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分析术后集束护理对原发性喉癌患者术后并发症发生率及营养指标的影响。

Analysis of the effects of postoperative cluster nursing care on the incidence rate of postoperative complications and nutritional indicators in patients with primary laryngeal cancer.

作者信息

Wang Ce, Bao Wen-Juan, Chen Yun, Li Yong, Wu Mo-Li, Wang Kun

机构信息

Department of Otolaryngology, Hebei General Hospital, No. 348, Heping West Road, Xinhua District, Shijiazhuang, 050000, Hebei, China.

Department of Otolaryngology Head and Neck Surgery, Shijiazhuang People's Hospital, Shijiazhuang, 050000, Hebei, China.

出版信息

Clin Transl Oncol. 2025 Mar;27(3):1334-1339. doi: 10.1007/s12094-024-03673-4. Epub 2024 Aug 26.

Abstract

OBJECTIVE

In this study, we investigated the effects of cluster nursing care on postoperative infection risk and nutritional indicators in patients with primary laryngeal cancer.

METHODS

This study comprised 50 patients with primary laryngeal cancer diagnosed between March 2020 and December 2022. They were randomly divided into the test and control groups, with each group comprising 25 patients. The test group received cluster nursing care, while the control group received standard nursing care. Indicators for quantitative scoring, such as Patient Generated Subjective Global Assessment (PG-SGA), Zubrod Performance Status (ZPS), Karnofsky score, and Nutrition Risk Screening 2002 (NRS-2002), measurement indicators such as body mass index (BMI), body mass, hip circumference, calf circumference, grip strength, weight loss, and laboratory indicators, such as hemoglobin, albumin, and transaminase levels, were used to analyze change.

RESULTS

Improvements were observed in the scores of PG-SGA, ZPS, and NRS-2002 in the test group following the implementation of nursing care for the test and control groups for 1 week, which were statistically significantly different from those at baseline (P < 0.05), and compared to the control group (P < 0.05). No statistically significant differences were observed in other indicators (P > 0.05). There was a statistically significant difference (P < 0.05) between the incidence rate of infections and complications in the test and control groups, which were 20.00% and 48.00%.

CONCLUSION

The postoperative nutritional status of patients with primary laryngeal cancer improved in phases through specialized nursing care. It is also a factor closely related to postoperative complications.

摘要

目的

本研究旨在探讨集束化护理对原发性喉癌患者术后感染风险及营养指标的影响。

方法

本研究纳入了2020年3月至2022年12月期间确诊的50例原发性喉癌患者。他们被随机分为试验组和对照组,每组25例。试验组接受集束化护理,而对照组接受标准护理。采用患者主观整体评定法(PG-SGA)、Zubrod体能状态评分(ZPS)、卡氏评分、营养风险筛查2002(NRS-2002)等定量评分指标,体重指数(BMI)、体重、臀围、小腿围、握力、体重减轻等测量指标,以及血红蛋白、白蛋白、转氨酶水平等实验室指标来分析变化情况。

结果

试验组和对照组实施护理1周后,试验组PG-SGA、ZPS和NRS-2002评分均有所改善,与基线时相比差异有统计学意义(P<0.05),与对照组相比差异也有统计学意义(P<0.05)。其他指标差异无统计学意义(P>0.05)。试验组和对照组的感染及并发症发生率分别为20.00%和48.00%,差异有统计学意义(P<0.05)。

结论

原发性喉癌患者术后营养状况通过专科护理得到阶段性改善。这也是与术后并发症密切相关的一个因素。

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