癌症综合营养护理;时间到了吗?
Kristin Solheim Hustad1, Stein Kaasa1, Barry J A Laird1,2,3
1European Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Current opinion in supportive and palliative care
|July 21, 2025
概括
癌症患者的最佳营养护理往往被忽视. 本次审查强调了指导方针的差异和障碍,倡导标准化,数字化解决方案以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 营养护理是瘤学实践的一个关键但经常被忽视的方面.
- 患有癌症的患者经常在接受足够的营养支持方面经历过忽视.
- 本文讨论了在瘤学环境中提供最佳营养护理所面临的挑战.
研究的目的:
- 探索与确保癌症患者最佳营养护理相关的挑战.
- 确定现有的癌症营养指南中的差异.
- 突出卫生保健专业人员在提供营养护理时所面临的障碍.
主要方法:
- 关键癌症营养指南 (ESPEN,ESMO,ASCO) 的比较分析.
- 检查与全球营养不良领导倡议 (GLIM) 标准的一致性.
- 识别有效实施营养护理的障碍.
主要成果:
- 欧洲和美国主要的瘤营养指南在评估和干预方面存在显著差异.
- 虽然准则与GLIM标准的调整是复杂的,但营养不良管理的共同原则是显而易见的.
- 确定了阻碍瘤医疗专业人员提供良好营养护理的关键障碍.
结论:
- 营养评估和管理的标准化和务实的方法对于将营养纳入癌症治疗至关重要.
- 克服现有的障碍需要一个简化,基于证据的战略.
- 新兴的数字健康解决方案有可能提高沟通和改善瘤学中的营养护理服务.
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