Volume 20 Issue 3
Mar.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(3): 507-510
TAO Min-jie, LEI Yu, JIN Jun, TANG Gui-fang, WANG Li. Effect of individualised dietary guidance on nutritional status and quality of life of liver cancer patients after TACE[J]. Chinese Journal of General Practice, 2022, 20(3): 507-510. doi: 10.16766/j.cnki.issn.1674-4152.002388
Citation: TAO Min-jie, LEI Yu, JIN Jun, TANG Gui-fang, WANG Li. Effect of individualised dietary guidance on nutritional status and quality of life of liver cancer patients after TACE[J]. Chinese Journal of General Practice, 2022, 20(3): 507-510. doi: 10.16766/j.cnki.issn.1674-4152.002388
shu

Effect of individualised dietary guidance on nutritional status and quality of life of liver cancer patients after TACE

doi: 10.16766/j.cnki.issn.1674-4152.002388
  • 1.

    Department of Hepatobiliary Surgery, Hangzhou First People's Hospital, Hangzhou, Zhejiang 310006, China

Funds:

 2020PY015

  • Received Date: 2020-11-25
    Available Online: 2022-08-13
    Abstract
  •   Objective  To investigate the effect of individualised diet guidance on nutritional status and quality of life of liver cancer patients after transcatheter arterial chemoembolisation (TACE).  Methods  Total 120 patients who underwent TACE in Hangzhou first people's Hospital Affiliated to the Medical College of Zhejiang University from March 2019 to March 2020 were selected as the research objects. They were divided into observation group (62 cases) and control group (58 cases) according to the order of admission. The control group was given routine dietary intervention after surgery, and the observation group was given individualised dietary guidance on the basis of routine nutrition after surgery. The preoperative and postoperative nutritional status of the two groups was compared, and their preoperative and postoperative nutritional risk was evaluated.  Results  On the 7th day after surgery, the ALB level in both groups was higher than that before surgery (all P < 0.05). Three months after operation, the ALB level in both groups was significantly higher than that before operation and 7 days after operation (all P < 0.05), and the ALB level in the observation group was significantly higher than that in the control group (P < 0.05). At 7 days after surgery, PALB indexes in both groups were decreased compared with those before surgery (all P < 0.05), but the observation group had significantly higher indexes than the control group (P < 0.05). Three months after surgery, the PALB level in both groups was significantly higher than that before surgery and 7 days after surgery (all P < 0.05). The PALB level in the observation group was significantly higher than that in the control group (P < 0.001). Three months after operation, the proportion of lean weight in the observation group was significantly lower than that in the control group[8(12.91%) vs. 16(27.59%), P < 0.05]. Three months after operation, the incidence of nutritional risk in the observation group was significantly lower than that in the control group[16(25.81%) vs. 26(44.83%), χ2=4.766, P=0.029]. Three months after operation, the scores of EORTC QLQ-C30 in the observation group were significantly higher than those in the control group (all P < 0.001).  Conclusion  Individualised dietary guidance can effectively improve the nutritional status of liver cancer patients after TACE, reduce the incidence of malnutrition risk and improve the quality of life of patients, which is worthy of clinical promotion and use.

     

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