統合された心理的および栄養的介入を通じて,大腸がん患者の術後の回復を最適化
1Department of General Surgery, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou City, Jiangsu, 215006, P.R. China.
Journal of cancer survivorship : research and practice
|August 23, 2025
まとめ
心理的介入と栄養改善を組み合わせると,大腸がん (CRC) の患者の回復が著しく改善されます. この統合されたアプローチは 栄養状態,睡眠,痛み管理,そして手術後の健康状態を 改善します
科学分野:
- 腫瘍学
- 臨床栄養について
- 心理医学
背景:
- 結腸直腸がん (CRC) の手術からの回復は複雑で,身体的・心理的な課題も伴う.
- CRC患者の術後ケアを最適化することは 治療結果と生活の質の改善に不可欠です
研究 の 目的:
- CRC患者の術後の回復に対する心理的介入と強化された栄養支援の影響を評価する.
- 栄養状態の改善,睡眠の質,痛み,心理的幸福,生活の質の改善を評価する.
主な方法:
- 手術後のCRC患者300人を対象としたランダム化比較試験です.
- 観察群は標準的なケアと心理的介入と強化された栄養を受け,対照群は標準的なケアのみを受けていました.
- 測定されたアウトカムには,栄養指標,ピッツバーグ睡眠品質指数 (PSQI),痛みのための視覚アナログスケール (VAS),自己評価不安およびうつ病スケール (SAS/SDS),および生活の質のためのEORTC QLQ-C30が含まれていました.
主要な成果:
- 介入グループは,対照群と比較して栄養状態 (体重,アルブミン,総タンパク質,プレアルブミン,トランスファーリン) が有意に改善した (P < 0. 05).
- 睡眠の質の改善 (PSQIスコアが低く),痛みの管理の改善 (VASスコアが低く),不安やうつ病の軽減 (SAS/ SDSスコアが低く) (P < 0. 05) とともに回復が改善された.
- 人生の質のスコア (EORTC QLQ- C30) は介入グループにおいて有意に高かった (P < 0. 05).
結論:
- 心理的介入と栄養支援の組み合わせは,大腸がん患者の術後の回復を有意に改善します.
- この統合的なアプローチは 栄養状態,睡眠,痛みのコントロール,心理的健康を改善し CRC のリハビリテーションに有効な戦略を提供します.
- 身体的,心理的なニーズに対応する包括的な支援介入は,CRC患者の日常的な生存ケアに不可欠です.
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