患有癌症的老年人中的症状负担和饮食变化:一个跨部分研究
Lea Büthe1, Gina Westhofen1, Andrea Hille2
1Department of Hematology and Medical Oncology, University Medical School, Robert-Koch-Straße 40, 37075 Göttingen, Germany.
Current oncology (Toronto, Ont.)
|December 27, 2024
概括
老年癌症患者面临营养不良和虚弱的高风险. 综合查必须包括症状和饮食变化,而不仅仅是摄入卡路里,以改善护理.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 营养科学 营养科学
背景情况:
- 营养不良显著影响癌症治疗毒性和患者存活率.
- 老年癌症患者 (≥65岁) 中营养不良的患病率往往被低估.
- 现有的查工具可能无法完全捕捉治疗引起的饮食变化或影响营养状况的副作用.
研究的目的:
- 开发和验证一种针对老年癌症住院患者营养不良的增强查方法.
- 将已有的工具与饮食习惯和症状负担的评估相结合.
- 在这个脆弱的人群中确定营养状况的具体挑战.
主要方法:
- 结合了2002年营养风险评分 (NRS-2002) 和G8查工具.
- 包含关于饮食变化和症状负载的简短问卷.
- 在2022年12月至2023年12月期间对300名癌症住院患者进行了查.
- 利用描述性统计和热图进行数据分析.
主要成果:
- 三分之二的老年癌症住院患者被确定为营养不良的风险.
- 很大一部分 (87.67%) 的患者根据G8分数被归类为脆弱.
- 口腔不适 (口腔,食欲丧失) 和饮食修改 (避免食物,使用补充剂) 是普遍存在的.
结论:
- 老年癌症住院患者表现出高率的虚弱和营养不良的风险.
- 有效的查不仅需要评估能量摄入量,还需要评估症状负担和饮食改变.
- 优化支持性护理需要一个整体的方法,以此种人群的营养评估.
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