The Impact of The Preoperative Nutritional Status on Quality of Life of Colorectal Cancer Patients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIZhi ^1,2 , ZHANGYa-lin ² , WANGXiao-dong ¹ , WEIShi-you ² , HUANGMing-jun ¹ ,  LIKa ¹

1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;
2. West China School of Medicine/West China Hospital, Sichuan University, Cheng du 610041, Sichuan Province, China;

Corresponding author：

LIKa, Email: likalika127127@163.com

Keywords：

Nutritional status; Quality of life; Colorectal cancer

DOI：

10.7507/1007-9424.20140008

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the impact of the preoperative nutritional status on quality of life of colorectal cancer patients. Methods In this study, patients diagnosed definitely as colorectal cancer were enrolled from September 2012 to December 2012 in this hospital.NRS-2002 was used to assess the preoperative nutritional status, and QLQ-C30 was used to assess the quality of life. Results Forty-four patients were enrolled in this study and divided into two groups based on NRS-2002 preoperative nutritional status evaluation scores:mild nutritional risk group had 27 patients who got 1 point, and moderate-severe nutritional risk group had 17 patients who got 2 point or over it.Patients in moderate-severe nutritional risk group were significantly older than the mild nutritional risk group (P=0.001), but there were no statistical differences between the two groups in gender (P=0.718), TNM stage (P=0.302), differentiation degree (P=0.564), preoperative medical complications (P=0.070), postoperative complications[NS (not significant)], and stoma (P=0.786).There were no statistical differences between the two groups in quality of life, too (P > 0.05). Conclusions This study don't get the conclusion that there is any relationship between nutritional status and quality of life of the colorectal cancer patients.And maybe it is effected by the too small sample size and single time of accessing.Therefore, the further research by expanding sample size, using more kinds of assessment tools, and selecting different time to explore the impact of the preoperative nutritional status on quality of life of colorectal cancer patients are necessary.

Citation： LIZhi, ZHANGYa-lin, WANGXiao-dong, WEIShi-you, HUANGMing-jun, LIKa. The Impact of The Preoperative Nutritional Status on Quality of Life of Colorectal Cancer Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 41-45. doi: 10.7507/1007-9424.20140008 Copy

1.	黄明君, 陈凤姣, 杨苹, 等.NRS-2002评估术前直肠癌患者营养状况和护理对策[J].护士进修杂志, 2009, 24(20):1854-1855.
2.	李卡, 黄明君, 吴凡, 等.结肠癌病人的营养风险筛查评估及护理对策[J].护理研究, 2009, 23(11):3035-3036.
3.	李卡, 黄智, 席望荣, 等.老年直肠癌患者术前不同营养状态对术后康复影响的研究[J].护士进修杂志, 2010, 25(10):870-872.
4.	陈凤姣, 李淼, 李佳昕, 等.大肠癌患者术前肠外营养支持对术后胃肠功能恢复的影响[J].护理学报, 2010, 5(17):47-49.
5.	August DA, Huhmann MB.American society for parenteral and enteral Nutrition (ASPEN) Board of Directors.ASPEN clinical guidelines:nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation[J].JPEN, 2009, 33(5):472-500.
6.	蒋朱明, 江华.肠外肠内营养临床有效的循证基础:营养风险筛查NRS-2002与相对有效理念[J].中国临床营养杂志, 2007, 15(1):1-2.
7.	Kondrup J, Aliison SP, Elia M, et al.ESPEN Guidelines for Nutrition Screening 2002[J].Clinical Nutrition, 2003, 22(4):415-421.
8.	Kondrup J, Johansen N, Plum LM, et al.Incidence of nutritional risk and causes of inadequate nutritional care in hospitals[J].Clin-ical Nutrition, 2002, 21(6):461-468.
9.	孟琼, 万崇华, 罗家洪.癌症患者生命质量测定量表EORTC QLQ-C30的应用[J].国外医学社会医学分册, 2004, 21(4):147-150.
10.	姜宝法, 刘春晓, 崔永春, 等.EORTC QLQ-C30的信度、效度研究[J].中国临床心理学杂志, 2005, 13(1):31-36.
11.	王建平, 陈仲庚, 林文娟, 等.中国癌症病人生活质量的测定--EORTC QLQ-C30在中国的试用[J].心理学报, 2000, 32(4):438-442.
12.	Jemal A, Siegel R, Ward E, et al.Cancer statistics 2007[J].CA Cancer J C lin, 2007, 57(1):43-66.
13.	樊巧云, 樊梅月, 马艳凯, 等.癌症患者生存质量研究进展[J].医学与哲学:临床决策论坛版.2007, 28(10):19-20.
14.	罗健, 孙燕.癌症患者生活质量研究[J].中国肿瘤, 2001, 10(2):76-77.
15.	Matsushita T, Matsushima E, Maruyama M.Assessment of peri-operative quality of life in patients undergoing surgery for gastrointestinal cancer[J].Support Care Cancer, 2004, 12(5):319-325.
16.	田俊, 张镜源, 吴彬, 等.老年癌症患者生存质量的多因素分析[J].中华老年医学杂志, 1996, 15(6):339-341.
17.	Evans MD, Escofet X, Karandikar SS, et al.Outcomes of resection and non-resection strategies in management of patients with advanced colorectal cancer[J].World J Surg Oncol, 2009, 7:28.
18.	尹志勤, 周郁秋.影响癌症病人生活质量相关因素的研究进展[J].护理学杂志, 2004, 19(9):76-78.
19.	Guren MG, Dueland S, Skovlund E, et al.Quality of life during radiotherapy for rectal cancer[J].Eur J Cancer, 2003, 39(5):587-594.
20.	Schreier AM, Williams SA.Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer[J].Oncol Nurs Forum, 2004, 31(1):127-130.
21.	吴国豪, 刘中华, 郑烈伟, 等.普外科住院患者营养情况评价及预后分析[J].中华外科杂志, 2005, 43(11):693-696.
22.	吴蓓雯, 曹伟新, 费旭峰.328例消化道恶性肿瘤患者营养状况评价[J].上海交通大学学报:医学版, 2007, 27(5):604-606.
23.	Leandro-Merhi VA, de Aquino JL, Sales Chagas JF.Nutrition status and risk factors associated with length of hospital stay for surgical patients[J].JPEN J Parenter Enteral Nutr, 2011, 35(2):241-248.
24.	朱圆, 费旭峰, 曹伟新.普外科老年患者的营养状况分析[J].临床外科杂志, 2005, 13(3):163-165.
25.	Isenring E, Bauer J, Capra S.The scored Patient-generated Subjective Global Assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy[J].Eur J Clin Nutr, 2003, 57(2):305-309.
26.	Ravasco P, Monteiro-Grillo I, Vidal PM, et a1.Dietary counse-ling improves patient outcomes:a prospective, randomized, contr-olled trial in colorectal cancer patients undergoing radiotherapy[J].J Clin Oncol, 2005, 23(7):1431-1438.
27.	陈琳, 江惠娟, 陈增春.营养因素对大肠癌患者生存质量的影响[J].中国肿瘤, 2005, 14(10):650-651.

1. 黄明君, 陈凤姣, 杨苹, 等.NRS-2002评估术前直肠癌患者营养状况和护理对策[J].护士进修杂志, 2009, 24(20):1854-1855.
2. 李卡, 黄明君, 吴凡, 等.结肠癌病人的营养风险筛查评估及护理对策[J].护理研究, 2009, 23(11):3035-3036.
3. 李卡, 黄智, 席望荣, 等.老年直肠癌患者术前不同营养状态对术后康复影响的研究[J].护士进修杂志, 2010, 25(10):870-872.
4. 陈凤姣, 李淼, 李佳昕, 等.大肠癌患者术前肠外营养支持对术后胃肠功能恢复的影响[J].护理学报, 2010, 5(17):47-49.
5. August DA, Huhmann MB.American society for parenteral and enteral Nutrition (ASPEN) Board of Directors.ASPEN clinical guidelines:nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation[J].JPEN, 2009, 33(5):472-500.
6. 蒋朱明, 江华.肠外肠内营养临床有效的循证基础:营养风险筛查NRS-2002与相对有效理念[J].中国临床营养杂志, 2007, 15(1):1-2.
7. Kondrup J, Aliison SP, Elia M, et al.ESPEN Guidelines for Nutrition Screening 2002[J].Clinical Nutrition, 2003, 22(4):415-421.
8. Kondrup J, Johansen N, Plum LM, et al.Incidence of nutritional risk and causes of inadequate nutritional care in hospitals[J].Clin-ical Nutrition, 2002, 21(6):461-468.
9. 孟琼, 万崇华, 罗家洪.癌症患者生命质量测定量表EORTC QLQ-C30的应用[J].国外医学社会医学分册, 2004, 21(4):147-150.
10. 姜宝法, 刘春晓, 崔永春, 等.EORTC QLQ-C30的信度、效度研究[J].中国临床心理学杂志, 2005, 13(1):31-36.
11. 王建平, 陈仲庚, 林文娟, 等.中国癌症病人生活质量的测定--EORTC QLQ-C30在中国的试用[J].心理学报, 2000, 32(4):438-442.
12. Jemal A, Siegel R, Ward E, et al.Cancer statistics 2007[J].CA Cancer J C lin, 2007, 57(1):43-66.
13. 樊巧云, 樊梅月, 马艳凯, 等.癌症患者生存质量研究进展[J].医学与哲学:临床决策论坛版.2007, 28(10):19-20.
14. 罗健, 孙燕.癌症患者生活质量研究[J].中国肿瘤, 2001, 10(2):76-77.
15. Matsushita T, Matsushima E, Maruyama M.Assessment of peri-operative quality of life in patients undergoing surgery for gastrointestinal cancer[J].Support Care Cancer, 2004, 12(5):319-325.
16. 田俊, 张镜源, 吴彬, 等.老年癌症患者生存质量的多因素分析[J].中华老年医学杂志, 1996, 15(6):339-341.
17. Evans MD, Escofet X, Karandikar SS, et al.Outcomes of resection and non-resection strategies in management of patients with advanced colorectal cancer[J].World J Surg Oncol, 2009, 7:28.
18. 尹志勤, 周郁秋.影响癌症病人生活质量相关因素的研究进展[J].护理学杂志, 2004, 19(9):76-78.
19. Guren MG, Dueland S, Skovlund E, et al.Quality of life during radiotherapy for rectal cancer[J].Eur J Cancer, 2003, 39(5):587-594.
20. Schreier AM, Williams SA.Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer[J].Oncol Nurs Forum, 2004, 31(1):127-130.
21. 吴国豪, 刘中华, 郑烈伟, 等.普外科住院患者营养情况评价及预后分析[J].中华外科杂志, 2005, 43(11):693-696.
22. 吴蓓雯, 曹伟新, 费旭峰.328例消化道恶性肿瘤患者营养状况评价[J].上海交通大学学报:医学版, 2007, 27(5):604-606.
23. Leandro-Merhi VA, de Aquino JL, Sales Chagas JF.Nutrition status and risk factors associated with length of hospital stay for surgical patients[J].JPEN J Parenter Enteral Nutr, 2011, 35(2):241-248.
24. 朱圆, 费旭峰, 曹伟新.普外科老年患者的营养状况分析[J].临床外科杂志, 2005, 13(3):163-165.
25. Isenring E, Bauer J, Capra S.The scored Patient-generated Subjective Global Assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy[J].Eur J Clin Nutr, 2003, 57(2):305-309.
26. Ravasco P, Monteiro-Grillo I, Vidal PM, et a1.Dietary counse-ling improves patient outcomes:a prospective, randomized, contr-olled trial in colorectal cancer patients undergoing radiotherapy[J].J Clin Oncol, 2005, 23(7):1431-1438.
27. 陈琳, 江惠娟, 陈增春.营养因素对大肠癌患者生存质量的影响[J].中国肿瘤, 2005, 14(10):650-651.

Previous Article
Geometry of Human Ribs Pertinent to Chest-wall Reconstruction and Internal Rib Fixation
Next Article
Geometry of Human Ribs Pertinent to Chest-wall Reconstruction and Internal Rib Fixation

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Impact of The Preoperative Nutritional Status on Quality of Life of Colorectal Cancer Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content