标准化癌症患者的营养护理:实施和评估营养不良风险查
Viktoria Mathies1,2, Anna P Kipp3, Jakob Hammersen1,2
1Department of Hematology and Internal Oncology, Jena University Hospital, Jena, Germany.
超过一半的住院癌症患者患有营养不良,这强调了早期查和个性化营养咨询的必要性. 这种方法对于改善瘤治疗患者的治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 患者护理 患者护理
背景情况:
- 与癌症相关的营养不良是临床环境中普遍存在但未得到充分解决的问题.
- 现有的癌症患者营养护理指南不一致实施.
- 需要一个标准化的营养管理计划来解决这些差距.
研究的目的:
- 为了确定癌症患者营养不良的患病率.
- 评估需要营养咨询的需要,使用一种新的标准化程序.
- 分析不同癌症患者群体的营养不良参数.
主要方法:
- 利用患者生成的主观全球评估简单表格 (PG-SGA SF) 在1,100名住院患者中进行营养不良查.
- 使用PG-SGA分数和阶段 (A,B,C) 分类营养状况.
- 对患者进行了个性化营养评估和咨询,查结果呈阳性,并比较了人口统计和临床组的结果.
主要成果:
- 56.8%的癌症患者表现出疑似或现有的营养不良.
- 食欲丧失 (26.7%),疲劳 (16.5%) 和疼痛 (16.0%) 是最常见的营养影响症状.
- 女性,老年人和上部胃肠道癌症患者表现出较差的营养状况和更大的咨询需求,尽管BMI范围正常.
结论:
- 住院癌症患者的营养不良患病率很高.
- 标准化的营养风险查,评估和个性化护理对所有癌症患者至关重要.
- 建议在临床实践中实施全面的营养管理计划.
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