“互联网+”联合H2H营养管理在卵巢癌围化疗期患者中的应用
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1 郑州大学第一附属医院;2 郑州大学附属郑州中心医院;3.郑州大学附属郑州中心医院;4.郑州大学第一附属医院

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河南省2023年科技发展计划(232102311011)。


Application of “Internet Plus” combined with H2H nutritional management in patients with ovarian cancer during the peri-chemotherapy period
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1 The First Affiliated Hospital of Zhengzhou University;2 Zhengzhou Central Hospital Affiliated to Zhengzhou University;3.Zhengzhou Central Hospital Affiliated to Zhengzhou University;4.The First Affiliated Hospital of Zhengzhou University

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    摘要:

    目的 探讨“互联网+”联合医院到家庭(hospital-to-home,H2H)营养管理在卵巢癌围化疗期患者中的应用效果。方法 纳入2024 年11 月至2025 年4 月郑州大学附属郑州中心医院收治的62 例拟行第一周期化疗的卵巢癌患者,根据病区将妇科一病区患者归于干预组(31例,标准护理方案+“互联网+”联合H2H营养管理方案),妇科二病区患者归于对照组(31 例,标准护理方案)。比较两组干预前及干预后1个月、3个月的体质量指数(body mass index,BMI)、实验室指标[血清白蛋白(serum albumin,ALB)、前白蛋白(prealbumin,PA)、血红蛋白(hemoglobin,Hb)]、患者主观整体评估量表(patient-generated subjective global assessment,PG-SGA)评分、营养不良发生率、胃肠道症状评定量表(gastrointestinal symptom rating scale,GSRS)评分和EORTC生活质量核心问卷(EORTC quality of life questionnaire-core 30,QLQ-C30)评分。结果 干预后3 个月,干预组BMI、Alb、PA、Hb、QLQ-C30 总体健康及功能维度评分均高于对照组(均P<0.05);干预组PG-SGA评分、GSRS 各维度评分、营养不良发生率和QLQ-C30 症状维度评分均低于对照组(均P<0.05)。结论 “互联网+”联合H2H 营养管理能有效改善卵巢癌围化疗期患者的营养状况、胃肠道功能及生活质量。

    Abstract:

    Objective To investigate the effect of “Internet Plus” combined with hospital-to-home (H2H) nutritional management in patients with ovarian cancer during the peri-chemotherapy period. Methods A total of 62 patients with ovarian cancer who were scheduled to undergo the first cycle of chemotherapy and were admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from November 2024 to April 2025 were included. Patients in the Gynecological Ward I were assigned to the intervention group (31 cases, standard care plan + "Internet Plus" combined with H2H nutrition management plan), while those in the Gynecological Ward II were assigned to the control group (31 cases, standard care plan). The body mass index (BMI), laboratory indicators [serum albumin (ALB), prealbumin (PA), hemoglobin (Hb)], patient-generated subjective global assessment (PG-SGA) score, incidence of malnutrition, gastrointestinal symptom rating scale (GSRS) score, and EORTC quality of life questionnaire-core 30 (QLQ-C30) score were compared between the two groups before intervention, at 1 month and 3 months after intervention. Results At 3 months after intervention, the BMI, Alb, PA, Hb, overall health and function scores of the QLQ-C30 scale in the intervention group were all higher than those in the control group (all P<0.05). The PG-SGA score, each dimension score of GSRS, the incidence of malnutrition, and the symptom dimension score of QLQ-C30 in the intervention group were all lower than those in the control group (All P<0.05). Conclusion Integrating “Internet Plus”with H2H nutritional management demonstrates efficacy in enhancing nutritional status, alleviating gastrointestinal dysfunction, and improving the quality of life for patients with ovarian cancer during the peri-chemotherapy period.

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闫欣,张一佳,陈淑梅,吴莹,丁娟.“互联网+”联合H2H营养管理在卵巢癌围化疗期患者中的应用[J].生物医学工程学进展,2026,(1):257-260

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  • 收稿日期:2025-12-08
  • 最后修改日期:2025-12-29
  • 录用日期:2025-12-31
  • 在线发布日期: 2026-04-14
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