食管癌术后康复期患者营养状况及生命质量的纵向研究

doi:10.16689/j.cnki.cn11-9349/r.2020.01.013

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (465 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To understand the trend and correlation of nutrition status and quality of life in patients with esophageal cancer during postoperative rehabilitation period, so as to provide reference for the development of postoperative extended care plan for esophageal cancer. Methods Seventy-five patients who underwent esophageal cancer surgery in Sichuan Cancer Hospital were selected as subjects. The patient-generated subjective global assessment scale (PG-SGA), the European Organization For Research and Treatment of Cancer QOL Cancer Specific Version (EORTC QLQ-C30) and the Esophageal Cancer Supplemental Scale (EORTC QLQ-OES18) were used for assessment at 1month, 3 months and 6months after surgery. Results The incidence of malnutrition in patients with esophageal cancer decreased from 73.4% to 33.5% with time. Quality of life in each evaluation time point had statistical significance (P<0.05), the comparative difference of function areas and symptoms in postoperative 1month, 3 months, and 6months was notably significant (P<0.05), whereas there was no difference between postoperative 3 months and 6months (P>0.05). Moreover, Nutritional status was negatively correlated with body, role, mood and social function (P<0.05), and positively correlated with dysphagia, eating, reflux, obstruction, anorexia and cough (P<0.05). Conclusions The nutrition and quality of life in patients with esophageal cancer are poor during the first month after operation, and gradually improve over time. In order to improve the quality of life of patients during rehabilitation, medical staff should develop a standardized and individualized extended care plan according to the changes of nutritional status and quality of life at different time points.

Key words： Esophageal cancer； Quality of life； Nutrition； Rehabilitation period； Transitional care

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Zhou Hong
	Xie Qin
	Zhou Aoru
	Li Shanshan
	Dai Xiaojing
	Miao Yan

Cite this article:

Zhou Hong,Xie Qin,Zhou Aoru, et al. Longitudinal study of nutrition and quality of life in patients with postoperative recovery of esophageal cancer[J]. Electron J Metab Nutr Cancer, 2020, 7(1): 70-74.

URL:

http://182.92.200.144/EN/10.16689/j.cnki.cn11-9349/r.2020.01.013 OR http://182.92.200.144/EN/Y2020/V7/I1/70

1.黎介寿.肿瘤营养学的兴起及临床应用.肠外与肠内营养. 2004；11(1)：1-2.
2.Soriano T, Eslick G, Vanniasinkam T. Long-term nutritional outcome and health related quality of life of patients following esophageal cancer surgery：a meta-analysis.Nutr Cancer.2018；70(2)：192-203.
3.Vashi P, Dahlk S, Popiel B, et al. A longitudinal study investigating quality of life and nutritional outcomes in advanced cancer patients receiving home parenteral nutrition. BMC Cancer.2014；14(1)：593.
4.Cotogni P, De Carli L, Passera R,et al. Longitudinal study of quality of life in advanced cancer patients n home parenteral nutrition. Cancer Med.2017；6(7)：1799-1806.
5.Yang YS, Shang QX, Yuan Y et al. Comparison of long-term quality of life in patients with esophageal cancer after lvor-Lewis, Mckeown, or Sweet esophagectomy. J Gastrointest Surg. 2019；23：225-231.
6.Anandavadivelan P, Martin L, Djrv T, et al.Nutrition impact symptoms are prognostic of quality of life and mortality after surgery for oesophageal cancer. Cancers.2018：10(9). pii：E318.
7.王莉.集束化营养护理干预对食管癌放疗病人生命质量、营养状况及不良反应的影响.护理研究.2015；(29)：3683-3685.
8.孙仁娟, 夏蓓南, 戴立芬,等.集束化营养干预方案对食管癌同步放化疗患者生活质量和营养状况的影响.中华现代护理杂志. 2014；20(36)：4606-4609.
9.戚艳波.癌症患者生命质量测定量表体系之食管癌量表QLICP-ES的研制及其与QLQ-OES48中文版的比较.昆明医学院,2011.
10.童雅萍.家庭肠内营养支持在食管癌根治术患者中应用的效果.中华现代护理杂志.2018；24(11)：1292-1296.
11.Zhang Y, Yang XM, Geng DH, et al. The change of health-related quality of life after minimally invasive esophagectomy for esophageal cancer：a meta-analysis.World J Surg Oncol. 2018； 16：97.
12.童雅萍.家庭肠内营养对食管癌根治术后患者营养状况的影响研究.护士进修杂志.2018；33(6)：493-496.
13.Soriano TT, Eslick GD,Vanniasinkam T. Long-term nutritional outcome and health related quality of life of patients following esophageal cancer surgery：a meta-analysis.Nutr Cancer.2018；70：192-203.
14.Jacobs M, Anderegg M, Schoorlemmer A,et al.Patients with oesophageal cancer report elevated distress and problems yet do not have an explicit wish for referral prior to receiving their medical treatment plan. Psycho-Oncology.2017；26(4)：452-460.
15.Donohoe C, McGillycuddy L, Reynolds E.Long-term health-related quality of life for disease-free esophageal cancer patients. World J Surg. 2011；35(8)：1853-1860.
16.Han HY, Pan MX, Tao Y et al. Early enteral nutrition is associated with faster post-esophagectomy recovery in Chinese esophageal cancer patients：a retrospective cohort study. Nutr Cancer.2018；70：221-228.
17.Anandavadivelan P, Martin L, Djrv T, et al. Nutrition impact symptoms are prognostic of quality of life and mortality after surgery for oesophageal cancer. Cancers (Basel).2018；10(9). pii：E318.
18.刘敏杰,刘谆谆,张兰凤.食管癌患者延续护理服务的文献研究［J］.中国实用护理杂志,2014；30(26)：18-22.
19.闫雪梅,孙伟,韩艳,等.以护理结局为导向的多学科合作延续护理在食管癌根治术后病人中的应用.护理研究,2018；32(10)：1612-1616.
20.Pool M, Nadrian H, Pasha N. Effects of a self-care education program on quality of life after surgery in patients with esophageal cancer. Gastroenterol Nurs.2012；35(5)：332-340.
21.许美丽,王申.国内外延续性护理的发展现状及对策.解放军护理杂志.2014；31(19)：28-30,33.