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提高癌症患者化疗后胃肠道症状缓解程度:全程无缝隙饮食护理的效果及影响疗效的因素分析

Enhancing gastrointestinal symptom alleviation in cancer patients after chemotherapy: the effect of whole-course seamless diet nursing and analysis of factors affecting efficacy.

作者信息

Du Min, Chen Fang, Yang Fang

机构信息

Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine Hangzhou 310012, Zhejiang, China.

General Surgery Department, Alar Hospital of The First Division of Xinjiang Construction Corps Alar 843300, Xinjiang, China.

出版信息

Am J Cancer Res. 2023 Aug 15;13(8):3822-3831. eCollection 2023.

PMID:37693141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10492118/
Abstract

This study aimed to evaluate the effects of whole-course seamless diet nursing in the oncology department on alleviating gastrointestinal symptoms in cancer patients after chemotherapy and identify factors influencing its efficacy. Retrospective analysis was conducted on data from 114 cancer patients treated at Sir Run Run Shaw Hospital. Among them, 51 patients who received conventional nursing were assigned to the control group, while 63 patients who received whole-course seamless diet nursing were assigned to the observation group. The observation group showed a significantly higher total response rate in alleviating gastrointestinal symptoms compared to the control group. After nursing, the observation group exhibited improvements in physical function, psychological function, social function, and material life state, along with lower anxiety and depression levels. Logistic regression analysis revealed age, chemotherapy cycle, and nursing scheme as independent risk factors affecting efficacy. The study concluded that whole-course seamless diet nursing in the oncology department effectively alleviates gastrointestinal symptoms, enhances nursing outcomes, and improves patients' quality of life, suggesting its potential for clinical promotion and application.

摘要

本研究旨在评估肿瘤内科全程无缝饮食护理对缓解癌症患者化疗后胃肠道症状的效果,并确定影响其疗效的因素。对在邵逸夫医院接受治疗的114例癌症患者的数据进行回顾性分析。其中,51例接受常规护理的患者被分配到对照组,63例接受全程无缝饮食护理的患者被分配到观察组。与对照组相比,观察组在缓解胃肠道症状方面的总有效率显著更高。护理后,观察组在身体功能、心理功能、社会功能和物质生活状态方面均有改善,焦虑和抑郁水平较低。Logistic回归分析显示年龄、化疗周期和护理方案是影响疗效的独立危险因素。研究得出结论,肿瘤内科全程无缝饮食护理能有效缓解胃肠道症状,提高护理效果,改善患者生活质量,具有临床推广应用潜力。

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本文引用的文献

1
Gastrointestinal Microbiota and Breast Cancer Chemotherapy Interactions: A Systematic Review.胃肠道微生物群与乳腺癌化疗的相互作用:一项系统综述
Cureus. 2022 Nov 18;14(11):e31648. doi: 10.7759/cureus.31648. eCollection 2022 Nov.
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Ethical conflict in nursing: A concept analysis.护理伦理冲突:概念分析。
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Clinical outcomes of atezolizumab in combination with etoposide/platinum for treatment of extensive-stage small-cell lung cancer: A real-world, multicenter, retrospective, controlled study in China.阿替利珠单抗联合依托泊苷/铂类治疗广泛期小细胞肺癌的临床结局:一项中国的真实世界、多中心、回顾性对照研究。
Chin J Cancer Res. 2022 Aug 30;34(4):353-364. doi: 10.21147/j.issn.1000-9604.2022.04.04.
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Treatment of Breast Cancer in Young Adults.青年乳腺癌的治疗。
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Lancet Oncol. 2022 Jun;23(6):739-747. doi: 10.1016/S1470-2045(22)00224-8. Epub 2022 May 13.
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[A Case of Complete Response to Chemotherapy and Radical Resection of Unresectable Advanced Gastric Cancer].[一例不可切除的晚期胃癌经化疗及根治性切除后完全缓解的病例]
Gan To Kagaku Ryoho. 2022 Mar;49(3):333-335.
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Application Effect of Whole-Process Seamless Nursing Model Based on Smart Healthcare Mode in Perioperative Period of Patients Undergoing Hematoma Removal.基于智慧医疗模式的全程无缝护理模式在血肿清除术患者围手术期的应用效果。
J Healthc Eng. 2022 Feb 23;2022:1323678. doi: 10.1155/2022/1323678. eCollection 2022.
8
Managing Resistance to Immune Checkpoint Inhibitors in Lung Cancer: Treatment and Novel Strategies.肺癌中免疫检查点抑制剂耐药的管理:治疗方法与新策略
J Clin Oncol. 2022 Feb 20;40(6):598-610. doi: 10.1200/JCO.21.01845. Epub 2022 Jan 5.
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Am J Med Sci. 2022 Apr;363(4):342-350. doi: 10.1016/j.amjms.2021.09.015. Epub 2021 Dec 24.
10
Effects of comprehensive nursing intervention combined with respiratory functional exercises on pulmonary function and self-care ability in patients with pulmonary tuberculosis: results of a randomized trial.综合护理干预联合呼吸功能锻炼对肺结核患者肺功能及自我护理能力的影响:一项随机试验的结果。
Ann Palliat Med. 2021 Jul;10(7):7543-7550. doi: 10.21037/apm-21-1178.