Shragge Jeremy E, Wismer Wendy V, Olson Karin L, Baracos Vickie E
Department of Oncology, University of Alberta, Cross Cancer Institute, Edmonton, Alberta, Canada.
Palliat Med. 2006 Sep;20(6):623-9. doi: 10.1177/0269216306070322.
This report presents the results of a critical review of the literature on the experience of anorexia (loss of appetite) by patients with advanced cancer. Although several studies have investigated this experience, the adaptive strategies used by patients to compensate for appetite loss remain poorly elucidated. Based on the small body of extant research, it was concluded that, in many instances, a gap exists between the ability of patients and caregivers to come to terms and deal realistically with the emotional and social consequences of patient anorexia. Patients generally appear to suffer greater discord as a result of this disparity, than from the direct psychological impact of anorexia. A greater understanding of the management of anorexia by patients is essential for the development of dietary and psychosocial interventions that would aid both patients and caregivers to cope with this common symptom.
本报告展示了对晚期癌症患者厌食（食欲不振）体验相关文献的批判性综述结果。尽管已有多项研究对这一体验进行了调查，但患者用于补偿食欲丧失的适应性策略仍未得到充分阐明。基于现有的少量研究得出结论，在许多情况下，患者和护理人员在接受并切实应对患者厌食的情感和社会后果方面的能力存在差距。由于这种差异，患者通常似乎比厌食的直接心理影响遭受更大的困扰。深入了解患者对厌食的应对方式对于制定饮食和心理社会干预措施至关重要，这些措施将有助于患者和护理人员应对这一常见症状。
