RESULTS
The GSRS score of the observation group was markedly lower than that of the control group. The six-minute walk distance in the observation group was significantly higher than that in the control group; the difference was statistically significant ( < 0.01). In comparing the QLQ-C30 scores of the two groups, the scores in physical function, emotional function, and general health condition in the observation group were higher than those in the control group. In comparing the QLQ-OES18 scores of the two groups, the scores in dysphagia, eating, reflux, pain domains, and choking symptoms in the observation group were lower than those in the control group; the differences were statistically significant ( < 0.01), and there were no statistically significant differences in other symptoms and related functions between the two groups ( > 0.05).
CONCLUSION
The early oral food intake strategy can reduce gastrointestinal symptoms, promote recovery of postoperative patients with esophageal cancer, and improve quality of life.
目的
探讨早期经口进食对食管癌术后患者生活质量的影响。
方法
将100例食管癌患者随机分为观察组和对照组，每组50例。对照组患者常规留置胃管，禁食7天。若检查未发现异常，指导患者尝试饮水，并逐渐尝试进食流食、半流食和普通食物。观察组患者采用早期经口进食策略。出院时采用六分钟步行试验和胃肠道症状评定量表（GSRS）评估患者的恢复情况和胃肠道症状。出院1个月后回院复诊时，采用QLQ-C30量表和QLQ-OES18量表评估患者的生活质量。
结果
观察组的GSRS评分明显低于对照组。观察组的六分钟步行距离明显高于对照组；差异具有统计学意义（<0.01）。比较两组的QLQ-C30评分，观察组的身体功能、情感功能和总体健康状况评分高于对照组。比较两组的QLQ-OES18评分，观察组的吞咽困难、进食、反流、疼痛领域和呛咳症状评分低于对照组；差异具有统计学意义（<0.01），两组其他症状及相关功能比较差异无统计学意义（>0.05）。
结论
早期经口进食策略可减轻胃肠道症状，促进食管癌术后患者康复，提高生活质量。
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