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Influence of nutritional risk and nutritional support on quality of life after surgery in elderly patients with gastrointestinal tumor
Author(s): Tan Rongshao, Liu li, Ma Jing, He Yuqin, Zeng Tongmei, He Huijun
Pages: 335-
339
Year: 2016
Issue:
5
Journal: New Chinese Medicine
Keyword: Gastrointestinal tumor; Nutritional risk; Nutritional support; Quality of life;
Abstract: Objective To investigate the nutritional risk on admission and nutritional support during hospitalization in elderly patients with gastrointestinal tumor,and to analyze the correlation between the nutri-tional risk,nutritional support and quality of life (QOL)after surgery.Methods Nutritional Risk Screening 2002 (NRS-2002),Karnofsky Performance Status (KPS)scale and QOL scale of cancer patients were used to assess the nutritional risk score before surgery,KPS score and QOL after 3 months of surgery,respectively. Nutritional support during hospitalization was also investigated.Results In 93 recruited patients,the incidence of nutritional risk (Risk group)and non nutritional risk (Non-risk group)was 52.7% (49 /93)and 47.3%(44 /93),respectively.The rate of nutritional support in Risk group and Non-risk group was 71 .4% (35 /49) and 40.9% (1 8 /44)respectively.Preoperative KPS score in Risk group was significantly lower than that in Non-risk group (81 .23 ±1 6.33 vs.90.00 ±8.63,P <0.05).And postoperative global QOL score in Risk group was also significantly lower than that in Non-risk group (52.79 ±1 6.43 vs.63.04 ±1 6.46,P <0.05). NRS-2002 score had a significant negative correlation with preoperative KPS score (r =-0.382,P <0.01 ) and postoperative global QOL score (r =-0.258,P <0.01 ),respectively.Nutritional support can obviously improve the postoperative global QOL score in Risk group (P <0.05),but it cannot improve global QOL score in Non-risk group (P >0.05).Conclusions The incidence of nutritional risk is high in elderly patients with gastrointestinal tumor.And nutritional risk has negative impact on preoperative KPS and postoperative QOL.Nutritional support may improve the postoperative global QOL in elderly gastrointestinal tumor patients with nu-tritional risk.
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