探索与卵巢癌患者的营养状况和低肌肉质量有关的意识,感知和实践
Sarah Benna-Doyle1,2,3, Nicole Kiss4,5,6, Erin Laing5,6,7
1Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC, Australia. sbennadoyle@deakin.edu.au.
概括
在卵巢癌患者中,医疗保健专业人员对营养不良和肉症的认识有所不同. 查和转诊过程中的差距阻碍了最佳的营养护理,影响了患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 营养科学 营养科学
- 医疗保健 专业教育 医疗保健 专业教育
背景情况:
- 卵巢癌患者因疾病进展和治疗副作用而面临营养不良和肌肉损失 (肉症) 的高风险.
- 早期识别和管理这些与营养有关的问题对于改善生存和生活质量至关重要.
- 基于证据的指导方针主张在这个人群中进行常规的营养不良和肉类的查.
研究的目的:
- 评估澳大利亚医疗保健专业人员对与营养有关的问题的认识和看法,包括卵巢癌妇女的营养不良和肉毒症.
- 在卵巢癌护理的各个阶段确定这些疾病的当前查和转诊实践.
- 确定在为卵巢癌患者提供足够的营养支持方面遇到的障碍.
主要方法:
- 在2023年11月至2024年3月期间进行了一项全国性调查,涉及57名医疗保健专业人员 (护士,营养师,外科医生).
- 该调查评估了对营养问题的认识,对营养不良和肉眼症的看法,查/转诊实践 (诊断,治疗期间/治疗后) 以及营养护理障碍.
- 收集了与不同癌症治疗相关的营养风险感知数据.
主要成果:
- 在诊断和治疗期间,经常报告体重减轻和肉类的问题. 在治疗后,体重增加和肉仍然令人担忧.
- 在专业学科之间,营养不良和肉症的临床重要性有所不同.
- 虽然化疗被认为是高风险的 (97%),但只有18%的服务对营养风险进行了查,58%的sarcopenia,包括缺乏过程 (75%) 和有限的饮食支持 (60%) 等重大障碍.
结论:
- 在卵巢癌护理中的营养不良和肉类的意识和感知重要性在医疗保健专业人员之间有很大的差异.
- 尽管已有证据将这些问题与临床结果联系起来,但系统查和转诊途径往往缺乏.
- 解决诸如未定义的过程和不足的相关健康支持等障碍对于改善卵巢癌患者的营养护理至关重要.
相关概念视频
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
163
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
163
03:03mTOR Signaling and Cancer Progression
3.9K
The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
The mTOR pathway or the...
3.9K
01:28Anorexia Nervosa
195
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
195
01:29Bone Disorders
4.0K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
4.0K
01:27Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
01:21Overview of Protein Metabolism
1.9K
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
1.9K