现代食品科技2026，Vol.42Issue(2)：50-56,7.DOI:10.13982/j.mfst.1673-9078.2026.2.1657
H2H营养管理模式下的持续营养补充对食管癌患者术后营养状况及生活质量的改善作用
Continuous Nutritional Supplementation under Hospital-to-Home Nutritional Management Improves Postoperative Nutritional Status and Quality of Life of Esophageal Cancer Patients
摘要
Abstract
The effect of continuous nutritional supplementation on the postoperative nutritional status and quality of life(QOL)of patients with esophageal cancer under the Hospital-To-Home(H2H)nutritional management model was investigated in this study.A total of 81 patients first diagnosed with esophageal cancer and who had received surgical treatment at the Department of Thoracic Surgery of our hospital were randomly assigned to an experimental or a control group.Routine nutritional management was implemented in the control group,while the H2H nutritional management model was adopted in the experimental group to provide continuous nutritional supplementation.The results showed that postoperative hemoglobin concentration decreased to varying degrees in both groups;however,the experimental group had a lower concentration at 3 days postoperatively than the control group(P=0.037).The concentrations of serum albumin(38.2 g·L-1)and prealbumin(256.7 g·L-1)at 3 days postoperatively were higher in the experimental than in the control group(36.3 and 180.9 gL-1,respectively;both P＜0.05).In both groups,total protein and prealbumin concentrations decreased postoperatively,followed by a gradual increase after discharge,with the experimental group showing a steeper overall trend than the control group.QOL assessment indicated that the experimental group achieved significantly higher scores in physical functioning(81.7 vs 70.2),emotional functioning(85.5 vs 75.0),and overall health(73.0 vs 62.8)at 6 months postoperatively than the control group(all P＜0.05).In conclusion,the results of this study indicate that continuous nutritional supplementation based on the H2H nutritional management model simultaneously enhances postoperative nutritional status and QOL in esophageal cancer patients,thereby improving postoperative outcomes.The H2H nutritional management model can serve as a reference for long-term nutritional management of postoperative cancer patients.关键词
持续营养补充/H2H营养管理模式/食管癌/营养状况/生活质量Key words
continuous nutritional supplementation/hospital-to-home nutritional management model/esophageal cancer/nutritional status/quality of life引用本文复制引用
王子兵,刘晓燕,刘海珍,李小玢,丁宝龙,李伟..H2H营养管理模式下的持续营养补充对食管癌患者术后营养状况及生活质量的改善作用[J].现代食品科技,2026,42(2):50-56,7.基金项目
潍坊市卫健委科研项目(WFWSJK-2020-036) （WFWSJK-2020-036）
潍坊市卫健委科研项目(WFWSJK-2022-254) （WFWSJK-2022-254）
