营养支持干预联合阶段式规范化心理支持对头颈部肿瘤放疗患者营养指标、心理状态和生存质量的影响

doi:10.3969/j.issn.1671-7171.2026.04.011

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摘要 【目的】探讨营养支持干预联合阶段式规范化心理支持对头颈部肿瘤放疗患者营养指标、心理状态和生存质量的影响。【方法】112例头颈部肿瘤放疗患者,随机分为对照组与观察组,每组56例。对照组予以常规干预,观察组予以营养支持干预联合阶段式规范化心理支持。比较干预前后两组患者营养指标[前白蛋白(PA)、白蛋白(ALB)、血红蛋白(Hb)、转铁蛋白(TRF)]、心理状态[简明癌症患者心理调适量表(Mini-MAC-29)评分]、生存质量[中国版头颈癌生命质量测定量表(QLICP-HN)评分]、口腔黏膜炎发生情况。【结果】干预后,观察组患者PA、ALB、Hb、TRF水平高于对照组(P<0.05);观察组Mini-MAC-29各维度评分低于对照组(P<0.05),QLICP-HN各维度评分高于对照组(P<0.05);观察组口腔黏膜炎总发生率低于对照组(P<0.05)。【结论】营养支持干预联合阶段式规范化心理支持可改善头颈部肿瘤放疗患者营养状态、心理状态和生存质量,降低口腔黏膜炎的发生率。

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	曹丽
	何爱莲
	胡欢欢
	任路遥

关键词 ：头颈部肿瘤, 放射疗法, 营养支持, 心理护理

Abstract：【Objective】 To investigate the effects of nutritional support intervention combined with staged standardized psychological support on patients undergoing radiotherapy with head and neck tumors. 【Methods】 A total of 112 patients with head and neck tumors receiving radiotherapy were randomly divided into a control group and an observation group, with 56 patients in each group. The control group received routine interventions, while the observation group received nutritional support intervention combined with staged standardized psychological support. Nutritional indicators [prealbumin (PA), albumin (ALB), hemoglobin (Hb), and transferrin (TRF)], psychological status [Mini-Mental Adjustment to Cancer Scale (Mini-MAC-29) scores], quality of life [Quality of Life Instruments for Cancer Patients-Head and Neck Cancer (QLICP-HN) scores], and the incidence of oral mucositis were compared between the two groups before and after the intervention. 【Results】 After the intervention, levels of PA, ALB, Hb, and TRF in the observation group were significantly higher than those in the control group (P<0.05). The Mini-MAC-29 scores in the observation group were significantly lower than those in the control group (P<0.05), while the QLICP-HN scores were significantly higher (P<0.05). In addition, the overall incidence of oral mucositis in the observation group was significantly lower than that in the control group (P<0.05). 【Conclusion】 Nutritional support intervention combined with staged standardized psychological support can effectively improve nutritional status, psychological status, and quality of life in patients with head and neck tumors undergoing radiotherapy, and reduce the incidence of oral mucositis.

Key words： Head and Neck Neoplasms Radiotherapy Nutritional Support Psychological Nursing

收稿日期: 2025-06-06

中图分类号:

R739.91

引用本文:

曹丽, 何爱莲, 胡欢欢, 任路遥. 营养支持干预联合阶段式规范化心理支持对头颈部肿瘤放疗患者营养指标、心理状态和生存质量的影响[J]. 医学临床研究, 2026, 43(4): 566-569.
CAO Li, HE Ailian, HU Huanhuan, REN Luyao. Effects of Nutritional Support Intervention Combined with Staged Standardized Psychological Support on Patients Undergoing Radiotherapy with Head and Neck Tumors. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 566-569.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.04.011 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I4/566

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