癌症患者的营养护理:我们做得足够多吗?
Valentina Da Prat1, Paolo Pedrazzoli2,3, Riccardo Caccialanza1,2
1Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Frontiers in nutrition
|May 9, 2024
概括
营养不良显著恶化了癌症患者的结果,包括生存和治疗毒性. 及时的营养支持至关重要,但往往会延迟或不足,需要在癌症护理方面进行紧急改进.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 医疗保健管理的管理
背景情况:
- 营养不良与癌症患者的不良结果有关,如增加手术并发症,治疗毒性,长时间住院和降低生存率.
- 尽管营养支持已证明有好处,但癌症患者的营养护理仍然不足以达到最佳水平,原因是评估延迟,文档不足和专业人员不足.
- 外部因素,如不一致的报销和有限的社区服务,以及导致有害饮食的患者不信任,进一步使营养护理复杂化.
研究的目的:
- 突出营养不良对癌症患者结果的关键影响.
- 识别瘤学有效营养护理的主要障碍.
- 提出紧急干预措施,以改善癌症患者的营养支持.
主要方法:
- 这项研究回顾了有关癌症患者营养不良的现有文献和临床观察.
- 它分析了在医院和社区环境中实施及时有效的营养干预措施所面临的挑战.
- 该审查综合了当前的问题,并提出了改善营养护理的未来战略.
主要成果:
- 营养不良是癌症治疗不良结果的重要预测因素.
- 主要障碍包括推迟营养评估,缺乏融入多学科团队,以及社区支持不足.
- 有害的饮食趋势正在增加,因为人们对传统医学的信任正在下降.
结论:
- 改善癌症患者的营养护理对于改善治疗结果和生活质量至关重要.
- 强制性营养查,质量监测,提供者教育和远程医疗是未来的关键干预措施.
- 解决系统和患者层面的障碍对于优化瘤学中的营养支持至关重要.
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