综合性癌症护理中的营养评估和咨询:对患者自我报告症状的影响
Meroë Morse1, Aimee J Christie1, Andrew Cusimano1
1The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Integrative cancer therapies
|May 25, 2025
概括
一次营养咨询在统计上改善了癌症患者的症状,但不是在临床上. 需要进一步的研究来加强营养干预措施,以获得更好的患者结果.
科学领域:
- 综合性瘤学是一种综合性瘤学.
- 临床营养学 临床营养学
- 患者报告的结果
背景情况:
- 营养指南影响癌症治疗和生存率.
- 单次营养咨询对患者结果的影响尚不清楚.
- 本研究检查了在综合性瘤学环境中进行一次营养咨询后的患者特征和症状变化.
研究的目的:
- 描述被转诊为单个门诊营养咨询的患者.
- 为了检查这种咨询对自我报告的症状的影响.
- 分析患者的人口统计,临床特征和转诊原因.
主要方法:
- 对1517名成年瘤病患者的回顾性图表审查.
- 数据提取包括人口统计,临床特征和转诊原因.
- 使用修改的埃德蒙顿症状评估系统 (mESAS) 和PROMIS10得分进行症状评估;使用威尔科克森签名等级测试进行统计分析.
主要成果:
- 大多数患者是白人,女性,超重/肥胖,乳腺癌未发病 (平均年龄55.3岁).
- 转诊原因包括生活方式的改变,体重管理和营养知识的不足.
- 症状得分在基线时是轻微的;咨询后的变化在统计上是显著的,但在临床上不是显著的.
结论:
- 患者有轻微的基线症状,并在一次营养咨询后显示出统计学上微不足道的临床改善.
- 进一步的研究应该探索加强营养干预的策略.
- 建议调查多次随访会的影响.
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