Abstract: Objective To investigate the effect of individualized nutritional nursing on patients with head and neck tumors undergoing chemotherapy. Methods A total of 104 patients who underwent chemoradiotherapy for head and neck cancer in oncology department from May 2018 to December 2018,were divided into control group and observation group according to admission time, with 52 cases in each group. The control group made use of the European Nutrition Risk Screening 2002 （NRS-2002） ^[1] in order to evaluate the nutritional status of patients for routine guidance. The observation group based on the NRS-2002 assessment results based on the results of NRS-2002 combined with telephone and WeChat follow-up to implement individual nutrition nursing. Seven days after the end of radiotherapy and chemotherapy, we observed and compared the differences in nutritional status indicators, the incidence of complications, the length of hospital stay, and the total cost of hospitalization. Results Seven days after the end of radiotherapy and chemotherapy, the nutritional status indicators of the observation group were significantly better than the control group. All indicators were statistically significant （P< 0.05）. The incidence of complications in the observation group was lower than that in the control group, and the differences were statistically significant （P< 0.05）. The hospital stays and total hospitalization costs of the observation group were lower than those in the control group. Conclusion Individualized nutritional nursing on head and neck cancer patients who receive chemoradiotherapy can effectively improve the nutritional status of patients, reduce the incidence of complications, shorten the length of hospital stay and lower the total hospitalization cost, which is worthy of clinical promotion.

Key words: Chemoradiotherapy, head and neck cancer, individual nutrition nursing, effect

摘要： 目的 探讨个体化营养护理对头颈部肿瘤放化疗患者的应用效果。方法 选取2018年5月至2018年12月在我科行头颈部肿瘤放化疗患者104例,按入院时间分为对照组和观察组,每组52例。对照组采用欧洲营养风险筛查2002（NRS-2002）评估患者营养状况进行常规指导,观察组在对照组的基础上根据NRS-2002评估结果结合电话、微信随访实施个体化营养护理。放化疗结束7天后观察比较两组患者的营养状况指标、并发症发生率、住院日及住院总费用比较的差异。结果 放化疗结束7天后,观察组患者营养状况指标明显优于对照组,差异均有统计学意义（P<0.05）,观察组患者并发症发生率较对照组低,差异均有统计学意义（P<0.05）,观察组患者住院日及住院总费较对照组低。结论 采用个体化营养护理对头颈部肿瘤放化疗患者,有效改善患者营养状况,降低并发症发生率,缩短住院日及降低住院总费。

关键词: 放化疗, 效果, 头颈部肿瘤, 个体化营养护理