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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1. 崔巍, 韩磊. 鼻咽癌患者同步放化疗期间营养状况变化及其营养支持治疗的影响[J]. 中华肿瘤防治杂志, 2011, 18(18):1466-1469.
2. 常鑫, 陈丽君, 陈英, 等. 鼻咽癌同期放化疗患者营养不良综合护理干预的研究[J]. 广西医学, 2014, 36(10):1484-1486.
3. 陈伟萍, 施瑛, 王丹红. 集束化护理管理对PICC置管患者静脉血栓发生的干预效果[J]. 护士进修杂志, 2015, 30(20):1905-1907.
4. 刘影, 杨大刚, 朱婕, 等. 不同营养筛查工具对住院患者营养状况的评估价值[J]. 贵阳医学院学报, 2015, 40(5):486-489.
5. 王丽君. 鼻咽癌调强放疗靶区研究进展[J]. 肿瘤学杂志, 2015, 21(11):917-921.
6. 潘冬梅, 廖金莲, 韦榕飒, 等. 鼻咽癌同期放化疗患者个体化营养支持的应用效果观察[J]. 广西医学, 2015, 37(12):1848-1850.
7. 王小平, 邓春萌, 王杰, 等. 全程营养管理模式对头颈恶性肿瘤围手术期营养的影响研究[J]. 华西医学, 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. 陈希, 马礼钦, 胡彩容, 等. 治疗前血红蛋白水平对鼻咽癌患者调强放疗预后的影响[J]. 实用癌症杂志, 2012, 27(1):41-44.
10. 邱波, 张雪琦, 李艳明. 鼻咽癌调强适形放疗与常规放疗比较分析[J]. 北华大学学报:自然科学版, 2015, 16(6):764-766.
11. 王承伟, 吴立广, 徐惠, 等. 鼻咽癌放疗致急性口腔黏膜反应的相关因素分析[J]. 南通大学学报:医学版, 2016, 36(3):185-188.
12. 冀传仙, 柏森, 李光俊, 等. 二级准直器在鼻咽癌容积调强放射治疗计划设计中的应用研究[J]. 华西医学, 2015, 30(7):1235-1237.
13. 曾满萍, 侯英兰, 陈庆丽. 早期系统营养干预对鼻咽癌患者放化疗毒副反应的影响[J]. 海南医学, 2013, 24(4):480-482.
14. 韩东景, 杨峥, 赵楠, 等. 鼻咽癌放疗患者营养状况及营养干预的临床观察[J]. 中华肿瘤防治杂志, 2013, 20(10):786-789.
15. 韦燕. 鼻咽癌患者的营养状况及营养干预[J]. 医学综述, 2013, 19(10):1771-1773.
16. 余意, 黄瑜芳, 陈冬平, 等. 鼻咽癌患者营养干预时机的初步研究[J]. 实用医学杂志, 2014, 30(13):2090-2092.
17. 韦燕萍, 陈柳云, 吴庆珍. 运用自我效能理论对鼻咽癌调强放疗患者营养状况的效果观察[J]. 护理学报, 2015, 22(19):59-62.
18. 王莉. 集束化营养护理干预对食管癌放疗病人生活质量、营养状况及不良反应的影响[J]. 护理研究, 2015, 29(29):3683-3685.

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

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