营养支持小组干预在患有癌症的儿科患者中的有效性
Midori Shimizu1, Akio Shimizu2, Tetsuya Takamasu3
1Department of Nutrition, Hamamatsu University Hospital.
Journal of nutritional science and vitaminology
|September 1, 2024
概括
儿童癌症患者的营养支持团队干预减少了零人数 (NPO) 订单的事件和天数. 这支持持续的口服摄入,可能改善接受癌症治疗的儿童的治疗结果.
科学领域:
- 儿科瘤学 儿科瘤学
- 临床营养学 临床营养学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 营养不良是儿童癌症患者的一个重大问题,与更差的预后相关.
- 优化营养状况对于改善这种人群的治疗耐受性和结果至关重要.
研究的目的:
- 评估营养支持小组 (NST) 干预措施对预防不良事件和改善儿童癌症患者营养状况的影响.
- 评估NST干预措施是否可以减少对NPO订单的需求,并改善癌症治疗期间的营养标记.
主要方法:
- 一项历史上的队列研究,比较了患有急性淋巴细胞白血病,急性髓性白血病,神经母细胞瘤或脑瘤的儿科患者.
- 干预组接受了NST干预;对照组没有,数据来自不同的入院期 (2013-2014 vs. 2011-2012).
- 用治疗权重的逆概率 (IPTW) 来创建一个同质的概率模型来比较结果.
主要成果:
- 与对照组相比,干预组的NPO订单发生率明显减少 (p=0.037) 并且NPO地位的持续时间更短 (p=0.046).
- 在入院和出院之间的身体质量指数z-score变化中没有观察到显著差异 (p=0.376).
结论:
- 对于儿科癌症患者来说,NST干预与NPO发生率和日数的减少有关.
- 这些发现表明,NST干预促进了持续的口服摄入,这是管理儿科癌症患者的关键因素.
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
92
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
92
01:25Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
01:21Cancer Survival Analysis
334
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
334
01:27Nursing Ethical Principles II
935
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
935
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
224
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
224
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
112
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
112