目的探究强化心理支持联合个体化营养管理对老年食管癌放疗患者自我效能感、情绪状态、营养状况及生活质量的影响。方法采用便利抽样法,选取2022年8月—2023年8月在本院接受放疗的老年食管癌患者为研究对象。采用随机数字表法将其分为常规组(n=40)和研究组(n=39)。常规组给予常规护理,研究组给予强化心理支持联合个体化营养管理干预,连续干预3个月。比较两组干预前后的中文版癌症自我管理效能感量表(Strategies Used by People to Promote Health,SUPPH)评分、简式简明心境问卷(Profile of Mood States-Short Form,POMS-SF)评分、老年营养风险指数(Geriatric Nutritional Risk Index,GNRI)和EORTC癌症患者生命质量测定量表(EORTC Quality of Life Questionnaire-Core 30,EORTC QLQ-C30)评分。结果干预后,研究组中文版SUPPH各维度评分均高于常规组(P<0.05);研究组POMS-SF正性量表评分高于常规组,POMS-SF负性量表评分低于常规组(P<0.05);研究组GNRI高于常规组(P<0.05);研究组EORTC QLQ-C30维度1评分低于常规组,维度2评分高于常规组(P<0.05)。结论强化心理支持联合个体化营养管理不仅有利于增强老年食管癌放疗患者的自我效能感,而且有利于改善患者的情绪状态和营养状况,对提高患者的生活质量也具有积极意义,值得临床应用和推广。
食管癌是全球范围内常见的恶性肿瘤之一,包括鳞状细胞癌和腺癌,其特点是预后差。随着诊疗技术的发展,食管癌患者生存率略有提高,多原发恶性肿瘤也越来越普遍。放射治疗是食管癌治疗基石,也是多原发恶性肿瘤的病因之一。本研究旨在综述目前食管癌多原发恶性肿瘤的临床特征及放疗相关多原发恶性肿瘤的研究现状。Esophageal cancer is among the most common malignant tumors globally, encompassing both squamous cell carcinoma and adenocarcinoma, and is characterized by a poor prognosis. With advancements in diagnostic and therapeutic technologies, the survival rate of patients with esophageal cancer has seen a slight improvement;concurrently, the incidence of multiple primary malignancies is becoming increasingly prevalent. Radiation therapy serves as the cornerstone of esophageal cancer treatment and is also a contributing factor to the emergence of multiple primary malignancies. This study aims to review the current clinical characteristics of multiple primary malignancies associated with esophageal cancer, as well as the existing research on the relationship between radiotherapy and these tumors.
