Research on Cluster Management in Nutritional Intervention for Nasopharynx Cancer Patients Undergoing Intensity Modulated Radiation Therapy_West China Medical Journal

Authors：

 WeiYanping ¹ , ChenLiuyun ² , WuQingzhen ³ , DuJiang ³

1. Outpatient Department, the Second Affiliated Hospital, Guangxi University of Science and Technology, Liuzhou, Guangxi 545006, P. R. China;
2. Department of Nutrition, the Second Affiliated Hospital, Guangxi University of Science and Technology, Liuzhou, Guangxi 545006, P. R. China;
3. Department of Radiology, the Second Affiliated Hospital, Guangxi University of Science and Technology, Liuzhou, Guangxi 545006, P. R. China;

Corresponding?author：

Keywords：

Nutritional intervention; Cluster management; Nasopharynx cancer; Radiotherapy

DOI：

10.7507/1002-0179.201600342

Video：

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Objective To research on the influence of cluster management on the nutritional intervention for nasopharynx cancer patients undergoing intensity modulated radiation therapy (IMRT), in order to discuss effective and feasible nutrition management method. Method Eighty-three nasopharynx cancer patients undergoing IMRT between June 2013 and December 2014 were selected as the study subjects. They were divided into two groups randomly. Regular health education and nutritional guidance were carried out for the 41 patients in the control group, while nutritional risk screening (NRS)-2002 nutrition screening, nutrition assessment and nutritional intervention were carried out for the 42 patients in the intervention group. Nutrition risk, nutritional status and side-reaction were recorded and evaluated for both groups of patients. Results After treatment, NRS-2002 score of the intervention group was lower than the control group (P<0.05). Body weight, constitutional index, skinfold thickness of triceps brachii muscle, mid-arm circumference and mid-arm muscle circumference of the intervention group were better than the control group (P<0.05). Total serum protein, serum albumin, serum transferrin were better and the rate of levelⅢ-Ⅳ radiation-induced oral mucositis was lower in the intervention group than that in the control group (P<0.05). Conclusions The application of cluster management model in nutritional intervention is a way to promote patients' rehabilitation, which can effectively improve the whole body situation of nasopharynx cancer patients, and reduce malnutrition rate and side-reaction.

Citation： WeiYanping, ChenLiuyun, WuQingzhen, DuJiang. Research on Cluster Management in Nutritional Intervention for Nasopharynx Cancer Patients Undergoing Intensity Modulated Radiation Therapy. West China Medical Journal, 2016, 31(7): 1258-1261. doi: 10.7507/1002-0179.201600342 Copy

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4.	劉影, 楊大剛, 朱婕, 等. 不同營養篩查工具對住院患者營養狀況的評估價值[J]. 貴陽醫學院學報, 2015, 40(5):486-489.
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15.	韋燕. 鼻咽癌患者的營養狀況及營養干預[J]. 醫學綜述, 2013, 19(10):1771-1773.
16.	余意, 黃瑜芳, 陳冬平, 等. 鼻咽癌患者營養干預時機的初步研究[J]. 實用醫學雜志, 2014, 30(13):2090-2092.
17.	韋燕萍, 陳柳云, 吳慶珍. 運用自我效能理論對鼻咽癌調強放療患者營養狀況的效果觀察[J]. 護理學報, 2015, 22(19):59-62.
18.	王莉. 集束化營養護理干預對食管癌放療病人生活質量、營養狀況及不良反應的影響[J]. 護理研究, 2015, 29(29):3683-3685.

1. 崔巍, 韓磊. 鼻咽癌患者同步放化療期間營養狀況變化及其營養支持治療的影響[J]. 中華腫瘤防治雜志, 2011, 18(18):1466-1469.
2. 常鑫, 陳麗君, 陳英, 等. 鼻咽癌同期放化療患者營養不良綜合護理干預的研究[J]. 廣西醫學, 2014, 36(10):1484-1486.
3. 陳偉萍, 施瑛, 王丹紅. 集束化護理管理對PICC置管患者靜脈血栓發生的干預效果[J]. 護士進修雜志, 2015, 30(20):1905-1907.
4. 劉影, 楊大剛, 朱婕, 等. 不同營養篩查工具對住院患者營養狀況的評估價值[J]. 貴陽醫學院學報, 2015, 40(5):486-489.
5. 王麗君. 鼻咽癌調強放療靶區研究進展[J]. 腫瘤學雜志, 2015, 21(11):917-921.
6. 潘冬梅, 廖金蓮, 韋榕颯, 等. 鼻咽癌同期放化療患者個體化營養支持的應用效果觀察[J]. 廣西醫學, 2015, 37(12):1848-1850.
7. 王小平, 鄧春萌, 王杰, 等. 全程營養管理模式對頭頸惡性腫瘤圍手術期營養的影響研究[J]. 華西醫學, 2014, 29(10):1845-1848.
8. Lim SL, Ong KC, Chan YH, et al. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality[J]. Clin Nutr, 2012, 31(3):345-350.
9. 陳希, 馬禮欽, 胡彩容, 等. 治療前血紅蛋白水平對鼻咽癌患者調強放療預后的影響[J]. 實用癌癥雜志, 2012, 27(1):41-44.
10. 邱波, 張雪琦, 李艷明. 鼻咽癌調強適形放療與常規放療比較分析[J]. 北華大學學報:自然科學版, 2015, 16(6):764-766.
11. 王承偉, 吳立廣, 徐惠, 等. 鼻咽癌放療致急性口腔黏膜反應的相關因素分析[J]. 南通大學學報:醫學版, 2016, 36(3):185-188.
12. 冀傳仙, 柏森, 李光俊, 等. 二級準直器在鼻咽癌容積調強放射治療計劃設計中的應用研究[J]. 華西醫學, 2015, 30(7):1235-1237.
13. 曾滿萍, 侯英蘭, 陳慶麗. 早期系統營養干預對鼻咽癌患者放化療毒副反應的影響[J]. 海南醫學, 2013, 24(4):480-482.
14. 韓東景, 楊崢, 趙楠, 等. 鼻咽癌放療患者營養狀況及營養干預的臨床觀察[J]. 中華腫瘤防治雜志, 2013, 20(10):786-789.
15. 韋燕. 鼻咽癌患者的營養狀況及營養干預[J]. 醫學綜述, 2013, 19(10):1771-1773.
16. 余意, 黃瑜芳, 陳冬平, 等. 鼻咽癌患者營養干預時機的初步研究[J]. 實用醫學雜志, 2014, 30(13):2090-2092.
17. 韋燕萍, 陳柳云, 吳慶珍. 運用自我效能理論對鼻咽癌調強放療患者營養狀況的效果觀察[J]. 護理學報, 2015, 22(19):59-62.
18. 王莉. 集束化營養護理干預對食管癌放療病人生活質量、營養狀況及不良反應的影響[J]. 護理研究, 2015, 29(29):3683-3685.

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West China Medical Journal

Research on Cluster Management in Nutritional Intervention for Nasopharynx Cancer Patients Undergoing Intensity Modulated Radiation Therapy

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