Application of medical cooperative management combined with evidence-based nutrition nursing in patients with cancer fatigue due to esophageal cancer chemotherapy
医护协同管理法联合循证营养护理在食管癌化疗合并癌因性疲乏患者中的应用

摘要

目的 探析医护协同管理法联合循证营养护理应用于食管癌化疗患者，对其癌因性疲乏、营养状况等方面的影响。方法 选取我院收治的66例食管癌化疗患者作为研究对象，其中2023年3月-2023年8月期间入院者，接受常规护理干预，归为对照组（33例），其余33例患者入院时间为2023年9-2024年3月，归为观察组，并在对照组基础上实施医护协同管理+循证营养护理；对比分析两种护理模式的临床应用效果。结果 干预后，①癌因性疲乏：观察组躯体疲乏（10.12±2.63）分、情感疲乏（6.43±2.35）分、认知疲乏（7.03±1.95）分，均明显低于对照组，P＜0.001；②营养状况：观察组HB（131.96±3.25）g/L、PAB（295.05±9.96）mg/L、ALB（42.56±2.36）g/L、BMI（22.75±1.52）kg/m2，均明显优于对照组，P＜0.001；③生活质量：观察组心理健康（23.16±2.65）分、生理功能（21.39±3.45）分、活力功能（22.58±2.77）分、社会职能（22.79±2.64）分，均明显高于对照组，P＜0.007；差异均有统计学意义。结论 常规护理+医护协同管理+循证营养护理，三者结合，可以显著提高食管癌化疗患者的生活质量，改善癌因性疲乏情况，同时确保患者摄入足够的营养，尽可能减少疾病及化疗产生的各种不良反应。

Abstract

Objective To explore the effects of collaborative medical management combined with evidence-based nutrition nursing on cancer-related fatigue and nutritional status in patients with esophageal cancer undergoing chemotherapy.
Methods A total of 66 patients with esophageal cancer undergoing chemotherapy in our hospital were selected as the study objects. Among them, those admitted from March 2023 to August 2023 received routine nursing intervention and were classified as the control group (33 cases); the remaining 33 patients were admitted from September 2023 to March 2024 and classified as the observation group. On the basis of the control group, medical cooperative management and evidence-based nutrition nursing were implemented. The clinical application effects of the two nursing modes were compared and analyzed.
Results After intervention, ① cancer-related fatigue: body fatigue (10.12±2.63) scores, emotional fatigue (6.43±2.35) scores, cognitive fatigue (7.03±1.95) scores in observation group were significantly lower than those in control group, P < 0.001; ② Nutritional status: HB (131.96±3.25) g/L, PAB (295.05±9.96) mg/L, ALB (42.56±2.36) g/L, BMI (22.75±1.52) kg/m2 in observation group were significantly better than those in control group, P < 0.001; ③ Quality of life: Mental health (23.16±2.65) scores, physiological function (21.39±3.45) scores, vitality function (22.58±2.77) scores, social function (22.79±2.64) scores in the observation group were significantly higher than those in the control group, P < 0.007; The differences were statistically significant.
Conclusion   The combination of routine nursing, medical cooperative management and evidence-based nutrition nursing can significantly improve the quality of life of patients with esophageal cancer chemotherapy, improve cancer-related fatigue, and ensure that patients receive adequate nutrition to minimize the disease and various adverse reactions caused by chemotherapy.