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癌症患者接受门诊护理的老年人营养不良:相关因素
Fernanda Rafaella de Melo Silva1,2, Jurema Telles de Oliveira Lima Sales3, Gabriel de Morais Borba4
1Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Recife, PE, Brazil. fernandamelo03@yahoo.com.br.
概括
营养不良常见于年长的癌症患者开始门诊治疗,影响超过46%的人. 早期对营养不良的查对于瘤学环境中的及时干预至关重要.
科学领域:
- 老年瘤学 老年瘤学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 营养不良是老年人,特别是癌症患者的重大问题.
- 早期识别营养状况对于有效的癌症治疗和患者的结果至关重要.
研究的目的:
- 确定癌症老年人的营养不良和相关因素的患病率在门诊治疗入院时.
- 为在瘤老年人护理中制定有针对性的营养干预措施提供信息.
主要方法:
- 一项涉及1954名患有癌症的老年人的横截面研究,该研究在巴西东北部的一家瘤老年病患者门诊 (2015-2020年) 进行.
- 使用小型营养评估简单表格 (MNA-SF) 评估营养状况.
- 多变量波桑回归分析,以确定与营养不良相关的因素.
主要成果:
- 观察到营养不良的高患病率:14.9%的风险人群和31.5%的营养不良.
- 确定的主要危险因素包括女性性别,特定的瘤类型 (胃肠道,结肠直肠,肺部),转移,跌倒史,久坐不动的生活方式和抑郁症风险.
结论:
- 该研究强调,在门诊护理开始时,老年癌症患者中营养风险和营养不良的普遍性很大.
- 建议在入院时进行例行营养不良查,以便在瘤学机构早期发现和管理.
- 确定的相关因素在临床评估中很容易被评估,支持系统查的实施.
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