Kwang Ang Yee, Kandiah Mirnalini
Department of Nutrition and Dietetics, Universiti Putra Malaysia, Malaysia.
Am J Hosp Palliat Care. 2010 Mar;27(2):117-26. doi: 10.1177/1049909109353900. Epub 2009 Dec 3.
This study aimed to evaluate the nutritional status of patients with cancer in palliative care and to examine the interrelationship between objective and subjective nutritional assessment measures. Patients' nutritional status in a palliative care unit of a Malaysian government hospital and a hospice facility were assessed using anthropometric measurements, weight loss at 1/6 months, and the scored patient-generated subjective global assessment (PG-SGA). Moderate-to-severe malnutrition was observed in a range from 31% to 69% using both measurements. Common nutritional impact symptoms were pain, xerostomia, and anorexia. Patient-generated subjective global assessment scores were significantly correlated with anthropometric measurements (P < .050). The PG-SGA is equally informative as objective indicators and is recommended as a quickly applied tool for nutritional status assessment of patients with cancer in palliative care.
本研究旨在评估姑息治疗中癌症患者的营养状况，并探讨客观和主观营养评估指标之间的相互关系。采用人体测量、1/6个月时的体重减轻情况以及计分的患者主观整体评定法（PG-SGA），对马来西亚一家政府医院姑息治疗科和一家临终关怀机构的患者营养状况进行评估。两种测量方法均显示，31%至69%的患者存在中重度营养不良。常见的营养影响症状为疼痛、口干和厌食。患者主观整体评定法得分与人体测量指标显著相关（P < 0.050）。PG-SGA与客观指标同样具有参考价值，建议将其作为一种快速应用的工具，用于评估姑息治疗中癌症患者的营养状况。
