在癌症患者的营养影响症状的共识定义国际调查
Koji Amano1, Rony Dev2, Tateaki Naito3
1Department of Supportive and Palliative Care, Osaka International Cancer Institute, Chuo-ku, Osaka, Japan.
Nutrition and cancer
|October 9, 2024
概括
医疗保健提供者就营养影响症状 (NIS) 的新定义达成共识. 这一定义阐明了影响患者饮食能力或欲望的症状,这对于预防营养不良和改善生活质量至关重要.
科学领域:
- 临床营养学 临床营养学
- 患者护理 患者护理
- 医学共识 医学共识
背景情况:
- 营养影响症状 (NIS) 缺乏标准化的定义,阻碍了对患者的一致性评估.
- 准确识别NIS对于及时干预和预防不良健康结果至关重要.
研究的目的:
- 在国际医疗保健提供者之间建立NIS的共识定义.
- 评估各种症状的相关性作为NIS.
主要方法:
- 一个自我报告的电子问卷被分发给各种国际医疗保健提供者.
- 一个七点的利克尔特度量表评估了关于初步NIS定义和24个特定症状的协议.
- 探索性因子分析和克朗巴赫α系数 (克朗巴赫α) 用于有效性和可靠性测试.
主要成果:
- 66个医疗保健提供者作出回应,超过83%的人同意或强烈同意初步的NIS定义.
- 出现了三种不同的症状集群:干扰营养摄入/消化,影响食欲,以及对食物摄入的间接影响.
- 在症状域中发现了高的内部一致性 (Cronbach的α值为0.91,0.92和0.87).
结论:
- 提出了一种新的,基于共识的NIS定义:症状影响食欲或饮食能力,增加营养不良风险,瘦体质量损失和生活质量受损.
- 这些发现为在临床实践中识别和管理NIS提供了经过验证的框架.
- 这种共识定义对于推进研究和改善与营养状况相关的患者结果至关重要.
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