Influence of nutritional screening, assessment and intervention on the nutritional status and quality of life in patients with malignant tumor / 中国实用护理杂志

ABSTRACT

Objective To investigate the influence of nutritional screening,assessment and intervention on the nutritional status and quality of life in patients with malignant tumor,which will provide a scientific basis for malignant tumor patients with individualized care.Methods A total of 146 patients with malignant tumor were screened and assessed by Patient-Generated Subjective Global Assessment (SGA),86 patients with nutritional risks were divided into control group and experimental group according to random digit table,oncology routine nursing care was implemented in the control group,and nutritional intervention was given to the experimental group before chemotherapy,after 4-week intervention,nutritional assessment were implemented again,and Quality of Life Questionnaires-Core 30 (QLQ C30) was used to evaluated quality of life respectively before and after intervention,the nutritional status and quality of life changes was compared in two groups of patients before and after the intervention.Results Nutritional status and quality of life in the experimental group were better than those of the control group:serum albumin [(37.6±4.5) g/L vs.(32.4±4.8) g/L],prealbumin [(282.8 ±28.3) mg/L vs.(242.0±26.6)mg/L],hemoglobin [(111.2±7.6) g/L vs.(100.9±9.2) g/L],body mass index [(18.0±1.5) kg/m2 vs.(16.5±1.2) kg/m2],t=-5.115 9,-6.888 6,-5.643 7,-5.175 1,P＜0.01;general health condition [(66.73±14.06) vs.(54.41±15.35)],t=-3.881 0,P＜0.01,the difference was significant.Conclusions On the basis of nutritional screening and assessment,specific nutritional intervention can obviously improve the nutritional status and quality of life in patients with malignant tumor,it should become an important component of comprehensive treatment of tumor.