时间营养学视角下食管癌放疗病人昼夜节律饮食护理方案设计与应用OA
Design and application of circadian diet nursing scheme for patients with esophageal cancer radiotherapy from the perspective of temporal nutrition
目的:在时间营养视角下,基于昼夜节律设计一套食管癌放疗病人饮食护理方案,探讨其应用效果.方法:选取2023年1月-2024年12月在徐州市中心医院接受放射治疗的食管癌病人为研究对象,共纳入符合标准的150例病人.通过随机数字表法将研究对象分为对照组与观察组各75例.对照组在常规护理的基础上予以常规饮食护理;观察组在对照组的基础上予以时间营养学视角下食管癌放疗病人昼夜节律饮食护理方案干预,观察1个月.比较两组干预前后生活质量、营养指标及不良反应发生情况.结果:干预后,两组EORTC癌症病人生命质量测定量表(EORTC QLQ-C30)维度1评分均降低,观察组低于对照组,维度2评分均升高,观察组高于对照组(P<0.05).干预后,两组体质指数(BMI)、转铁蛋白(TRF)、白蛋白(ALB)、血清总蛋白(TP)水平均升高,且观察组均高于对照组(P<0.05).观察组骨髓抑制、放射性食管炎、放射性皮炎、消化道反应等不良反应的发生率均低于对照组,差异有统计学意义(P<0.05).结论:时间营养学视角下食管癌放疗病人昼夜节律饮食护理可有效改善食管癌放疗病人的生活质量及营养状况,并降低相关不良反应发生率,对于食管癌病人具有良好的实用性.
Objective:To design a set of dietary nursing plan for patients with esophageal cancer radiotherapy based on circadian rhythm from the perspective of temporal nutrition,and to explore its application effect.Methods:A total of 150 patients with esophageal cancer who received radiotherapy in Xuzhou Central Hospital from January 2023 to December 2024 were included in the study.The subjects were equally divided into the control group(n=75)and the observation group(n=75)by the random number table method.The patients in control group received routine diet nursing on the basis of routine nursing.On the basis of the diet nursing in control group,the patients in observation group received the circadian diet nursing program for patients with esophageal cancer radiotherapy from the perspective of chrononutrition,with observation for 1 month.The quality of life(QOL),nutritional indexes,and adverse reactions were compared between the two groups before and after intervention.Results:After the intervention,the score of the dimension 1 in the EORTC Quality of Life Questionnaire-Core 30(EORTC QLQ-C30)decreased in both groups,was lower in the observation group than that in the control group;the dimension 2 score increased,was higher in the observation group than that in the control group(P<0.05).After intervention,the levels of body mass index(BMI),transferrin(TRF),albumin(ALB),and serum total protein(TP)in both groups increased,and was higher in the observation group than those in the control group(P<0.05).The incidence of myelosuppression,radiation esophagitis,radiation dermatitis,and digestive tract reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:From the perspective of chrononutrition,circadian diet nursing could effectively improve the QOL and nutritional status of patients undergoing esophageal cancer radiotherapy and reduce the incidence of related adverse reactions,demonstrating good practicability for patients with esophageal cancer.
倪春湘;孙媛媛;吴承骏;郭慧;宋平;徐颖;独琳琳
221009,徐州市中心医院221009,徐州市中心医院221009,徐州市中心医院221009,徐州市中心医院221009,徐州市中心医院221009,徐州市中心医院221009,徐州市中心医院
时间营养学食管癌放疗昼夜节律饮食护理
chrononutritionesophageal cancerradiotherapycircadian rhythmdiet nursing
《全科护理》 2026 (7)
1229-1233,5
徐州市卫生健康委医学科技创新项目,编号:XWKYHT20240040.
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