The Impact of The Preoperative Nutritional Status on Quality of Life of Colorectal Cancer Patients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIZhi ^1,2 , ZHANGYa-lin ² , WANGXiao-dong ¹ , WEIShi-you ² , HUANGMing-jun ¹ ,  LIKa ¹

1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;
2. West China School of Medicine/West China Hospital, Sichuan University, Cheng du 610041, Sichuan Province, China;

Corresponding?author：

LIKa, Email: likalika127127@163.com

Keywords：

Nutritional status; Quality of life; Colorectal cancer

DOI：

10.7507/1007-9424.20140008

Video：

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Objective To explore the impact of the preoperative nutritional status on quality of life of colorectal cancer patients. Methods In this study, patients diagnosed definitely as colorectal cancer were enrolled from September 2012 to December 2012 in this hospital.NRS-2002 was used to assess the preoperative nutritional status, and QLQ-C30 was used to assess the quality of life. Results Forty-four patients were enrolled in this study and divided into two groups based on NRS-2002 preoperative nutritional status evaluation scores:mild nutritional risk group had 27 patients who got 1 point, and moderate-severe nutritional risk group had 17 patients who got 2 point or over it.Patients in moderate-severe nutritional risk group were significantly older than the mild nutritional risk group (P=0.001), but there were no statistical differences between the two groups in gender (P=0.718), TNM stage (P=0.302), differentiation degree (P=0.564), preoperative medical complications (P=0.070), postoperative complications[NS (not significant)], and stoma (P=0.786).There were no statistical differences between the two groups in quality of life, too (P > 0.05). Conclusions This study don't get the conclusion that there is any relationship between nutritional status and quality of life of the colorectal cancer patients.And maybe it is effected by the too small sample size and single time of accessing.Therefore, the further research by expanding sample size, using more kinds of assessment tools, and selecting different time to explore the impact of the preoperative nutritional status on quality of life of colorectal cancer patients are necessary.

Citation： LIZhi, ZHANGYa-lin, WANGXiao-dong, WEIShi-you, HUANGMing-jun, LIKa. The Impact of The Preoperative Nutritional Status on Quality of Life of Colorectal Cancer Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 41-45. doi: 10.7507/1007-9424.20140008 Copy

1.	黃明君, 陳鳳姣, 楊蘋, 等.NRS-2002評估術前直腸癌患者營養狀況和護理對策[J].護士進修雜志, 2009, 24(20):1854-1855.
2.	李卡, 黃明君, 吳凡, 等.結腸癌病人的營養風險篩查評估及護理對策[J].護理研究, 2009, 23(11):3035-3036.
3.	李卡, 黃智, 席望榮, 等.老年直腸癌患者術前不同營養狀態對術后康復影響的研究[J].護士進修雜志, 2010, 25(10):870-872.
4.	陳鳳姣, 李淼, 李佳昕, 等.大腸癌患者術前腸外營養支持對術后胃腸功能恢復的影響[J].護理學報, 2010, 5(17):47-49.
5.	August DA, Huhmann MB.American society for parenteral and enteral Nutrition (ASPEN) Board of Directors.ASPEN clinical guidelines:nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation[J].JPEN, 2009, 33(5):472-500.
6.	蔣朱明, 江華.腸外腸內營養臨床有效的循證基礎:營養風險篩查NRS-2002與相對有效理念[J].中國臨床營養雜志, 2007, 15(1):1-2.
7.	Kondrup J, Aliison SP, Elia M, et al.ESPEN Guidelines for Nutrition Screening 2002[J].Clinical Nutrition, 2003, 22(4):415-421.
8.	Kondrup J, Johansen N, Plum LM, et al.Incidence of nutritional risk and causes of inadequate nutritional care in hospitals[J].Clin-ical Nutrition, 2002, 21(6):461-468.
9.	孟瓊, 萬崇華, 羅家洪.癌癥患者生命質量測定量表EORTC QLQ-C30的應用[J].國外醫學社會醫學分冊, 2004, 21(4):147-150.
10.	姜寶法, 劉春曉, 崔永春, 等.EORTC QLQ-C30的信度、效度研究[J].中國臨床心理學雜志, 2005, 13(1):31-36.
11.	王建平, 陳仲庚, 林文娟, 等.中國癌癥病人生活質量的測定--EORTC QLQ-C30在中國的試用[J].心理學報, 2000, 32(4):438-442.
12.	Jemal A, Siegel R, Ward E, et al.Cancer statistics 2007[J].CA Cancer J C lin, 2007, 57(1):43-66.
13.	樊巧云, 樊梅月, 馬艷凱, 等.癌癥患者生存質量研究進展[J].醫學與哲學:臨床決策論壇版.2007, 28(10):19-20.
14.	羅健, 孫燕.癌癥患者生活質量研究[J].中國腫瘤, 2001, 10(2):76-77.
15.	Matsushita T, Matsushima E, Maruyama M.Assessment of peri-operative quality of life in patients undergoing surgery for gastrointestinal cancer[J].Support Care Cancer, 2004, 12(5):319-325.
16.	田俊, 張鏡源, 吳彬, 等.老年癌癥患者生存質量的多因素分析[J].中華老年醫學雜志, 1996, 15(6):339-341.
17.	Evans MD, Escofet X, Karandikar SS, et al.Outcomes of resection and non-resection strategies in management of patients with advanced colorectal cancer[J].World J Surg Oncol, 2009, 7:28.
18.	尹志勤, 周郁秋.影響癌癥病人生活質量相關因素的研究進展[J].護理學雜志, 2004, 19(9):76-78.
19.	Guren MG, Dueland S, Skovlund E, et al.Quality of life during radiotherapy for rectal cancer[J].Eur J Cancer, 2003, 39(5):587-594.
20.	Schreier AM, Williams SA.Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer[J].Oncol Nurs Forum, 2004, 31(1):127-130.
21.	吳國豪, 劉中華, 鄭烈偉, 等.普外科住院患者營養情況評價及預后分析[J].中華外科雜志, 2005, 43(11):693-696.
22.	吳蓓雯, 曹偉新, 費旭峰.328例消化道惡性腫瘤患者營養狀況評價[J].上海交通大學學報:醫學版, 2007, 27(5):604-606.
23.	Leandro-Merhi VA, de Aquino JL, Sales Chagas JF.Nutrition status and risk factors associated with length of hospital stay for surgical patients[J].JPEN J Parenter Enteral Nutr, 2011, 35(2):241-248.
24.	朱圓, 費旭峰, 曹偉新.普外科老年患者的營養狀況分析[J].臨床外科雜志, 2005, 13(3):163-165.
25.	Isenring E, Bauer J, Capra S.The scored Patient-generated Subjective Global Assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy[J].Eur J Clin Nutr, 2003, 57(2):305-309.
26.	Ravasco P, Monteiro-Grillo I, Vidal PM, et a1.Dietary counse-ling improves patient outcomes:a prospective, randomized, contr-olled trial in colorectal cancer patients undergoing radiotherapy[J].J Clin Oncol, 2005, 23(7):1431-1438.
27.	陳琳, 江惠娟, 陳增春.營養因素對大腸癌患者生存質量的影響[J].中國腫瘤, 2005, 14(10):650-651.

1. 黃明君, 陳鳳姣, 楊蘋, 等.NRS-2002評估術前直腸癌患者營養狀況和護理對策[J].護士進修雜志, 2009, 24(20):1854-1855.
2. 李卡, 黃明君, 吳凡, 等.結腸癌病人的營養風險篩查評估及護理對策[J].護理研究, 2009, 23(11):3035-3036.
3. 李卡, 黃智, 席望榮, 等.老年直腸癌患者術前不同營養狀態對術后康復影響的研究[J].護士進修雜志, 2010, 25(10):870-872.
4. 陳鳳姣, 李淼, 李佳昕, 等.大腸癌患者術前腸外營養支持對術后胃腸功能恢復的影響[J].護理學報, 2010, 5(17):47-49.
5. August DA, Huhmann MB.American society for parenteral and enteral Nutrition (ASPEN) Board of Directors.ASPEN clinical guidelines:nutrition support therapy during adult anticancer treatment and in hematopoietic cell transplantation[J].JPEN, 2009, 33(5):472-500.
6. 蔣朱明, 江華.腸外腸內營養臨床有效的循證基礎:營養風險篩查NRS-2002與相對有效理念[J].中國臨床營養雜志, 2007, 15(1):1-2.
7. Kondrup J, Aliison SP, Elia M, et al.ESPEN Guidelines for Nutrition Screening 2002[J].Clinical Nutrition, 2003, 22(4):415-421.
8. Kondrup J, Johansen N, Plum LM, et al.Incidence of nutritional risk and causes of inadequate nutritional care in hospitals[J].Clin-ical Nutrition, 2002, 21(6):461-468.
9. 孟瓊, 萬崇華, 羅家洪.癌癥患者生命質量測定量表EORTC QLQ-C30的應用[J].國外醫學社會醫學分冊, 2004, 21(4):147-150.
10. 姜寶法, 劉春曉, 崔永春, 等.EORTC QLQ-C30的信度、效度研究[J].中國臨床心理學雜志, 2005, 13(1):31-36.
11. 王建平, 陳仲庚, 林文娟, 等.中國癌癥病人生活質量的測定--EORTC QLQ-C30在中國的試用[J].心理學報, 2000, 32(4):438-442.
12. Jemal A, Siegel R, Ward E, et al.Cancer statistics 2007[J].CA Cancer J C lin, 2007, 57(1):43-66.
13. 樊巧云, 樊梅月, 馬艷凱, 等.癌癥患者生存質量研究進展[J].醫學與哲學:臨床決策論壇版.2007, 28(10):19-20.
14. 羅健, 孫燕.癌癥患者生活質量研究[J].中國腫瘤, 2001, 10(2):76-77.
15. Matsushita T, Matsushima E, Maruyama M.Assessment of peri-operative quality of life in patients undergoing surgery for gastrointestinal cancer[J].Support Care Cancer, 2004, 12(5):319-325.
16. 田俊, 張鏡源, 吳彬, 等.老年癌癥患者生存質量的多因素分析[J].中華老年醫學雜志, 1996, 15(6):339-341.
17. Evans MD, Escofet X, Karandikar SS, et al.Outcomes of resection and non-resection strategies in management of patients with advanced colorectal cancer[J].World J Surg Oncol, 2009, 7:28.
18. 尹志勤, 周郁秋.影響癌癥病人生活質量相關因素的研究進展[J].護理學雜志, 2004, 19(9):76-78.
19. Guren MG, Dueland S, Skovlund E, et al.Quality of life during radiotherapy for rectal cancer[J].Eur J Cancer, 2003, 39(5):587-594.
20. Schreier AM, Williams SA.Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer[J].Oncol Nurs Forum, 2004, 31(1):127-130.
21. 吳國豪, 劉中華, 鄭烈偉, 等.普外科住院患者營養情況評價及預后分析[J].中華外科雜志, 2005, 43(11):693-696.
22. 吳蓓雯, 曹偉新, 費旭峰.328例消化道惡性腫瘤患者營養狀況評價[J].上海交通大學學報:醫學版, 2007, 27(5):604-606.
23. Leandro-Merhi VA, de Aquino JL, Sales Chagas JF.Nutrition status and risk factors associated with length of hospital stay for surgical patients[J].JPEN J Parenter Enteral Nutr, 2011, 35(2):241-248.
24. 朱圓, 費旭峰, 曹偉新.普外科老年患者的營養狀況分析[J].臨床外科雜志, 2005, 13(3):163-165.
25. Isenring E, Bauer J, Capra S.The scored Patient-generated Subjective Global Assessment (PG-SGA) and its association with quality of life in ambulatory patients receiving radiotherapy[J].Eur J Clin Nutr, 2003, 57(2):305-309.
26. Ravasco P, Monteiro-Grillo I, Vidal PM, et a1.Dietary counse-ling improves patient outcomes:a prospective, randomized, contr-olled trial in colorectal cancer patients undergoing radiotherapy[J].J Clin Oncol, 2005, 23(7):1431-1438.
27. 陳琳, 江惠娟, 陳增春.營養因素對大腸癌患者生存質量的影響[J].中國腫瘤, 2005, 14(10):650-651.

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The Impact of The Preoperative Nutritional Status on Quality of Life of Colorectal Cancer Patients

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