NRS-2002 评估放疗或化疗直肠癌患者营养状况和护理对策

目的探讨营养风险筛查2002(Nutritional risk screening2002,NRS-2002)在评估直肠癌患者放疗或化疗术前营养状况中的应用。方法选取我院2010年11月至2011年11月间直肠癌患者84例,应用NRS-2002标准对进行放疗或化疗患者的营养状况评估,对存在营养风险者提出相应护理对策,并比较放疗或化疗前后BMI、ALB、TLC及PALB的变化。结果 84例患者中存在或有潜在营养风险的占96.4%;直肠癌患者营养不良的发生率随年龄的增加而增加(P<0.05);营养风险组(总评分≥1分)和无营养风险组(总评分为0分)放疗或化疗前BMI、ALB、TLC、PALB的差异均有统计学意义(P<0.05),而治疗后的差异无统计学意义。结论直肠癌患者放疗或化疗前已存在较高的营养风险,应用NRS-2002评估治疗前直肠癌患者营养状况筛查准确、安全、有效,采取肠内外营养护理营养风险患者效果明显。

Application of NRS-2002 in Nutritional Status Assessment for Rectal Cancer Patients Treated by Radiotherapy or Chemotherapy and Nursing Strategies

Objective To explore the application of nutritional risks screening-2002 in the assessment of nutritional status of rectal cancer patients with radiotherapy or chemotherapy.Methods 84 cases of rectal cancer admitted in our hospital from November 2010 to November 2011 were selected and assessed by NRS-2002.The corresponding nursing strategies were put forward to the patients with Nutritional risk,and the changes of BMI,ALB,TLC and PALB before and after therapy were compared.Results Among the 84 cases,96.4% of them had nutritional risk or potential risk;The incidence of malnutrition in patients with rectal cancer increased with age(P<0.05);The BMI,ALB,TLC,PALB differences between nutritional risk group(score≥1) and non-nutritional risk group(score=0) were statistically significant before getting radiotherapy or chemotherapy(P<0.05),but had no statistical significance after therapy.Conclusion There is a high nutritional risk before radiotherapy or chemotherapy in patients with rectal cancer.NRS-2002 nutritional status evaluation for patients with rectal cancer was accurate,safe and effective.The enteral nutrition and parenteral nutrition nursing care were effective for nutrition risk patients.