根本原因分析法联合集束化营养干预在结肠癌术后患者中的应用
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舞钢市人民医院

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The application of root cause analysis combined with bundled nutrition intervention in postoperative patients with colon cancer
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    目的:分析根本原因分析法联合集束化营养干预在结肠癌术后患者中的应用价值。方法:选取2022年1月至2023年12月期间于本院拟接受结肠癌根治术治疗的100例结肠癌患者为研究对象。采用随机数字表法将患者分为观察组和对照组,每组各50例。对照组采用集束化营养干预;观察组采用根本原因分析法联合集束化营养干预。分析对比两组的营养相关指标[前白蛋白(Prealbumin,PAB)、血清白蛋白(Serum Albumin,ALB)、及血红蛋白(Hemoglobin,Hb)]、营养风险[营养风险筛查2002(Nutritional risk screening 2002,NRS2002)量表]、生活质量[欧洲癌症研究与治疗组织生活质量问卷(European Organization For Research and Treatment of Cancer Quality of Life Questionnaire,EORTC QLQ-C30)量表]以及并发症发生情况。结果:干预结束时,两组的ALB、PAB、Hb水平均比干预前显著升高,且观察组的ALB、PAB、Hb水平均显著高于对照组(P<0.05)。干预结束时,两组的NRS2002评分均比干预前显著降低,且观察组的NRS2002评分较对照组显著降低(P<0.05)。干预结束时,两组的各维度EORTC QLQ-C30量表评分均显著升高,且观察组的各维度的评分均显著高于对照组(P<0.05)。观察组的并发症发生率显著低于对照组(P<0.05)。结论:结肠癌术后患者实施根本原因分析法联合集束化营养干预,能提升患者的营养水平、降低营养不良发生风险,减少术后并发症,提高患者生活质量。

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    Objective: To analyze the application value of root cause analysis combined with bundled nutrition intervention in postoperative patients with colon cancer. Method: A total of 100 patients with colon cancer who underwent radical resection of colon cancer in our hospital from January 2022 to December 2023 were selected as the study subjects. The patients were divided into observation group and control group by random number table method, 50 cases in each group. The control group was treated with bundled nutrition intervention; the observation group was treated with root cause analysis combined with bundled nutrition intervention. The nutrition-related indicators [prealbumin (PAB), serum albumin (ALB), and hemoglobin (Hb)], nutritional risk [nutritional risk screening 2002 (NRS2002) scale], quality of life [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) scale] and complications were analyzed and compared between the two groups. Result: At the end of the intervention, the levels of ALB, PAB and Hb in the two groups were significantly higher than those before the intervention, and the levels of ALB, PAB and Hb in the observation group were significantly higher than those in the control group (P<0.05). At the end of the intervention, the NRS2002 scores of the two groups were significantly lower than those before the intervention, and the NRS2002 score of the observation group was significantly lower than that of the control group (P<0.05). At the end of the intervention, the scores of EORTC QLQ-C30 scale in each dimension of the two groups were significantly increased, and the scores of each dimension in the observation group were significantly higher than those in the control group (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion: The implementation of root cause analysis combined with bundled nutrition intervention in patients after colon cancer surgery can improve the nutritional level of patients, reduce the risk of malnutrition, reduce postoperative complications, and improve the quality of life of patients.

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王丽.根本原因分析法联合集束化营养干预在结肠癌术后患者中的应用[J].四川生理科学杂志,2025,47(6):

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  • 收稿日期:2024-10-14
  • 最后修改日期:2024-11-20
  • 录用日期:2025-01-02
  • 在线发布日期: 2025-06-22
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