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以i-PARIHS为概念框架的营养干预在大肠癌化疗患者中的应用
引用本文:贺鲜娇,杨玲,覃美绿,唐新华,陈洁. 以i-PARIHS为概念框架的营养干预在大肠癌化疗患者中的应用[J]. 齐鲁护理杂志, 2021, 27(7): 1-4
作者姓名:贺鲜娇  杨玲  覃美绿  唐新华  陈洁
作者单位:广西医科大学附属肿瘤医院 广西南宁530022
基金项目:广西壮族自治区卫生和计划生育委员会自筹经费科研课题项目(编号:Z20180622)。
摘    要:目的:探讨以促进证据应用模式修订版(i?PARIHS)为概念框架的营养干预在大肠癌化疗患者中的应用效果.方法:选取2018年1月1日~6月1日收治的150例大肠癌患者作为研究对象,采用随机数字表法分为对照组和观察组各75例.对照组给予常规营养干预,观察组给予以i?PARIHS为概念框架的营养干预.比较两组身体状况[采用...

关 键 词:促进证据应用模式修订版  营养干预  大肠癌  化疗

Application of Nutritional Intervention with i-PARIHS as the Conceptual Framework in Patients with Colorectal Cancer Chemotherapy
Affiliation:(Cancer Hospital Affiliated to Guangxi Medical University,Nanning Guangxi 530022,China)
Abstract:Objective:To explore the application effect of nutritional intervention in patients with colorectal cancer chemotherapy based on the conceptual framework of the integrated promoting action on research implementation in health services(i-PARIHS).Methods:A total of 150 cases of colorectal cancer patients during January 1,2018-June 1,2018 were selected as the research objects,and were divided into the control group and the observation group by the random number table method,with 75 cases in each group.Patients in the control group received routine nutritional intervention,and patients in the observation group received nutritional intervention with i-PARIHS as the conceptual framework.The physical conditions by KPS,BMI,and SGA,side effects,nutritional status including TP,ALB,PA and Hb,immune function and quality of life by QLICP-CR in the two groups of patients were compared.Results:The KPS scores,body mass index(BMI)and subjective overall nutritional status evaluation scale(SGA)scores in the observation group on the 28th and 56th days of chemotherapy were significantly higher than those in the control group(P<0.05,P<0.01).Serum levels of ALB,PA,TP,Hb,IgA,IgG,IgM,CD3+,CD4+and CD4+/CD8+in the observation group after chemotherapy were significantly higher than those in the control group(P<0.05,P<0.01).After chemotherapy,the QLICP-CR scale in the observation group was significantly higher than that in the control group(P<0.05),and higher in the observation group than that in the control group(P<0.05).Conclusion:Nutritional intervention with i-PARIHS as the conceptual framework can significantly improve the nutritional level and quality of life,maintain immune function,and help improve the short-term efficacy of patients.
Keywords:i-PARIHS  Nutritional intervention  Colorectal cancer  Chemotherapy
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