使用四步 BOUNCED 饮食来管理不可手术的恶性肠道阻塞
Lindsey Allan1, Naomi Hatchett1, Simon S Skene2
1Department of Nutrition and Dietetics, Royal Surrey NHS Foundation Trust, Guildford, UK.
概括
低纤维的修改饮食BOUNCED饮食可能有助于控制恶性肠道阻塞 (MBO) 的症状. 这种饮食很容易遵循,可以改善MBO患者的生活质量并减少入院时间.
科学领域:
- 在瘤学瘤学.
- 营养学 营养学 营养学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 恶性肠道阻塞 (MBO) 是晚期癌症的常见并发症,严重影响患者的生活质量.
- BOUNCED饮食是一种针对症状量身定制的,低纤维的饮食方法,旨在在MBO中自我管理口服摄入量.
- 目前对MBO症状的管理策略通常需要住院治疗和侵入性干预.
研究的目的:
- 评估BOUNCED饮食在患有不可手术的结直肠和妇科恶性瘤的患者中的可行性.
- 为了确定 BOUNCED 饮食是否能有效地减少 MBO 症状,包括疼痛,胀气,早期腹,恶心和吐.
- 评估饮食对患者生活质量 (QOL) 和住院率的影响.
主要方法:
- 在28天内进行了一项混合方法,单臂可行性研究.
- 符合条件的MBO症状患者根据BOUNCED饮食协议获得了定制的饮食建议.
- 在基线和研究完成时,使用验证的问卷 (Memorial Symptom Assessment Scale, EORTC-QLQ-C30) 评估了症状严重程度和QOL.
主要成果:
- 30名参与者中有26人完成了这项研究,其中25人发现饮食易于理解.
- 观察到疼痛显著减少 (96%至63%) 和整体健康状况/QOL改善 (平均增加23.5分).
- 在试验期间,与前28天相比,住院和入院日数显著下降.
结论:
- 修改后的一致性,低纤维BOUNCED饮食是MBO患者可行的和易于管理的干预措施.
- 这种饮食显示出缓解MBO症状,减少医疗保健利用和提高患者生活质量的潜力.
- 需要进一步的研究,以在更大的随机对照试验中证实这些发现.
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