营养干预对头颈癌患者放疗后能量摄入的影响

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2024-08-01
Yuanyuan Li, Yingtao Meng, Zengfen Pang, Jing Huai, Suisui Yi, Ronghua Kong
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引用次数: 0

摘要

研究目的本研究旨在分析头颈部肿瘤放疗期间营养干预的影响及其对能量摄入、消耗和营养状况的影响:本研究选择了 103 名接受放疗的头颈部肿瘤患者,将其分为两组,对照组(n = 51)和营养干预组(n = 51)。对照组(51 人)接受常规护理干预,观察组(52 人)接受额外营养干预。我们比较了两组患者的营养状况、能量摄入和消耗以及情绪健康状况:干预后,观察组的体重指数、血清前白蛋白、血红蛋白和白蛋白水平明显高于对照组(P < .05)。观察组在放疗期间的能量摄入量明显高于对照组。此外,观察组的能量消耗明显低于对照组(P < .05)。干预后,观察组在焦虑自评量表和抑郁自评量表上的得分低于对照组(P < .05)。在放疗后三个月的随访中,观察组的EORTC癌症生活质量量表得分也明显高于对照组(P < .05):事实证明,营养干预能有效增加头颈部肿瘤放疗患者的能量摄入,减少能量消耗。这种改善对患者的营养状况和生活质量产生了积极影响,具有重要的研究价值。
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Effect of Nutritional Intervention on Energy Intake in Head and Neck Cancer Patients After Radiotherapy.

Objective: This study aimed to analyze the impact of nutritional intervention during radiotherapy for head and neck tumors and its effects on energy intake, consumption, and nutritional status.

Methods: A comparative or observational study was conducted, and a total of 103 head and neck tumor patients undergoing radiotherapy were selected for this study and divided into two groups. The control group (n = 51) received routine nursing intervention, while the observation group (n = 52) received additional nutritional intervention. We compared the nutritional status, energy intake and consumption, and emotional well-being between the two groups.

Results: After the intervention, the observation group exhibited significantly higher levels of BMI, serum prealbumin, hemoglobin, and albumin compared to the control group (P < .05). Energy intake during radiotherapy was significantly higher in the observation group than in the control group. Furthermore, the energy consumption in the observation group was significantly lower than in the control group (P < .05). After the intervention, the observation group reported lower scores on the Self-rating Anxiety Scale and Self-rating Depression Scale compared to the control group (P < .05). In a three-month follow-up after radiotherapy, the observation group's EORTC Cancer Quality of Life Scale score was also significantly higher than that of the control group (P < .05).

Conclusions: Nutritional intervention proved effective in increasing energy intake and reducing energy consumption in patients undergoing radiotherapy for head and neck tumors. This improvement positively impacted the nutritional status and quality of life of the patients, emphasizing its significant research value.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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