以质量求发展,以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (9): 1-4.doi: 10.16460/j.issn1008-9969.2021.09.001

    Next Articles

A Comparative Study of Handgrip Strength and NRS2002 in Nutritional Risk Screening of Patients with Malignant Tumors

LU Ting1, YING Yan-ping1, XU Yi2, YUAN Li-xiu1, ZHOU Qiong1, HUANG Biao-jin1   

  1. 1. The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China;
    2. Affiliated Tumor Hospital of Guangxi Medical University, Nannin 530021, China
  • Received:2020-11-25 Online:2021-05-10 Published:2021-06-09

Abstract: Objective To compare the effects of grip strength and nutritional risk screening 2002 (NRS2002) in nutritional risk screening for patients with malignant tumors. Methods A total of 339 inpatients with malignant tumors in the Department of Oncology of a tertiary grade A hospital in Guangxi were selected to measure their handgrip strength, anthropometric indicators and laboratory indicators. A nutritional risk screening was carried out with NRS2002, and the result of grip strength was compared with that of nutritional risk screening with NRS2002. The consistency of grip strength and NRS2002 screening result was checked. Results The detection rate of nutritional risk by using grip strength and NRS2002 nutritional risk screening was 44.2% and 38.9%, respectively. when assessed by grip strength, there was statistical significance in terms of age, height, body weight, BMI, arm circumference, calf circumference, hemoglobin, prealbumin, and albumin (P<0.05) and when by NRS2002, there was statistical significance in terms of age, body weight, BMI, arm circumference, calf circumference, hemoglobin, prealbumin, and albumin (P<0.05). The difference between the consistency test of grip strength and the NRS2002 screening results is statistically significant (P<0.05), and the Kappa value was 0.576. Conclusion Handgrip strength and NRS2002 nutritional screening have moderate consistency, but the measurement of grip strength is simple, convenient and fast. Grip strength together with NRS2002 could be used as a tool for nutritional risk screening for patients with malignant tumors to improve the breadth and accuracy of nutritional screening.

Key words: handgrip strength, NRS2002, nutritional risk screening, malignant tumor

CLC Number: 

  • R473.73
[1] 王妍敏,孙建琴,熊建菁,等. 2018—2019年上海市社区肿瘤患者营养风险筛查及相关因素分析[J].中华预防医学杂志,2020,54(12):1421-1426.
[2] álvaro Sanz E, Garrido Siles M, Rey Fernández L,et al.Nutritional Risk and Malnutrition Rates at Diagnosis of Cancer in Patients Treated in Outpatient Settings: Early Intervention Protocol[J]. Nutrition, 2019,57:148-153. DOI:10.1016/j.nut.2018.05.021.
[3] Mendes NP, Barros TA, Rosa C, et al.Nutritional Screening Tools Used and Validated for Cancer Patients: A Systematic Review[J]. Nutr Cancer, 2019,71(6):898-907. DOI:10.1080/01635581.2019.1595045.
[4] Kondrup J, Rasmussen HH, Hamberg O, et al.Nutritional Risk Screening (NRS 2002): A New Method Based on an Analysis of Controlled Clinical Trials[J]. Clin Nutr, 2003,22(3):321-336. DOI:10.1016/s0261-5614(02)00214-5.
[5] 吉琳琳,侯栋梁,宋丽楠,等. 营养风险筛查2002、营养不良通用筛查工具和患者主观整体评估在住院肿瘤患者中应用和比较[J].营养学报,2017,39(3):242-246. DOI:10.13325/j.cnki.acta.nutr.sin.20170628.003.
[6] 李艳荣,孟俊华,张新胜,等. NRS2002、SGA和MNA-SF评估2型糖尿病住院病人营养状况的结果比较[J].护理研究,2019,33(10):1697-1701.
[7] Valente KP, Almeida BL, Lazzarini TR, et al.Association of Adductor Pollicis Muscle Thickness and Handgrip Strength with Nutritional Status in Cancer Patients[J]. PLoS One, 2019,14(8):e0220334. DOI:10.1371/journal.pone.0220334.
[8] Mendes NP, Barros TA, Faria BS, et al.Hand Grip Strength as Predictor of Undernutrition in Hospitalized Patients with Cancer and a Proposal of Cut-off[J].Clin Nutr Espen, 2020, 39:210-214. DOI:10.1016/j.clnesp.2020.06.011.
[9] 卢婷,应燕萍,赵慧涵,等. 恶性肿瘤患者握力的影响因素分析[J]. 护理学报, 2020,27(6):1-4.DOI:10.16460/j.issn1008-9969.2020.06.001.
[10] McGrath RP,Kraemer WJ,Snih SA, et al. Handgrip Strength and Health in Aging Adults[J]. Sports Med, 2018,48(9):1993-2000. DOI:10.1007/s40279-018-0952-y.
[11] Demirel B, Atasoy BM.Comparison of Three Nutritional Screening Tools to Predict Malnutrition Risk and Detect Distinctions Between Tools in Cancer Patients Receiving Radiochemotherapy[J]. Nutr Cancer, 2018,70(6):867-873. DOI:10.1080/01635581.2018.1491606.
[12] 魏立君, 安广权, 王甦. NRS2002量表在恶性肿瘤手术患者营养筛查及评估中的作用[J].中国老年学杂志,2016,36(23):5901-5902.
[13] 王佳, 洪忠新. 北京农村中老年人膳食模式对握力的影响[J]. 中国全科医学, 2014, 17(35):4209-4212.
[14] Norman K, Stobäus N, Gonzalez MC, Schulzke JD, Pirlich M.Hand Grip Strength: Outcome Predictor and Marker of Nutritional Status[J]. Clin Nutr,2011, 30(2):135-42. DOI:10.1016/j.clnu.2010.09.010.
[15] Barata AT, Santos C, Cravo M, et al.Handgrip Dynamometry and Patient-generated Subjective Global Assessment in Patients with Nonresectable Lung Cancer[J]. Nutr Cancer, 2017,69(1):154-158.DOI:10.1080/01635581.2017.1250923.
[16] 杨辉, 韩小姣, 冉盖, 等. NRS2002与PG-SGA在肺癌非手术患者中的应用[J].重庆医学,2020,49(10):1677-1680.
[17] Zhang X, Edwards BJ.Malnutrition in Older Adults with Cancer[J]. Curr Oncol Rep, 2019, 21(9): 80. DOI:10.1007/s11912-019-0829-8.
[18] Zhang X, Tang T, Pang L, et al.Malnutrition and Overall Survival in Older Adults with Cancer: A Systematic Review and Meta-analysis[J].JGeriatr Oncol, 2019, 10(6): 874-883. DOI:10.1016/j.jgo.2019.03.002
[19] Bullock AF, Greenley SL, McKenzie G, et al.Relationship between Markers of Malnutrition and Clinical Outcomes in Older Adults with Cancer:Systematic Review,Narrative Synthesis and Meta-analysis[J]. EurJClin Nutr, 2020,74(11):1519-1535. DOI:10.1038/s41430-020-0629-0.
[20] 王昌平, 陈德, 黄小明. 恶性肿瘤患者营养不良发生率调查及诊断指标探讨[J].安徽医药,2016,20(12):2273-2277.
[21] 肖慧娟, 叶青, 齐玉梅, 等. RFH-NPT与NRS2002在肝硬化住院患者营养风险筛查中的比较研究[J].营养学报, 2019,41(3):257-260. DOI:10.13325/j.cnki.acta.nutr.sin.2019.011.
[22] Beberashvili I, Sinuani I, Azar A, et al.Serum Uric Acid as a Clinically Useful Nutritional Marker and Predictor of Outcome in Maintenance Hemodialysis Patients[J]. Nutrition, 2015,31(1):138-147. DOI: 10.1016/j.nut.2014.06.012.
[23] 郭轶斌,郭威,秦宇辰,等. 基于Kappa系数的一致性检验及其软件实现[J].中国卫生统计,2016, 33(1):169-170.
[24] Yilmaz M, Atilla FD, Sahin F, et al.The Effect of Malnutrition on Mortality in Hospitalized Patients with Hematologic Malignancy[J].Support Care Cancer,2020,28(3):1441-1448. DOI: 10.1007/s00520-019-04952-5.
[1] LU Ting, YING Yan-ping, ZHAO Hui-han, LI Qian, XU Yi, LING Yin. Influence Factors of Handgrip Strength in Patients with Malignant Tumors [J]. Journal of Nursing, 2020, 27(6): 1-4.
[2] DU hui,QIN Hui-ying,SUN Zhong-wen,HUANG Chun-li. Influence Factors of Uncertainty in Illness among Family Members of Cancer Patients in ICU [J]. , 2016, 23(21): 34-37.
[3] LAN Lv-qin,JIANG Fa-ye,CHEN Xiu-mei,LIU Rui. Radiation Detection and Protection for Hepatocellular Carcinoma Patients Undergoing Radioactive I125 Seeds Implantation [J]. , 2016, 23(18): 1-5.
[4] SUN Li,XIONG Li-juan,LIU Lian,WANG Yu-mei,PENG Li,LIU Li-na,HU Jie,LI Zheng. Reliability and Validity of OH Pressure Sore Assessment Scale in Patients with Malignant Tumor [J]. Journal of Nursing, 2015, (13): 1-3.
[5] LI Yu-fang,ZOU Jian-ying,LUO Jian,XIE Xiu-ying,YUAN Ai-dong,LIU Mei-mei. Attitude of Medical Staff and Patients Toward Advance Directives and Its Influence Factors [J]. Journal of Nursing, 2014, (16): 21-24.
[6] . Application of Exercise Signboard in Health Education for Preventing Deep Venous Thrombosis of Patients Undergone Gynecologic Malignant Surgeries [J]. Journal of Nursing, 2013, (7): 48-51.
[7] ZHANG Miao,WANG Wei-li,HU Shao-hua,LI Cheng. Influence of Self-management on Disease-related Symptoms and Quality of Life in Patients with Digestive System Malignant Tumor [J]. Journal of Nursing, 2013, 20(11): 1-5.
[8] . Effects of Empathy Nursing Ward-round on Post-traumatic Growth of Malignant Tumor Patients after Operation [J]. Journal of Nursing, 2013, (1): 71-73.
Viewed
Full text


Abstract

Cited

  Shared   
[1] LU Shu-ying, LIU Ning, Wei Lu-hua, Liang Dong-mei, LI Yan. Best Evidence Summary Regarding Prevention and Management of Postpartum Hemorrhage[J]. Journal of Nursing, 2020, 27(12): 18 -22 .
[2] LIU Xiao-cheng, YING Wen-juan, LIU Zhi-li, ZHENG Rui-hua, XU Nuo, LIU Hui. Best Evidence Summary for Assessment of Sexuality and Intimacy Relationship for Patients with Terminal Stage[J]. Journal of Nursing, 2020, 27(12): 23 -27 .
[3] LIN Hui-jing, NI Ping. Current Status of Attitudes to Life-sustaining Treatment in Citizens and Its Influencing Factors: A 932-case Study[J]. Journal of Nursing, 2020, 27(12): 28 -32 .
[4] ZHU Yi-fan, CHEN Zhi-qian, GUO Qiao-hong, SU Ya-li. Current Status of Dignity of 196 Breast Cancer Women Receiving Chemotherapy and Its Influence Factors[J]. Journal of Nursing, 2020, 27(12): 33 -37 .
[5] . [J]. Journal of Nursing, 2020, 27(12): 38 -41 .
[6] . [J]. Journal of Nursing, 2020, 27(12): 42 -45 .
[7] TIAN Fan-li, LI Hui-ling, DU Mei-lan, JIANG Fang-qin, ZHANG Xin-mei, YIN Xue-qun. Qualitative Study on Emotional Experience of Male Nurses Supporting Wuhan for Fighting COVID-19[J]. Journal of Nursing, 2020, 27(12): 46 -49 .
[8] . [J]. Journal of Nursing, 2020, 27(12): 50 -53 .
[9] ZHANG Yan, WEI Li-li, LI Huan-ting, WANG Gang, YANG Hai-peng, PAN Yue-shuai, WANG Jing-yuan, LI Qian-qian. Qualitative Research on Psychological Experience of Medical Staff in Isolated Ward of Designated Hospitals for COVID-19 Patients[J]. Journal of Nursing, 2020, 27(12): 54 -57 .
[10] . [J]. Journal of Nursing, 2020, 27(12): 58 -59 .