| 卞丽娟,袁 玲,王丹若,吕 佳,汪 娟,邢明艳.贲门癌患者营养风险的危险因素及其与生活质量的关系研究[J].,2021,(21):4070-4074 |
| 贲门癌患者营养风险的危险因素及其与生活质量的关系研究 |
| Relationship between Nutritional Risk Factors and Quality of Life in Patients with Cardiac Cancer |
| 投稿时间：2021-05-10 修订日期：2021-05-30 |
| DOI：10.13241/j.cnki.pmb.2021.21.014 |
| 中文关键词: 贲门癌 营养风险 危险因素 生活质量 |
| 英文关键词: Cardiac cancer Nutritional risk Risk factors Quality of life |
| 基金项目:江苏省卫生计生委科研项目（Q201615） |
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| 中文摘要: |
| 摘要 目的：探讨贲门癌患者营养风险的危险因素，分析其与生活质量的关系。方法：纳入我院2017年8月～2020年8月收治的贲门癌患者102例，采用营养风险筛查2002（NRS2002）将患者分成营养风险组（n=45）、无营养风险组（n=57），分析患者发生营养风险的危险因素。采用简明生活质量量表（SF-36）评估患者的生活质量，分析NRS2002评分与SF-36评分的相关性。结果：在102例患者中，营养风险发生率为44.12%。Logistic多元回归模型分析显示：年龄≥60岁（OR=3.914，95%CI：1.718-8.917）、术前血红蛋白异常（OR=2.522，95%CI：1.124-5.659）、文化程度小学及以下（OR=3.447，95%CI：1.519-7.822）、家庭月收入≤1000元（OR=2.974，95%CI：1.415-6.251）均是贲门癌患者发生营养风险的危险因素（P＜0.05），文化程度大专及以上（OR=0.941，95%CI：0.897-0.987）、家庭月收入>5000元（OR=0.947，95%CI：0.901-0.995）均是其营养风险发生的保护性因素（P＜0.05）。营养风险组情绪角色功能、心理健康、躯体功能、躯体疼痛、躯体角色功能、总体健康评分均低于无营养风险组（P＜0.05）。NRS2002评分与情绪角色功能（r=-0.811）、心理健康（r=-0.627）、躯体功能（r=-0.524）、躯体疼痛（r=-0.619）、躯体角色功能（r=-0.587）、总体健康（r=-0.718）评分均呈负相关（P＜0.05）。结论：贲门癌患者营养风险发生率较高，其发生与多种因素存在关联，可降低患者生活质量，临床需尽早对患者营养风险进行评估，并采取相应措施，以期改善患者生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the risk factors of nutritional risk in patients with cardiac cancer, and to analyze the relationship between they and quality of life. Methods: 102 patients with cardiac cancer in our hospital from August 2017 to August 2020 were included. Nutritional risk screening 2002 (NRS2002) was used to divide the patients into nutritional risk group (n=45) and non-nutritional risk group(n=57) , the risk factors of nutritional risk were analyzed. The short form of quality of life (SF-36) was used to evaluate the quality of life of patients, and the correlation between NRS2002 score and SF-36 score was analyzed. Results: Among 102 patients, the incidence rate of nutritional risk was 44.12%. Logistic multiple regression model analysis showed that age≥60 years old (OR=3.914, 95% CI:1.718-8.917), the preoperative hemoglobin abnormality (OR=2.522, 95% CI:1.124-5.659), education level of primary school and below (OR=3.447, 95% CI:1.519-7.822), family monthly income≤1000 yuan (OR=2.974, 95% CI:1.415-6.251) were risk factor for nutritional risk in patients with cardiac cancer (P<0.05). The education level of junior college or above(OR=0.941, 95% CI: 0.897-0.987) and family monthly income>5000 yuan (OR=0.947, 95% CI: 0.901-0.995) were protective factors to prevent nutritional risk (P<0.05). The scores of emotional role function, mental health, physical function, physical pain, physical role function and overall health in nutritional risk group were lower than those in non-nutritional risk group(P<0.05). NRS2002 score was negatively correlated with emotional role function(r=-0.811), mental health (r=-0.627), physical function (r=-0.524), physical pain (r=-0.619), physical role function (r=-0.587) and overall health (r=-0.718)(P<0.05). Conclusion: The incidence rate of nutritional risk in patients with cardiac cancer is high, its occurrence is associated with variety of factors, which can reduce the quality of life. It is necessary to evaluate the nutritional risk of patients as soon as possible, and take measures to improve the quality of life. |
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