Intervention and effect analysis of individualized nutrition management in patients with digestive system malignant tumor during chemotherapy

Abstract

Objective To observe the effects of individualized nutrition management during the chemotherapy period in patients with digestive system malignant tumor. Methods A total of 80 patients with malignant tumors of digestive system admitted in Liaoning Cancer Hospital from April 2014 to April 2017 were recruited as the research object by convenience sampling method, and randomly divided into 2 groups with 40 cases in each by random number table method. The control group was given routine nursing, while the observation group received individualized nutritional intervention management for 1 month. Nutritional Knowledge, Attitude and Behavior Questionnaire was applied before and after intervention for nutritional KAP level. Patient-Generated Subjective Global Assessment (PG-SGA) 、body weight (BW) , body mass index (BMI) , serum albumin (Alb) , index of hemoglobin (Hb) , total lymphocyte count (TLC) were applied to assess patients' nutritional status. Results The scores of KAP (knowledge, attitude and behavior) and total score of the 2 groups were significantly higher than those before intervention (P<0.05) . In addition, the scores of the observation group than those of the control group after intervention (P<0.05) . After intervention, BMI, Alb, BW, Hb and TLC levels of the observation group were significantly higher than those before the intervention (P<0.05) , while PG-SGA score was lower than before (P<0.05) . After intervention, BW, BMI, Alb and TLC of the control group were significantly higher than those before intervention (P<0.05) , and PG-SGA score was lower than before (P<0.05) . However, there was no statistical significance in Hb level (P<0.05) . The score of PG-SGA in the observation group was significantly lower than that in the control group (P<0.05) , and the other indexes were significantly higher than those in the control group (P<0.05) . Conclusions Individualized nutrition management during the period of chemotherapy for patients with digestive system malignant tumor is helpful in improving the level of KAP in nutrition knowledge, reducing nutritional risk, and improving the nutritional status. Key words: Neoplasm; Digestive system; Nutritional support; Chemotherapy