Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy

Jiang WU; Shuifen DAI; Qin LIU; Shoutao YANG; Jiang ZHANG; Jiao YANG; Qiongyao GUAN

doi:10.12259/j.issn.2095-610X.S20230510

Volume 44 Issue 5

May 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(5): 185-190

Jiang WU, Shuifen DAI, Qin LIU, Shoutao YANG, Jiang ZHANG, Jiao YANG, Qiongyao GUAN. Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy[J]. Journal of Kunming Medical University, 2023, 44(5): 185-190. doi: 10.12259/j.issn.2095-610X.S20230510

Citation:

Jiang WU, Shuifen DAI, Qin LIU, Shoutao YANG, Jiang ZHANG, Jiao YANG, Qiongyao GUAN. Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy[J]. Journal of Kunming Medical University, 2023, 44(5): 185-190. doi: 10.12259/j.issn.2095-610X.S20230510

Citation:

Jiang WU, Shuifen DAI, Qin LIU, Shoutao YANG, Jiang ZHANG, Jiao YANG, Qiongyao GUAN. Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy[J]. Journal of Kunming Medical University, 2023, 44(5): 185-190. doi: 10.12259/j.issn.2095-610X.S20230510

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Effect of Nutrition Clinical Nursing Pathway for Nasopharyngeal Carcinoma Patients Concurrent Radiotherapy and Chemotherapy

doi: 10.12259/j.issn.2095-610X.S20230510

1.
Dept. of Radiotherapy
2.
Stomach and Small Intestine Surgery
3.
Dept. of Breast Surgery
4.
Dept. of Nursing，The 3rd Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650118，China

Received Date: 2023-01-18
Available Online: 2023-05-12
Publish Date: 2023-05-25

Abstract

Abstract

Objective To explore the effect of nutrition clinical nursing pathway for nasopharyngeal carcinoma patients （NPC） undergoing concurrent radiotherapy and chemotherapy. Methods A total of 162 patients with NPC who received the concurrent radiotherapy and chemotherapy were randomly divided into the control group （n = 81） and experimental group （n = 81）. The control group was received routine nutrition management, while the exprimental group received nutrition clinical nursing pathway intervention. Physiological condition, social/family status, emotional status and functional status of quality of life between the two groups before and after the interven- tion were assessed and compared. Results The scores of functional status and additional attention in the experimental group were significantly higher than those in the control group （P < 0.001）, The score of social/family statusin the experimental group was also significantly higher than that in the control group （P < 0.001）. Conclusion The nutritional clinical nursing pathway can improve the functional status scores and additional attention scores for head and neck tumors, and also played a certain role in improving social/family status scores. To a certain extent, it can effectively improve the quality of life of patients with NPC undergoing radiotherapy and chemotherapy.
- Nasopharyngeal carcinoma,
- Radiotherapy,
- Chemotherapy,
- Nutrition screening,
- Clinical nursing pathway,
- Quality of life

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References(24)

References

[1]	中国医师协会放射肿瘤治疗医师分会,中华医学会放射肿瘤治疗学分会. 中国鼻咽癌放射治疗指南(2020版)[J]. 中华肿瘤防治杂志,2021,28(3):167-177. doi: 10.16073/j.cnki.cjcpt.2021.03.01
[2]	肖巍魏,韩非,赵充,等. 鼻咽癌患者生存质量FACT-H_N量表测评[J]. 中国公共卫生,2010,26(7):827-829.
[3]	中国抗癌协会,中国抗癌协会肿瘤营养与支持治疗专业委员会,中国抗癌协会肿瘤康复与姑息治疗专业委员会,等. 鼻咽癌营养治疗专家共识[J]. 肿瘤代谢与营养电子杂志,2018,5(1):30-32. doi: 10.16689/j.cnki.cn11-9349/r.2018.01.006
[4]	石汉平. 营养治疗是肿瘤的一线治疗[J]. 临床药物治疗杂志,2019,17(4):20-25. doi: 10.3969/j.issn.1672-3384.2019.04.005
[5]	卢佳美,李维,廖金莲,等. 鼻咽癌放化疗患者健康教育效果评价指标体系的构建[J]. 中华护理杂志,2022,57(8):942-950. doi: 10.3761/j.issn.0254-1769.2022.08.008
[6]	邱圣红. 中医临床护理路径在鼻咽癌放疗患者中的应用[J]. 广东医学,2014,35(9):1460-1462. doi: 10.13820/j.cnki.gdyx.2014.09.064
[7]	邱卫娣,朱玉亮,张娜. 临床护理路径在美宝湿润烧伤膏联合光子疗法治疗鼻咽癌放射性皮炎中的应用[J]. 中国医药科学,2018,8(16):20-24. doi: 10.3969/j.issn.2095-0616.2018.16.006
[8]	汤秋明,黄晓君,韦榕飒,等. 同期放化疗鼻咽癌患者的集束化营养管理[J]. 护理学杂志,2022,37(10):1-5.
[9]	李涛,吕家华,石汉平,等. 恶性肿瘤放疗患者营养治疗专家共识[J]. 肿瘤代谢与营养电子杂志,2018,5(4):358-364. doi: 10.16689/j.cnki.cn11-9349/r.2018.04.006
[10]	石汉平,赵青川,王昆华,等. 营养不良的三级诊断[J]. 中国癌症防治杂志,2015,7(5):313-319.
[11]	石汉平. 营养不良的五阶梯治疗[J]. 肿瘤代谢与营养电子杂志,2015,2(1):29-33.
[12]	石汉平. 营养治疗的疗效评价[J]. 肿瘤代谢与营养电子杂志,2017,4(4):364-370.
[13]	中国抗癌协会肿瘤营养与支持专业委员会肿瘤放疗营养学组. 头颈部肿瘤放疗者营养与支持治疗专家共识[J]. 中华放射肿瘤学杂志,2018,27(1):1-6. doi: 10.3760/cma.j.issn.1004-4221.2018.01.001
[14]	王唯薇. 食管癌患者术后早期肠内营养支持的应用及护理进展[J]. 中华现代护理杂志,2014,20(13):1496-1498.
[15]	张江,吴江,赵喜娟,等. 集束化护理对鼻咽癌放疗患者口腔黏膜炎及张口受限的影响[J]. 昆明医科大学学报,2021,42(5):170-175.
[16]	Clavier J B,Antoni D,Atlani D,et al. Baseline nutritional status is prognostic factor after definitive radiochemotherapy for esophageal cancer[J]. Dis Esophagus,2014,27(6):560-567. doi: 10.1111/j.1442-2050.2012.01441.x
[17]	郭延玲,贺婧,张福林,等. 补充性肠外营养联合肠内营养对鼻咽癌住院患者临床结局的影响研究[J]. 中国肿瘤临床与康复,2019,26(11):1184-1187.
[18]	陈梦微,林少俊. 鼻咽癌的营养治疗[J]. 中国癌症防治杂志,2017,9(4):255-259. doi: 10.3969/j.issn.1674-5671.2017.04.03
[19]	珂温,冯林春. 鼻咽癌患者生活质量评价及影响因素综述[J]. 解放军医学院学报,2020,41(4):416-420.
[20]	郭明娟,杨丽. 鼻咽癌放化疗后营养不良病人的生活质量及护理研究进展[J]. 护理研究,2017,31(4):385-388.
[21]	夏莉娟,张曦,刘莎,等. 护士主导的多学科协作鼻咽癌同步放化疗患者营养管理[J]. 护理学杂志,2021,36(4):82-85.
[22]	魏学燕,韩光,李莹,等. 全程营养支持治疗对局部晚期鼻咽癌患者营养状况的影响[J]. 肿瘤防治研究,2020,47(8):617-621.
[23]	袁小英,吴军,李秋龙,等. 临床路径在鼻咽癌放疗患者健康教育中的应用效果[J]. 中华现代护理杂志,2013,19(15):1789-1792. doi: 10.3760/cma.j.issn.1674-2907.2013.15.019
[24]	付喜秀,刘陶文,林高娟,等. 临床护理路径在鼻咽癌放疗病人中的应用[J]. 全科护理,2017,15(8):3531-3533.

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