在头癌患者的护理和营养状况
Meltem Dağdelen1, Muhammed Veysel Hekim1, Tuba Kurt Catal2
1Radiation Oncology, Istanbul University-Cerrahpasa Cerrahpasa Faculty of Medicine, İstanbul, Turkey.
BMJ supportive & palliative care
|November 9, 2025
概括
护士主导的支持改善了头癌 (HNC) 患者接受放射治疗 (RT) 的营养和减少了副作用. 这突显了护理在癌症治疗坚持和多学科护理方面的价值.
科学领域:
- 在瘤学瘤学.
- 临床护理 临床护理
- 营养科学 营养科学
背景情况:
- 接受放射治疗 (RT) 的头癌 (HNC) 患者经常面临营养和减肥方面的挑战.
- 有效的症状管理对于HNC的治疗坚持和患者的结果至关重要.
研究的目的:
- 评估影响HNC患者在RT期间营养和减肥的因素.
- 调查护士领导的支持对症状管理和营养状况的影响.
主要方法:
- 50名接受RT的HNC患者的前性研究,由临床护士 (研究组) 监督.
- 记录了营养摄入量和生物电阻分析 (BIA).
- 与45名HNC患者的对照组进行比较,没有护士随访.
主要成果:
- 与对照组 (p=0.03) 相比,研究小组的体重减轻显著减少 (3.0 kg vs 5.2 kg).
- 在研究小组中,中度消化障碍的发生频率较低 (42%对62%,p=0.04).
- 在护士支持的组中,3级毒性较少发生.
结论:
- 护士主导的随访显著提高了营养结果,并减少了接受RT的HNC患者的治疗副作用.
- 护理在支持治疗坚持和改善多学科癌症护理方面发挥着至关重要的作用.
- 这种方法表明了综合护理支持在瘤学中的价值.
相关概念视频
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
797
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
797
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.2K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.2K
Pneumonia V: Nursing management and Prevention
3.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.4K
Endotracheal Intubation II: Nursing Management
2.4K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.4K
Esophageal Varices-II: Clinical Features and Management
355
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
355

