Volume 19 Issue 12
Dec.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(12): 2127-2131
LIN You-yan, ZHOU Ping, ZHENG Mei-zhen, YU Xin-yan, WEN Xiao-xue. Application of a new type of whole-cycle nutrition management in cancer patients with cachexia[J]. Chinese Journal of General Practice, 2021, 19(12): 2127-2131. doi: 10.16766/j.cnki.issn.1674-4152.002253
Citation: LIN You-yan, ZHOU Ping, ZHENG Mei-zhen, YU Xin-yan, WEN Xiao-xue. Application of a new type of whole-cycle nutrition management in cancer patients with cachexia[J]. Chinese Journal of General Practice, 2021, 19(12): 2127-2131. doi: 10.16766/j.cnki.issn.1674-4152.002253
shu

Application of a new type of whole-cycle nutrition management in cancer patients with cachexia

doi: 10.16766/j.cnki.issn.1674-4152.002253

  • Department of Integrated Chinese and Western Medicine, University of Chinese Academy of Sciences/Zhejiang Provincial Cancer Hospital, Hangzhou, Zhejiang 310022, China

Funds:

 320.6750.19003

  • Received Date: 2021-05-24
    Available Online: 2022-03-02
    Abstract
  •   Objective  To explore the effect of a new type of whole-cycle nutrition management on the nutritional status and quality of life of cancer patients with cachexia.  Methods  A total of 100 cancer patients with cachexia were randomly divided into the control group (n=50) and treatment group (n=50). The control group received conventional anti-tumour therapy, whereas the treatment group implemented a new whole-process 'hospital Home Return' circular nutrition management mode. The main contents included the establishment of a multi-disciplinary (MDT) process management team, the intervention of fine nutrition, the establishment of cluster patient education mode, the establishment of family self-nutrition management files and the formation of multi-means hierarchical follow-up. The biochemical nutritional index, patient-generated subjective global assessment (PG-SGA) score and Barthel index (Bi) score were compared before treatment and 1, 2 and 4 weeks after treatment.  Results  The biochemical nutritional indicators, PG-SGA score and BI score of the two groups before treatment and 1, 2 and 4 weeks after treatment all improved (all P < 0.05). There was no significant difference in serum albumin between the two groups (P=0.159), and other indexes in the treatment group were better than those in the control group (all P < 0.001).  Conclusion  The new circular nutrition management mode could improve the nutritional status of patients, particularly the self-care ability of patients. Therefore, whether patients move from hospital to home, or home to hospital, the whole cycle of nutrition management should be implemented, and is worthy of reference.

     

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