SHAO Qing. Influencing factors of nutritional supplementation awareness in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy and analysis in importance matrix[J]. Journal of Clinical Medicine in Practice, 2024, 28(13): 7-12. DOI: 10.7619/jcmp.20233874
Citation: SHAO Qing. Influencing factors of nutritional supplementation awareness in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy and analysis in importance matrix[J]. Journal of Clinical Medicine in Practice, 2024, 28(13): 7-12. DOI: 10.7619/jcmp.20233874

Influencing factors of nutritional supplementation awareness in nasopharyngeal carcinoma patients undergoing radiotherapy and chemotherapy and analysis in importance matrix

More Information
  • Received Date: November 30, 2023
  • Revised Date: February 27, 2024
  • Available Online: July 19, 2024
  • Objective 

    To analyze the influencing factors of nutritional supplementation awareness in patients with nasopharyngeal carcinoma undergoing concurrent radiochemotherapy and perform an importance matrix analysis.

    Methods 

    A total of 216 patients with nasopharyngeal carcinoma undergoing concurrent radiochemotherapy were selected as the study subjects. A questionnaire survey was conducted to assess patients' awareness of nutritional supplementation during radiochemotherapy for nasopharyngeal carcinoma, and general patient information was collected. Multiple linear regression analysis was used to analyze the influencing factors of nutritional supplementation awareness in patients undergoing radiochemotherapy for nasopharyngeal carcinoma, and an importance matrix analysis was performed for each factor.

    Results 

    At 2 months of radiochemotherapy, the hemoglobin and prealbumin levels of patients with nasopharyngeal carcinoma were lower than those before and 2 months after radiochemotherapy, while the nutrition status score and malnutrition incidence were higher than those before and 2 months after radiochemotherapy (P < 0.01). The questionnaire assessment showed that the total score of nutritional supplementation awareness among patients with nasopharyngeal carcinoma was (37.44±6.10). Age, rural residence, avoidance coping, tumor stage, social support, education level and psychological resilience were the influencing factors of nutritional supplementation awareness in patients with nasopharyngeal carcinoma (P < 0.05). Importance matrix analysis showed that avoidance coping, psychological resilience and social support were more important and had lower difficulty in improvement, were included the priority improvement area. Age, rural residence, tumor stage and education level had more difficulty in improvement, and were included in the suboptimal improvement area.

    Conclusion 

    The influencing factors of nutritional supplementation awareness in patients with nasopharyngeal carcinoma include rural residence, age, avoidance coping, education level, psychological resilience, tumor stage and social support. Clinical work should target these factors to improve patients′ nutritional cognition and behavior.

  • [1]
    岑洁, 杨丽, 王仁生. 同期放化疗对鼻咽癌患者营养状况及生活质量的影响[J]. 广西医学, 2019, 41(6): 783-785, 795.
    [2]
    QIU Y F, YOU J, WANG K L, et al. Effect of whole-course nutrition management on patients with esophageal cancer undergoing concurrent chemoradiotherapy: a randomized control trial[J]. Nutrition, 2020, 69: 110558.
    [3]
    SONG T, FANG M, WU S X. Concurrent chemoradiation therapy tailored to the older adults with esophageal cancer: state of the art and the future[J]. Clin Interv Aging, 2018, 13: 2275-2287.
    [4]
    YANNI A, DEQUANTER D, LECHIEN J R, et al. Malnutrition in head and neck cancer patients: impacts and indications of a prophylactic percutaneous endoscopic gastrostomy[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2019, 136(3S): S27-S33.
    [5]
    SHU Z K, ZENG Z Y, YU B Q, et al. Nutritional status and its association with radiation-induced oral mucositis in patients with nasopharyngeal carcinoma during radiotherapy: a prospective study[J]. Front Oncol, 2020, 10: 594687.
    [6]
    PAN X, LIU H, FENG G, et al. Role of muscle mass and nutritional assessment tools in evaluating the nutritional status of patients with locally advanced nasopharyngeal carcinoma[J]. Front Nutr, 2021, 8: 567085.
    [7]
    戴敏智, 夏丽敏, 左志贵, 等. 基于知信行理论模式的姑息护理关怀管理对晚期结直肠癌化疗患者的影响[J]. 中国医药导报, 2020, 17(1): 179-182.
    [8]
    DE GROOT L M, LEE G, ACKERIE A, et al. Malnutrition Screening and Assessment in the Cancer Care Ambulatory Setting: mortality Predictability and Validity of the Patient-Generated Subjective Global Assessment Short form (PG-SGA SF) and the GLIM Criteria[J]. Nutrients, 2020, 12(8): 2287.
    [9]
    史晓芬, 蔡英华, 周海琴, 等. 肺移植等待期患者营养知信行调查及影响因素分析[J]. 中华现代护理杂志, 2020, 26(11): 1439-1444.
    [10]
    MOROTE R, HJEMDAL O, MARTINEZ URIBE P, et al. Psychometric properties of the Resilience Scale for Adults (RSA) and its relationship with life-stress, anxiety and depression in a Hispanic Latin-American community sample[J]. PLoS One, 2017, 12(11): e0187954.
    [11]
    王雪, 赵庆华, 张国惠, 等. 意外创伤患者应激障碍及社会支持与创伤后成长的相关性研究[J]. 护士进修杂志, 2019, 34(6): 565-568.
    [12]
    LAN C F, NIE C L, LIN Y J. Uncertainty in illness and the coping styles of severe patients with COVID-19: current status and correlation[J]. Epidemiol Infect, 2021, 149: 1-22.
    [13]
    MENG L B, WEI J L, JI R, et al. Effect of early nutrition intervention on advanced nasopharyngeal carcinoma patients receiving chemoradiotherapy[J]. J Cancer, 2019, 10(16): 3650-3656.
    [14]
    DOU S J, DING H P, JIANG W, et al. Effect of oral supplements on the nutritional status of nasopharyngeal carcinoma patients undergoing concurrent chemotherapy: a randomized controlled Phase Ⅱ trial[J]. J Cancer Res Ther, 2020, 16(7): 1678-1685.
    [15]
    白芸芸, 陈福权, 乔彦明. 微小RNA-150-5p抑制鼻咽癌细胞恶性增殖及增强放疗敏感性的作用研究[J]. 实用临床医药杂志, 2023, 27(5): 76-81.
    [16]
    别国梁, 朱青山. 老年鼻咽部恶性肿瘤术后手术部位感染的危险因素分析[J]. 中国临床医生杂志, 2021, 49(12): 1464-1466.
    [17]
    何艳, 李建梅. 鼻咽癌患者调强放射治疗后综合营养指数模型的构建及与生活质量的相关性[J]. 现代临床护理, 2019, 18(3): 11-18.
    [18]
    JIN T, LI K X, LI P J, et al. An evaluation of nutrition intervention during radiation therapy in patients with locoregionally advanced nasopharyngeal carcinoma[J]. Oncotarget, 2017, 8(48): 83723-83733.
    [19]
    王密芳, 张丽萍, 蔡薇薇, 等. 知信行模式在降低导管相关性血流感染中的应用效果[J]. 中华医院感染学杂志, 2019, 29(16): 2542-2545, 2560.
    [20]
    JI J, JIANG D D, XU Z, et al. Continuous quality improvement of nutrition management during radiotherapy in patients with nasopharyngeal carcinoma[J]. Nurs Open, 2021, 8(6): 3261-3270.
    [21]
    袁敏, 黄雅芳, 郝立晓, 等. 北京市养老机构老年人营养状况调查及其影响因素研究[J]. 中国全科医学, 2020, 23(24): 3075-3080.
    [22]
    FERNÁNDEZ-GÓMEZ E, LUQUE-VARA T, MOYA-FERNÁNDEZ P J, et al. Factors influencing dietary patterns during pregnancy in a culturally diverse society[J]. Nutrients, 2020, 12(11): 3242.
    [23]
    USTER A, RUEHLIN M, MEY S, et al. Effects of nutrition and physical exercise intervention in palliative cancer patients: a randomized controlled trial[J]. Clin Nutr, 2018, 37(4): 1202-1209.
    [24]
    HSU K J, LIAO C D, TSAI M W, et al. Effects of exercise and nutritional intervention on body composition, metabolic health, and physical performance in adults with sarcopenic obesity: a meta-analysis[J]. Nutrients, 2019, 11(9): 2163.
    [25]
    KARLIN N J, WEIL J, BEN SALEM M. Social support, retirement resources, and the gendered experiences of aging for Tunisian older adults[J]. J Gerontol Soc Work, 2019, 62(5): 564-577.
    [26]
    WU F, SHENG Y. Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: a pathway analysis[J]. Arch Gerontol Geriatr, 2019, 85: 103934.
    [27]
    KONG L N, ZHANG N, YUAN C, et al. Relationship of social support and health-related quality of life among migrant older adults: the mediating role of psychological resilience[J]. Geriatr Nurs, 2021, 42(1): 1-7.
    [28]
    KARACA A, YILDIRIM N, CANGUR S, et al. Relationship between mental health of nursing students and coping, self-esteem and social support[J]. Nurse Educ Today, 2019, 76: 44-50.
    [29]
    周晗, 高田林, 孙大发, 等. 山东农村地区老年人社会支持情况和营养状况调查[J]. 青岛大学学报: 医学版, 2020, 56(3): 285-288.
    [30]
    GEORGE E S, KECMANOVIC M, MEADE T, et al. Psychological distress among carers and the moderating effects of social support[J]. BMC Psychiatry, 2020, 20(1): 154.
    [31]
    WANG X Y, QI M, ZENG X L, et al. Social support and tinnitus distress: the importance of developing positive psychological qualities in patients with chronic tinnitus[J]. Audiol Neurootol, 2021, 26(4): 246-256.
    [32]
    张翠翠, 赵静. 老年消化道恶性肿瘤患者营养不良影响因素分析及肠内外营养支持干预效果[J]. 肿瘤药学, 2021, 11(6): 769-774.
    [33]
    赵中海, 刘秀, 任丽, 等. 老年结直肠癌术后应用口服营养支持对患者营养状态及生活质量的影响[J]. 中国临床医生杂志, 2023, 51(7): 824-826.
    [34]
    郭亚群, 李玉波, 田倩. 治疗前预后营养指数和控制营养状态评分对卵巢癌患者预后的预测价值[J]. 实用临床医药杂志, 2023, 27(11): 23-27.
  • Related Articles

    [1]LI Yuanyuan, CHEN Jin, YU Xiujuan, XIONG Lingjie, LIU Dandan. Influencing factors of disability degree and correlations of disability with malnutrition and sarcopenia in elderly hospitalized patients with disability[J]. Journal of Clinical Medicine in Practice, 2024, 28(7): 67-71. DOI: 10.7619/jcmp.20233705
    [2]WEI Min, LIU Jun. Construction of a risk prediction model for malnutrition in maintenance hemodialysis patients[J]. Journal of Clinical Medicine in Practice, 2023, 27(10): 67-71,78. DOI: 10.7619/jcmp.20231186
    [3]ZHANG Shu, BAO Yun, CHEN Fang, WANG Yao, YANG Ming. Application of Global Leadership Initiative on Malnutrition standard in patients with maintenance hemodialysis[J]. Journal of Clinical Medicine in Practice, 2022, 26(5): 48-53. DOI: 10.7619/jcmp.20214021
    [4]YANG Yu, LIAN Yuying, ZHAO Yin. A consistency study of Global Leadership Initiative on Malnutrition standard, Patient-generated Subjective Global Assessment and serum albumin in diagnosis of malnutrition in cancer patients[J]. Journal of Clinical Medicine in Practice, 2022, 26(2): 82-87. DOI: 10.7619/jcmp.20212940
    [5]SUN Jinjie, SUN Yongqiang. Investigation on nutritional cognitive behavior of patients with inflammatory bowel disease and malnutrition analysis[J]. Journal of Clinical Medicine in Practice, 2020, 24(2): 83-86. DOI: 10.7619/jcmp.202002024
    [6]XU Chuanqin, HE Yuanqiang, CHEN Jianhui, ZHENG Yulong, LI Gang, WAN Yufeng. Effect of malnutrition on cognitive function of patients with chronic obstructive pulmonary disease in stable period[J]. Journal of Clinical Medicine in Practice, 2018, (7): 117-119,122. DOI: 10.7619/jcmp.201807033
    [7]MAO Chengye, WU Tianmu. Study on correlation of inflammatory responses and malnutrition in patients with chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2016, (17): 41-43. DOI: 10.7619/jcmp.201617013
    [9]MA Hongmei, XU Shengmei, LI Jing, GUO Dong, ZHOU Youjian. Correlation between expressions of E-cadherin and matrix metalloproteinase-7 and colorectal carcinoma[J]. Journal of Clinical Medicine in Practice, 2015, (9): 52-54,72. DOI: 10.7619/jcmp.201509015
    [10]LU Jianjun, YI Liping, TUO Ya, QIAO Huizhen. Expression and clinical significance of matrix metalloproteinases-9 in tissues of endometrial carcinoma[J]. Journal of Clinical Medicine in Practice, 2014, (15): 63-65,69. DOI: 10.7619/jcmp.201415019
  • Cited by

    Periodical cited type(3)

    1. 焦春军,崔文信,郭硕磊. 腹腔镜下保留肾单位手术与后腹腔镜肾癌根治术对非晚期肾癌患者免疫功能的影响. 河南外科学杂志. 2024(05): 22-25 .
    2. 刘永存. 后腹腔镜肾癌根治术治疗非晚期肾癌患者的效果. 中国民康医学. 2022(16): 44-46+50 .
    3. 赵小磊,李松,常俊锴,徐文超. 后腹腔镜下肾癌根治术对患者炎性反应指标、肾功能指标、肿瘤标志物的影响. 癌症进展. 2021(12): 1246-1249+1268 .

    Other cited types(0)

Catalog

    Article views (119) PDF downloads (11) Cited by(3)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return