1.Influence of nutritional screening, assessment and intervention on the nutritional status and quality of life in patients with malignant tumor
Chinese Journal of Practical Nursing 2015;31(17):1297-1300
Objective To investigate the influence of nutritional screening,assessment and intervention on the nutritional status and quality of life in patients with malignant tumor,which will provide a scientific basis for malignant tumor patients with individualized care.Methods A total of 146 patients with malignant tumor were screened and assessed by Patient-Generated Subjective Global Assessment (SGA),86 patients with nutritional risks were divided into control group and experimental group according to random digit table,oncology routine nursing care was implemented in the control group,and nutritional intervention was given to the experimental group before chemotherapy,after 4-week intervention,nutritional assessment were implemented again,and Quality of Life Questionnaires-Core 30 (QLQ C30) was used to evaluated quality of life respectively before and after intervention,the nutritional status and quality of life changes was compared in two groups of patients before and after the intervention.Results Nutritional status and quality of life in the experimental group were better than those of the control group:serum albumin [(37.6±4.5) g/L vs.(32.4±4.8) g/L],prealbumin [(282.8 ±28.3) mg/L vs.(242.0±26.6)mg/L],hemoglobin [(111.2±7.6) g/L vs.(100.9±9.2) g/L],body mass index [(18.0±1.5) kg/m2 vs.(16.5±1.2) kg/m2],t=-5.115 9,-6.888 6,-5.643 7,-5.175 1,P<0.01;general health condition [(66.73±14.06) vs.(54.41±15.35)],t=-3.881 0,P<0.01,the difference was significant.Conclusions On the basis of nutritional screening and assessment,specific nutritional intervention can obviously improve the nutritional status and quality of life in patients with malignant tumor,it should become an important component of comprehensive treatment of tumor.
2.A research of extension nursing of living quality in cervical cancer patients after radiotherapy
Lanqin WANG ; Huan CHENG ; Songhuan TIAN
Chinese Journal of Practical Nursing 2016;32(26):2036-2039
Objective To explore the effects of extension nursing on quality of life in cervical cancer patients after radiotherapy. Methods A total of 80 hospitalization patients from January 2013 to January 2015 was selected to join the QQL-BREF test. These 80 patients were divided into the experimental group and the control group, who all accepted regular health education, and the experimental group also accepted nursing once a month after discharge. The quality of life of patients in the two groups were assessed one year later. Results For the domain of physiological field, psychological field, independence, social, environmental, faith, the experimental group scored 3.73 ± 0.33, 3.66 ± 0.44, 3.67 ± 0.05, 3.48 ± 0.59, 3.73 ± 0.58, while the control group scored 1.68 ± 0.40, 2.39 ± 0.43, 1.76 ± 0.39, 2.10 ± 0.51, 3.02 ± 0.45 (t=1.26-21.15, P < 0.05). There were 5 factors, expect faith factor, which conformed to statistical principle (P<0.05). In 24 factors, 7 elements including human characteristic, security, income, skills and personal religion were not related to the statistical principle (P>0.05), Other 17 elements showed statistical difference (t=2.45-17.31, P < 0.01). Conclusions Extension nursing can improve cervical cancer patients′quality of life efficiently after radiotherapy and reduce the recurrence rate.
3.Reliability and validity of Chinese version of Revised Dental Beliefs Survey
Xiaohui WANG ; Songhuan TIAN ; Yun GAO
Chinese Journal of Practical Nursing 2015;(36):2785-2788
Objective To translate the English version of Revised Dental Beliefs Survey (R- DBS) into Chinese and to test the reliability and validity of the Chinese version of R- DBS. Methods The R- DBS was translated and adapted according to Chinese culture. The reliability and validity of Chinese version of R- DBS was tested in 348 adult patients in department of stomatology. Results The Chinese version of R- DBS consisted of 23 items. Three factors were extracted by factor analysis which could explain 54.236% of the total variance. The internal consistency coefficient of the Chinese version of R- DBS was 0.891 and the test- retest reliability was 0.856. Using DAS as an external criterion, the correlation coefficients of the DBS and DAS scores were 0.781 (P<0.01). Conclusions The Chinese version of R- DBS is reliable and valid, and can be used to assess the patient′s subjective perceptions of the behavior of dentists and the delivery of dental care.