CN107833613A - Tumor patient nutrition evaluation system - Google Patents
Tumor patient nutrition evaluation system Download PDFInfo
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- CN107833613A CN107833613A CN201710972340.4A CN201710972340A CN107833613A CN 107833613 A CN107833613 A CN 107833613A CN 201710972340 A CN201710972340 A CN 201710972340A CN 107833613 A CN107833613 A CN 107833613A
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Abstract
The invention discloses a kind of tumor patient nutrition evaluation system, including patient module, client module and Back Administration Module, and the patient module fills in examination inventory for patient and obtains Nutrition Evaluation report, gained assessment report is used to related medical suggestion is linked up and obtained to doctor, and related nutritional knowledge is can obtain by nutrition information;The client module is used for doctor and issues nutrition information, and the examination inventory by checking patient gives patient correct nutrition guide;The authority distribution of the Back Administration Module management client module and patient module, user management, patient's packet and issue information;The present invention is carried out correct trophic analysis to patient by the fraction that the test and appraisal of the system are drawn according to patient, patient is obtained newest nutrition information, the related advisory of doctor is obtained according to own situation;Consider patient age simultaneously, it is easy to operate, most accurate data principle is drawn, is easy to the elderly to operate, and diet composition can be adjusted at any time by result of testing oneself or linked up in time with expert.
Description
Technical field
The invention belongs to nutrition evaluation system field, and in particular to a kind of tumor patient nutrition evaluation system.
Background technology
Cancer is one of most common cause of the death in the whole world;The second of the cause of death is accounted in Cancer in China.It is malnutritive and
Nutritional Risk in cancer patient it occur frequently that, it is 31%-85% to have studies have shown that cancer patient malnutrition incidence, nutrition
Risk incidence 39%-68%, cancer, due to tumour itself and treatment side reaction, continue substantial amounts of as chronic wasting disease
Skeletal muscle, lean tissue mass group and fatty group consumption, cancer patient is caused to turn into malnutritive and Nutritional Risk colony occurred frequently, sternly
Severe one will cause the generation of cancer cachexia;In addition malnutritive, Nutritional Risk includes concurrent to the Clinical Outcome of cancer patient
Disease occurs, disease dies rate, duration, expense and quality of life etc. can all produce negative effects of some row in hospital;The parenteral enteral in the U.S.
It should be the first step of Nutrition Project that nutrition Screening is pointed out in Nutrition Society's guide, therefore clinical staff is carried out to cancer patient
In early days, in time, quickly, accurate and dynamic nutrition Screening, so that it is determined that it is particularly important to improve Nutrition Project.Therefore present market
A kind of nutrition Screening, evaluation system for tumor patient of upper urgent need.
The content of the invention
The present invention proposes that the purpose is to provide a kind of tumor patient nutrition test and appraisal to solve the problems, such as that prior art is present
System.
The technical scheme is that:
A kind of tumor patient nutrition evaluation system, including patient module, client module and Back Administration Module, and patient's mould
Block fills in examination table for patient and obtains nutrition Suggestion, and nutrient knowledge is obtained by nutrition consultation, and it is related to link up acquisition to doctor
It is recommended that;The client module is used for doctor and issues nutrition consultation, and the correct nutrition of patient is given by the examination table for looking into production patient
Instruct;The authority distribution of the Back Administration Module management client module and patient module, user management, patient's packet and issue
Information.
The present invention carries out correct trophic analysis to patient by the fraction that the test and appraisal of the system are drawn according to patient, makes trouble
Person obtains newest nutrition information, the related advisory of doctor is obtained according to own situation;Consider patient age simultaneously, it is easy to operate,
Most accurate data principle is drawn, is easy to the elderly to operate, and diet composition or and expert can be adjusted at any time by result of testing oneself
Link up in time.
Brief description of the drawings
Fig. 1 is this structured flowchart;
Wherein:
The client module of 1 patient module 2
3 Back Administration Modules 4 fill in examination table unit
5 check my the doctor's unit of nutrition consultation unit 6
Unit 8 is seeked advice from 7 lines and issues nutrition consultation unit
9 my patient's units 10 check patient's examination table unit
The authority distribution unit of guide unit 12 on 11 lines
The patient's grouped element of 13 service management unit 14
15 keepers.
Embodiment
Hereinafter, referring to the drawings and embodiment the present invention is described in detail:
As shown in figure 1, a kind of tumor patient nutrition evaluation system, including patient module 1, client module 2 and the mould of back-stage management 3
Block, and the patient module 1 fills in examination table for patient and obtains nutrition Suggestion, and nutrient knowledge is obtained by nutrition consultation, with
Doctor, which links up, obtains related advisory;The client module 2 be used for doctor issue nutrition consultation, by look into production patient examination table to
Give the correct nutrition guide of patient;The authority of background management system module 3 is divided into:Keeper, doctor, patient and visitor, its
Middle keeper is responsible for the authority distribution of client module and patient module and the mandate of visitor, user management, patient's packet
With issue information.
Described patient module 1 includes filling in examination table unit 4, checking nutrition consultation unit 5, my doctor's unit 6, line
Upper consulting unit 7, the actual nutrition condition of Chinese patient is combined wherein filling in examination table unit 4 according to international nutrition criteria table
The nutrition Screening list for meeting Cancer in China patient is formulated with user's individual factor, patient draws accordingly by filling in examination table
/, when score value reaches corresponding warning value, system constitution patient needs to contact doctor;Check nutrition consultation unit 5 after
The professional tumour popular science document that platform management module uploads refers to for patient;My doctor's unit 6 is cured mainly by doctor's list selection
Doctor, select and seeked advice from laggard line;Patient in unit 7 is seeked advice from line to enter on line to leave a message, and obtains building for the selected doctor in charge
View.
The client module 2 includes:Issue nutrition consultation unit 8, I patient's unit 9, check patient's examination table unit
10th, guide unit 11 on line, wherein issue nutrition consultation unit 8 will be published to by doctor after the tumour science popularization document editing of specialty
Referred in system for patient;My patient's unit 9 checks be responsible for all patient lists for doctor;Check patient's examination table
Doctor manages patient by background management system module assignment in unit 10, checks the screening results of examination table;Instructed on line single
First 11 traditional Chinese medical science are taken root gives conductive suggestion according to the message on the screening results and patient's line of examination table.
The Back Administration Module 3 includes:Authority distribution unit 12, service management unit 13, patient's grouped element 14, its
Keeper 15 is to authority corresponding to user's distribution by barcode scanning or registration in middle authority distribution unit 12;Service management unit 13
Middle keeper is managed to software users;Patient's grouped element 14 is managed for not knowing oneself how to select doctor as patient
Reason person configures patient corresponding to doctor by background management system;Back Administration Module 3 is additionally operable to online editing article and sent
Checked to user.
The examination table includes morbidity survey table, Nutritional Risk table, Nutrition Evaluation table and dietary survey table.
Described Nutritional Risk table includes height and weight, Body weight loss, feed reduction, serious disease, nutritional status, trouble
Person's disease and patient age, wherein height and weight, Body weight loss, feed is reduced, serious disease is not scored, nutritional status meter 0-3
Point, 0-2 points of patient disease meter, 0-1 points of patient age meter, Nutritional Risk be present when total score is more than or equal to 3 timesharing prompting patient, when
Total score is less than 3 timesharing prompting patient and does not have Nutritional Risk at present.
The Nutrition Evaluation table includes height and weight situation, 1 or body weights before 6 months, whether body weight subtracts in two weeks
Gently, patient age, patient go over 1 month active situation, past 1 month meal situation with habitually in the past compared to situation, current
Meal situation, nearly 2 weeks influence feed factor, at present whether have heating, double lower limb or belly whether oedema, wherein height body
Weight situation and patient age are not scored, 1 or body weights meter 0-1 point before 6 months, and whether body weight mitigates 0-1 points of meter in two weeks,
Patient goes over active situation meter 0-2 points of 1 month, divides in the meal situation in past 1 month with habitually in the past compared to situation meter 0-1, mesh
Whether 0-5 points of preceding meal situation meter, 0-18 points of the factor meter for influenceing feed in nearly 2 weeks, there is heating and double lower limb or belly at present
Whether oedema counts 1-2 points respectively.
Described 1 or before 6 months body weights computational methods be 1 month in body weight loss 0-1.9 count 0 point, 1.9-2.9 meter
1 point, 2.9-4.9 counts 2 points, and 4.9-9.9 counts 3 points, more than 9.9 4 points of meters;Body weight loss 0-1.9 counts 0 point in 6 months, 1.9-5.9
1 point of meter, 5.9-9.9 count 2 points, and 9.9-19.9 counts 3 points, more than 19.9 4 points of meters;Body weight unit is kilogram.
The computational methods of factor for influenceing feed in described nearly 2 weeks are:Do not feel like a meal 3 points of meter without appetite, 1 point of nausea meter, vomits
3 points of meter is told, constipation meter 1 divides, and abdominal distension meter 1 divides, and 3 points of diarrhoea meter, pain meter 3 divides, xerostomia or sense of taste change or food odors
1 point of interference meter, dysphagia meter 2 divides, and feels have obvious satiety meter 1 to divide after feeding a small amount of food;So that begin a project can multiselect.
The dietary survey table includes actual energy A corresponding to various foods, actual PROTEIN B, actual fatty C, reality
Carbohydrate D, actual dietary fiber amount E and number X, wherein number X are 0.5 multiple, and the computational methods of energy are total energy
Value AZ=A1*X1+A2*X2……AN*XN, the computational methods of actual protein are gross protein BZ=B1*X1+B2*X2……BN*XN,
The computational methods of actual fat are total fatty value CZ=C1*X1+C2*X2……CN*XN, the computational methods of actual carbohydrate are
Total carbohydrates value DZ=D1*X1+D2*X2……DN*XN, the computational methods of actual dietary fiber amount are total dietary fiber value EZ
=E1*X1+E2*X2……EN*XN;When actual energy is more than target energy and is no more than the 20% of target energy, prompt:" your mesh
Preceding feed energy substantially meets requirement, please maintain to keep ", when the actual energy of typing is more than the 20% of target energy, prompt
" your current feed energy is exceeded, and excessive energy may cause obesity, increases body load, and specific intake please seek advice from you
Doctor ";When the actual protein of typing is more than or equal to target protein and during no more than 20%, then prompting " your current egg
White matter intake is sufficient, continues to keep ", when the actual albumen quality of typing is more than target protein quality 20%, then prompt:" you
The protein of intake is excessive, long-term conventional, may increase liver, kidney burden, it is proposed that reference target protein intake ";
As actual fat mass and the aimed aliphatic amount ratio 25%-35% in normal range (NR) of typing, " your current fat intake is prompted
Amount substantially met somatogenic need, remember increase containing unrighted acid enrich food for example olive oil, linseed oil, sesame,
The foods such as walnut ", when actual fat mass and aimed aliphatic amount ratio >=35% of typing, prompt:Your current fat intake mistake
Height, too high fat ratio can put on weight, especially fat content increase, should reduce such as fat meat, fried, pan-fried group food, food
With the intake of oil ";When the actual carbohydrate quantity of typing and aim parameter ratio are less than 45%, " your Cereals group food is taken the photograph for prompting
Enter very few, it is impossible to meet body primary demand, body is consumed the muscle and fat of itself deposit excessively, cause to become thin, even
Cause malnutrition, it is proposed that increase cereal and appropriateness increase fine group food ", when the actual carbohydrate quantity of typing with
Target carbohydrate amount ratio is in normal range (NR) during 45%-60%, and " your Cereals food intake dose substantially meets body for prompting
Demand, remember that appropriateness increases full cereal ", when typing carbohydrate quantity and aim parameter ratio exceed normal value >=60%,
" your grain intake is excessive, and ratio is too high, may make blood glucose rise, should suitably reduce high confectionery thing, such as fine grain for prompting
Food, sweet food etc., it is proposed that increase full cereal ";When typing dietary fiber value is less than 500 grams, " whole day vegetables are or not prompting
500 grams of foot, it is proposed that need to increase green vegetable, cruciate flower class, such as Chinese cabbage, cauliflower, bacterium algae group food, and dark vegetable is eaten
Half of the amount no less than whole day vegetables amount ", when typing dietary fiber value is at 500 grams or more, " your vegetables are taken the photograph for prompting
Enter amount abundance, substantially meet somatogenic need, remember to daily intake vegetables 1/2 for dark green, peony, cruciate flower class vegetables ".
The target energy=height and weight index * activity coefficient * age coefficient * tumour coefficients, wherein height and weight index
It is living by the numerical computations after height cms -105 as BMI >=18.5 to be calculated according to actual weight as BMI≤18.5
Dynamic coefficient is that normal activity calculates according to 30, and whole day bed rest time is no more than to be calculated half a day according to 25, is to lie in bed when most
Main to be calculated according to 20, age coefficient is to be calculated according to 1 for less than 60 years old, more than 60-75 year according to 0.9 calculating, more than 75 years old according to
0.8 calculates;Target protein quality=body weight the * 1.2, if wherein when BMI is less than 18.5, calculated by actual weight, if BMI
When >=18.5, by the body weight numerical computations after body weight -105;The actual fat mass and aimed aliphatic amount ratio=fatty * of reality
Coefficient/actual energy * 100%, wherein coefficient are 9;Carbohydrate quantity and target carbohydrate amount ratio=actual carbon aquation
Compound amount * coefficients/actual energy * 100%, wherein coefficient are 4.
Wherein BMI is body-mass index, and abbreviation constitutional index, English is BodyMassIndex, abbreviation BMI, is to use body
Weight kilogram number divided by the numeral that draws of height rice number square, be the fat or thin degree of measurement human body commonly used in the world at present and whether
One standard of health.
Patient is by filling in examination table by the nourishment input system of itself in this specific embodiment, and system is according to phase
The computational methods answered calculate the nutrition condition of patient, and the system prompts patient to suggest accordingly automatically, while the system will also
The nutrition condition of patient and specific data are sent to doctor, doctor by check can targetedly with patient's two-way communication, and
Provide professional suggestion.Nutritionally relevant technical literature is pushed to patient for its access by doctor by the system.Patient can
Independently to select doctor, doctor can also select the patient being concerned about, keeper can be carried out to the directive relationship of doctor and patient
Adjustment.
The present invention carries out correct trophic analysis to patient by the fraction that the test and appraisal of the system are drawn according to patient, makes trouble
Person obtains newest nutrition information, the related advisory of doctor is obtained according to own situation;Consider patient age simultaneously, it is easy to operate,
Most accurate data principle is drawn, is easy to the elderly to operate, and diet composition or and expert can be adjusted at any time by result of testing oneself
Link up in time.
Claims (10)
1. a kind of tumor patient nutrition evaluation system, including patient module, client module and Back Administration Module, its feature exist
In:And the patient module fills in examination inventory for patient and obtains Nutrition Evaluation report, gained assessment report is used for and doctor
Link up and obtain related medical suggestion, related nutritional knowledge can obtain by nutrition information:The client module is used to pass through inspection
The examination inventory for looking into patient gives the correct nutrition guide of patient, and enters in time on line with patient and link up;The back-stage management
The authority of system module is divided into:Keeper, doctor, patient and visitor, wherein keeper are responsible for client module and patient's mould
The authority distribution of block and the mandate of visitor, user management, patient's packet and issue information.
2. tumor patient nutrition evaluation system according to claim 1, it is characterised in that:Described patient module includes filling out
Examination inventory unit is write, nutrition information unit, my doctor's unit is checked, seeks advice from unit on line, wherein filling in examination inventory list
The actual nutrition condition of Chinese patient is combined according to international nutrition criteria table in member and user's individual factor is formulated and meets China
The nutrition Screening list of cancer patient, patient draw corresponding score value by filling in examination table, when score value reaches corresponding warning value,
System prompt patient needs to contact doctor;Check the professional tumors of nutrients section that nutrition information unit uploads according to Back Administration Module
General document refers to for patient;My doctor's unit selects the doctor in charge by doctor's list, selectes and is seeked advice from laggard line;On line
Patient enters on line to leave a message in consulting unit, obtains the suggestion of the selected doctor in charge.
3. tumor patient nutrition evaluation system according to claim 1, it is characterised in that:The client module includes:Hair
Cloth nutrition consultation unit, I patient's unit, check patient's examination table unit, guide unit on line, wherein issuing nutrition consultation
Unit will be published in system after the tumour science popularization document editing of specialty by doctor and be referred to for patient;My patient's unit is used to cure
Be responsible for all patient lists are checked in life;Check that doctor passes through background management system module assignment pipe in patient's examination table unit
Patient is managed, checks the screening results of examination table;The guide unit traditional Chinese medical science is taken root according on the screening results and patient's line of examination table on line
Message give conductive suggestion;The Back Administration Module includes:Authority distribution unit, service management unit, patient's packet
Unit, issue information unit, keeper corresponding to user's distribution by barcode scanning or registration to weighing wherein in authority distribution unit
Limit;Keeper is managed to software users in service management unit;Patient's grouped element is used for when patient does not know oneself such as
What selection doctor, keeper configure patient corresponding to doctor by background management system;Issue information unit is used for online editing
Article is simultaneously sent to user and checked.
4. tumor patient nutrition evaluation system according to claim 1, it is characterised in that:The examination table includes disease
Application form, Nutritional Risk table, Nutrition Evaluation table and dietary survey table.
5. tumor patient nutrition evaluation system according to claim 4, it is characterised in that:Wrapped in described Nutritional Risk table
Include height and weight, Body weight loss, feed reduction, serious disease, nutritional status, patient disease and patient age, wherein height body
Weight, Body weight loss, feed is reduced, serious disease is not scored, 0-3 points of nutritional status meter, 0-2 points of patient disease meter, patient age
0-1 points are counted, Nutritional Risk be present when total score is more than or equal to 3 timesharing prompting patient, when total score is less than 3 timesharing prompting patient at present not
There is Nutritional Risk.
6. tumor patient nutrition evaluation system according to claim 4, it is characterised in that:The Nutrition Evaluation table includes body
High body weights, 1 or body weights before 6 months, whether body weight mitigates in two weeks, patient age, patient go over the work of 1 month
Emotionally condition, past 1 month meal situation with habitually in the past compared to situation, current meal situation, nearly 2 weeks influence feed because
Element, whether have at present heating, double lower limb or belly whether oedema, wherein height and weight situation and patient age do not score, 1 or
Body weights meter 0-1 points before 6 months, whether body weight mitigates 0-1 points of meter in two weeks, and patient goes over the active situation meter 0-2 of 1 month
Point, past 1 month meal situation with habitually in the past compared to situation meter 0-1 points, 0-5 points of current meal situation meter, influence in nearly 2 weeks
0-18 points of the factor meter of feed, whether having heating and double lower limb or belly at present, whether oedema counts 1-2 points respectively.
7. tumor patient nutrition evaluation system according to claim 6, it is characterised in that:Described 1 or body weight before 6 months
Situation computational methods are that body weight loss 0-1.9 counts 0 point in 1 month, and 1.9-2.9 counts 1 point, and 2.9-4.9 counts 2 points, 4.9-9.9 meters 3
Point, more than 9.9 4 points of meters;Body weight loss 0-1.9 counts 0 point in 6 months, and 1.9-5.9 counts 1 point, and 5.9-9.9 counts 2 points, 9.9-19.9
3 points of meter, more than 19.9 4 points of meters;Body weight unit is kilogram.
8. tumor patient nutrition evaluation system according to claim 6, it is characterised in that:Influence feed within described nearly 2 weeks
The computational methods of factor are:Do not feel like a meal 3 points of meter without appetite, and 1 point of nausea meter, 3 points of vomiting meter, constipation meter 1 divides, and abdominal distension meter 1 divides,
3 points of diarrhoea meter, pain meter 3 divides, and xerostomia or 1 point of sense of taste change or food odors interference meter, dysphagia meter 2 divides, feed
Feel there is obvious satiety meter 1 to divide after a small amount of food;So that begin a project can multiselect.
9. tumor patient nutrition evaluation system according to claim 4, it is characterised in that:The dietary survey table includes each
Actual energy A corresponding to kind of food, actual PROTEIN B, actual fatty C, actual carbohydrate D, actual dietary fiber amount E and
Number X, wherein number X are 0.5 multiple, and the computational methods of energy are total energy value AZ=A1*X1+A2*X2……AN*XN, it is actual
The computational methods of protein are gross protein BZ=B1*X1+B2*X2……BN*XN, the computational methods of actual fat are total fatty value CZ
=C1*X1+C2*X2……CN*XN, the computational methods of actual carbohydrate are total carbohydrates value DZ=D1*X1+D2*X2……
DN*XN, the computational methods of actual dietary fiber amount are total dietary fiber value EZ=E1*X1+E2*X2……EN*XN;Work as actual energy
When more than target energy and being no more than the 20% of target energy, prompt:" you feed energy and substantially meet requirement at present, please maintain
Keep ", when the actual energy of typing is more than the 20% of target energy, prompt " your exceeded, excessive energy of current feed energy
Amount may cause obesity, increase body load, and specific intake please seek advice from your doctor ";When the actual protein of typing is more than
Or during equal to target protein and no more than 20%, then prompting " your current protein intake is sufficient, continues to keep ", works as record
When the actual albumen quality entered is more than target protein quality 20%, then prompt:" protein that you take in is excessive, long-term conventional, can
It can increase liver, kidney burden, it is proposed that reference target protein intake ";When the actual fat mass and aimed aliphatic of typing
Ratio is measured in normal range (NR) during 25%-35%, " you have substantially met somatogenic need by current fat intake, remember to increase for prompting
Add the food such as food such as olive oil, linseed oil, sesame, walnut enriched containing unrighted acid ", when the actual fat of typing
Amount and aimed aliphatic amount ratio >=35%, are prompted:Your current fat intake is too high, and too high fat ratio can put on weight,
Especially fat content increase, it should reduce such as fat meat, intake that is fried, decocting group food, edible oil ";When the actual carbon aquation of typing
When compound amount is less than 45% with aim parameter ratio, prompt " your Cereals group food intake is very few, it is impossible to meet body primary demand,
Body is consumed the muscle and fat of itself deposit excessively, cause to become thin, or even cause malnutrition, it is proposed that increase cereal
Increase fine group food with appropriateness ", when the actual carbohydrate quantity of typing with target carbohydrate amount ratio in normal range (NR)
During interior 45%-60%, " your Cereals food intake dose substantially meets somatogenic need, remembers that appropriateness increases full cereal " is prompted,
When typing carbohydrate quantity and aim parameter ratio exceed normal value >=60%, prompt " excessively, ratio is too high for your grain intake,
Blood glucose rise may be made, should suitably reduce high confectionery thing, such as fine grain, sweet food, it is proposed that increase full cereal ";When
Typing dietary fiber value be less than 500 grams, prompt " whole day vegetables less than 500 grams, it is proposed that need increase green vegetable, cross
Flower class, as Chinese cabbage, cauliflower, bacterium algae group food, and dark vegetable amount are no less than the half of whole day vegetables amount ", work as typing
For dietary fiber value at 500 grams or more, " your vegetables intake is sufficient, substantially meets somatogenic need, remembers daily for prompting
Intake vegetables 1/2 are dark green, peony, cruciate flower class vegetables ".
10. tumor patient nutrition evaluation system according to claim 9, it is characterised in that:The target energy=height body
Weight index * activity coefficient * age coefficient * tumour coefficients, wherein height and weight index are according to actual weight as BMI≤18.5
Calculate, as BMI >=18.5, by the numerical computations after height cms -105, activity coefficient is that normal activity calculates according to 30,
Whole day bed rest time is no more than to be calculated half a day according to 25, is calculated when most based on lying in bed according to 20, age coefficient is 60 years old
Calculated below according to 1, more than 60-75 year calculates according to 0.9, is calculated according to 0.8 within more than 75 years old;Target protein quality=the body
Weight * 1.2, if wherein when BMI is less than 18.5, calculated by actual weight, if during BMI >=18.5, by the body weight after body weight -105
Numerical computations;The actual fat mass and the fatty * coefficients of aimed aliphatic amount ratio=reality/actual energy * 100%, wherein coefficient
For 9;Carbohydrate quantity and target carbohydrate amount ratio=actual carbohydrate quantity * coefficients/actual energy * 100%, its
Middle coefficient is 4.
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