食管癌放疗围疗期基于跨专业团队的全疗程肠内营养
Interprofessional Team-Based Whole-Course Enteral Nutrition in the Peri-Radiation Therapy Period for Esophageal Cancer.
作者信息
Shen Yuntian, Zhu Yawen, Liu Xiaoxiao, Lu Wenyi, Wang Xiaoli, Shen Xinan, Peng Qiliang, Feng Yuezhen
机构信息
Yuntian Shen.
Yawen Zhu.
出版信息
Clin J Oncol Nurs. 2025 May 19;29(3):E88-E96. doi: 10.1188/25.CJON.E88-E96.
BACKGROUND
Radiation therapy is the main treatment method for esophageal cancer, but its side effects are not ideal. The interprofessional team (IPT) management model has been widely applied in clinical practice; however, there are few reports on nurse-led IPT-based enteral nutrition intervention strategies for patients with esophageal cancer.
OBJECTIVES
A nurse-led, IPT-based, whole-course enteral nutrition intervention was investigated to determine whether it could achieve better nutritional status, quality of life, and treatment efficacy for patients with esophageal cancer.
METHODS
A total of 72 patients with esophageal cancer were randomized to control and IPT groups. Nutritional status, quality of life, and treatment efficacy were observed before and after radiation therapy.
FINDINGS
Severe malnutrition and grade 3 or higher bone marrow suppression had significantly lower incidence, and the one-year progression-free and overall survival rates of patients were significantly higher in the IPT group than the control group.
背景
放射治疗是食管癌的主要治疗方法，但其副作用并不理想。跨专业团队（IPT）管理模式已在临床实践中广泛应用；然而，关于以护士为主导的基于IPT的食管癌患者肠内营养干预策略的报道较少。
目的
研究以护士为主导的、基于IPT的全程肠内营养干预能否为食管癌患者实现更好的营养状况、生活质量和治疗效果。
方法
将72例食管癌患者随机分为对照组和IPT组。在放射治疗前后观察营养状况、生活质量和治疗效果。
结果
严重营养不良和3级或更高等级骨髓抑制的发生率显著降低，IPT组患者的一年无进展生存率和总生存率显著高于对照组。
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