Positive effects of nutrition and social support on quality of life in patients with colorectal cancer
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摘要: 目的 总结分析营养和社会支持对大肠癌患者生存质量的影响。 方法 选择嘉兴市第一医院2012年1月-2015年1月期间收治的128例晚期大肠癌患者为研究对象,分析其临床资料,总结化疗期间其营养状况及社会支持、生存质量(躯体功能、情绪功能、角色功能、认知功能、社会功能和副反应)之间的关系。 结果 ①年龄<60岁患者的营养状况得分、主观支持得分及社会支持总分均高于年龄 ≥ 60岁患者;男性患者的营养状况得分、客观支持得分、主观支持得分、支持利用度得分及社会支持总分均高于女性患者;行根治性手术的患者营养状况得分、主观支持得分、支持利用度得分及社会支持总分均高于行姑息性手术的患者;化疗患者的营养状况得分低于无化疗患者,而化疗患者的社会支持总分高于无化疗患者,且差异具有统计学意义(均P<0.05)。②营养评分 ≥ 15分的患者生活质量评价为好的比例25.78%明显高于评分<15分的患者,且差异具有统计学意义(P<0.05);社会支持评分>40分的患者生活质量评价为好的比例27.34%明显高于评分 ≤ 40分的患者,且差异具有统计学意义(P<0.05)。 结论 大肠癌患者营养状况及社会支持状况会直接影响其生存质量,改善营养和提高社会支持可提高其生存质量,而对于高龄、退休、化疗、晚期患者来说,社会支持非常重要,临床治疗和护理中要提高关注度。Abstract: Objective To summarize and analyze the influence of nutrition and social support on the quality of life in patients with colorectal cancer. Methods In our hospital from January, 2012 to January, 2015, 128 cases of patients with advanced colorectal cancer were chosen as the research object, whose clinical data were analyzed, the relationship between nutritional status during chemotherapy, social support, quality of life (physical function, emotional function, role function, cognitive function, social function and the secondary reaction was summarized. Results ① The nutritional status score, the score of subjective support and social support scores in the group under 60 were higher than those 60 years old or above. The nutritional status score, the score of objective support, subjective support and support availability score and total score of social support were higher in male group than those in the female group. The nutritional status score, the score of subjective support and support availability of social support score and total score were higher in radical surgery group than in palliative group. The nutritional status of patients with chemotherapy group was lower than those without chemotherapy, while the total score of social support in group with chemotherapy was higher than that in the non-chemotherapy group, with statistical significance (P<0.05). ② And 25.78% scores 15 or more in the nutritional quality of life, which was significantly higher than those less than 15 scores (P<0.05); social support evaluation above 40 group whose life quality was assessed as good accounted for 27.34%, significantly higher than scores less than 40 (P<0.05). Conclusion The nutritional status of patients with colorectal cancer and the status of social support will directly affect the quality of life, improve the nutrition and improve social support, and improve their quality of life. For the elderly, retirement, chemotherapy, advanced patients, social support is very important to raise awareness of clinical treatment and nursing care.
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Key words:
- Nutrition /
- Social support /
- Colorectal cancer /
- Quality of life /
- Influence
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