摘要
为了更好地实施营养治疗,本文提出整体营养疗法新模式,从时间(time,T)、空间(space,S)、内涵(connotation,C)及外延(denotation,D)四个维度上延伸营养治疗,构建TSCD立体整体营养治疗体系。将营养治疗时间由住院治疗期间(hospitalization,H)向家居期间(home stay,HS)、宁养期间(hospice,H)延长,建立H-HS-H模式,实施终身(lifelong,LL)营养治疗;将营养治疗空间由医院(hospital,H)向社区(community,C)、家庭(home,H)延展,建立H-C-H模式,实施分级营养治疗;将营养治疗内涵由关注身体(physical,P)向心理(psychological,P)、社会(social,S)及灵性(心灵,spiritual,S)延伸,建立P-P-S-S模式,实施全人营养治疗;将营养治疗外延由疾病治疗(treatment,T)向疾病预防(prevention,P)及疾病康复(rehabilitation,R)延扩,建立P-T-R模式,实施全程营养治疗。最充分地发挥营养治疗在慢病(肿瘤)一级预防、二级预防及三级预防中的核心作用,还营养为一线治疗,延长患者生存时间,提高患者生活质量,节省医疗费用及社会经济资源,从而整体提高我国慢病(肿瘤)防治水平。
In order to better implement nutrition therapy, this article proposes a new mode, namely holistic nutrition therapy, extending traditional nutrition support in four aspects, including time （T）, space （S）, connotation （C） and denotation （D）, to establish a TSCD multi-dimensional holistic nutrition therapy system. The time of nutrition therapy should be extended from hospitalization （H） to home stay （HS） and hospice （H）, to establish a H-HS-H mode and implement lifelong （LL） nutrition therapy. The space of nutrition therapy should be extended from hospital （H） to community （C） and home （H）, to establish a H-C-H mode and implement hierarchical nutrition therapy. The connotation of nutrition therapy should be extended from physical （P） to psychological （P）, social （S） and spiritual （S）, to establish a P-P-S-S mode and implement whole-person nutrition therapy. The denotation of nutrition therapy should be extended from disease treatment （T） to disease prevention （P） and disease rehabilitation （R）, to establish a P-T-R mode and implement whole-course nutrition therapy. Holistic nutrition therapy can fully exert the core function of nutrition therapy in primary prevention, secondary prevention and tertiary prevention of chronic diseases （including cancer）. Returning nutrition therapy to be the frst-line therapy, prolonging patients’ survival time, improving the quality of life, saving medical costs and the social economic resources, and consequently improving the overall control and prevention for chronic diseases （including cancer） in our country.
作者
石汉平
SHI Han-ping(Department of General Surgery/Medical Oncology Center, Aviation General Hospital/Beijing Institute of Translational Medicine, Chinese Academy of Sciences, Beijing 100012, China)
出处
《肿瘤代谢与营养电子杂志》
2017年第2期130-135,共6页
Electronic Journal of Metabolism and Nutrition of Cancer
基金
国家重点研发计划项目"恶性肿瘤姑息治疗和护理关键技术研究"(2017YFC1309200)
关键词
整体营养疗法
时间
空间
内涵
外延
Holistic nutrition therapy
Time
Space
Connotation
Denotation
