在化疗期间进行多学科早期干预的协议,以改善乳腺癌患者的饮食管理行为:一个双臂,单中心随机对照试验
Han Tang1,2, Wei Zhang1, Haiyan Shen3
1Department of Health Statistics, School of Public Health, The Fourth Military Medical University, Xi'an, 710032, China.
BMC cancer
|July 18, 2024
概括
这项研究调查了早期的多学科干预措施,以改善接受化疗的乳腺癌患者的饮食管理行为和生活质量. 研究结果表明,这些干预措施对于提高治疗期间的自我管理和营养状况至关重要.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 行为科学 行为科学
背景情况:
- 化疗通常会引起不良反应,影响乳腺癌 (BC) 患者的饮食摄入量和营养状况.
- 有效的健康自我管理和生活方式促进计划对于接受治疗的BC患者至关重要.
- 早期干预旨在改善这些患者的饮食管理和生活质量.
研究的目的:
- 评估早期多学科干预对接受化疗的BC患者饮食管理行为的有效性.
- 评估干预对自我护理自我效能,生活质量和身体质量指数 (BMI) 的影响.
主要方法:
- 一个单盲,随机对照试验,涉及88名女性BC患者开始化疗.
- 干预组接受了为期8周的多学科团队 (MDT) 基于健康行为变化综合理论 (ITHBC) 的支持.
- MDT包括瘤学家,营养学家,护士,TCM从业者和心理学家,利用各种沟通方法.
主要成果:
- 主要结局是饮食管理行为,通过饮食管理行为问卷 (DMBQ) 来衡量.
- 二级结局包括自我护理的自我有效性 (SUPPH),生活质量 (FACT-B) 和BMI.
- 在基线和多个随访点进行评估,直到干预后12个月.
结论:
- 早期的饮食干预至关重要,因为化疗显著影响饮食自我管理行为.
- 多学科干预可以为改善饮食自我管理和在生存期内的营养状况奠定基础.
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