Analysis of nutritional status and influencing factors in esophageal cancer patients for home-based care after surgery
10.16151/j.1007-810x.2024.05.008
- VernacularTitle:食管癌术后居家病人营养现状及影响因素分析
- Author:
Fei-Er CHENG
1
,
2
;
Li-Jing BU
;
Yi-Dan ZHANG
;
Ai-Qin ZHANG
Author Information
1. 南京大学医学院,江苏 南京 210093
2. 南京大学医学院附属金陵医院,江苏 南京 210002
- Keywords:
Postoperative esophageal cancer;
Tumors of the digestive tract;
Malnutrition;
Influencing factors
- From:
Parenteral & Enteral Nutrition
2024;31(5):300-305,311
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the nutritional status and its influencing factors in esophageal cancer patients for home-based care after surgery.Methods:A total of 153 patients with esophageal cancer who underwent surgery between July 2022 and October 2023 in the General Hospital of Eastern Theater Command were enrolled in this study.The nutritional status of the patients at home in 1-month post-surgery was evaluated according to the patient-generated subjective global assessment(PG-SGA),and the possible influencing factors were analyzed.Results:Among the 153 patients,47 were well-nourished and 106 were malnourished,with an overall malnutrition rate of 69.3%.For the malnutritional patients,71 were suspected or moderately malnourished and 35 were severely malnourished.The hemoglobin levels,serum albumin levels,the route for nutrition support delivery,nutrition impact symptoms(NIS),oral nutritional supplements(ONS)and nutritional behavior were independent influencing factors of nutritional status(P<0.05),in which NIS≥2 was a risk factor for malnutrition in the patients.Normal hemoglobin and albumin levels,enteral tube feeding,oral nutritional supplement and achieving standard of nutritional behavior were protective factors for avoiding the presence of malnutrition.Conclusion:The esophageal cancer patients for home-based care after surgery have a high incidence of malnutrition.Many factors,including nutrient delivery route and nutritional behavior,were related to the occurrence of in the patients.Certain measures to the related factors should be taken early for preventing malnutrition in clinical practice.
