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在澳大利亚公立医院接受治疗的肿瘤内科患者的营养状况和信息需求。

Nutritional status and information needs of medical oncology patients receiving treatment at an Australian public hospital.

机构信息

Flinders University, Adelaide, South Australia, Australia.

出版信息

Nutr Cancer. 2010;62(2):220-8. doi: 10.1080/01635580903305276.

DOI:10.1080/01635580903305276
PMID:20099196
Abstract

This study aimed to identify 1) the prevalence of malnutrition according to the scored Patient Generated-Subjective Global Assessment (PG-SGA), 2) utilization of available nutrition resources, 3) patient nutrition information needs, and 4) external sources of nutrition information. An observational, cross-sectional study was undertaken at an Australian public hospital on 191 patients receiving oncology services. According to PG-SGA, 49% of patients were malnourished, and 46% required improved symptom management and/or nutrition intervention. Commonly reported nutrition-impact symptoms included peculiar tastes (31%), no appetite (24%), and nausea (24%). External sources of nutrition information were accessed by 37%, with popular choices being media/Internet (n = 19) and family/friends (n = 13). In a subsample (n = 65), 32 patients were aware of the available nutrition resources, 23 thought the information sufficient, and 19 patients had actually read them. Additional information on supplements and modifying side effects was requested by 26 patients. Malnutrition is common in oncology patients receiving treatment at an Australian public hospital, and almost half require improved symptom management and/or nutrition intervention. Patients who read the available nutrition information found it useful; however, awareness of these nutrition resources and the provision of information on supplementation and managing symptoms requires attention.

摘要

本研究旨在

1)根据评分的患者主观整体评估(PG-SGA)确定营养不良的患病率;2)利用现有的营养资源;3)患者的营养信息需求;4)营养信息的外部来源。在澳大利亚一家公立医院对 191 名接受肿瘤治疗的患者进行了一项观察性、横断面研究。根据 PG-SGA,49%的患者存在营养不良,46%的患者需要改善症状管理和/或营养干预。常见的营养相关症状包括味觉异常(31%)、食欲不振(24%)和恶心(24%)。37%的患者会从外部获取营养信息,其中比较受欢迎的来源包括媒体/互联网(n=19)和家人/朋友(n=13)。在一个子样本(n=65)中,32 名患者了解现有的营养资源,23 名患者认为这些信息足够,19 名患者实际阅读过这些信息。26 名患者还要求提供有关补充剂和缓解副作用的信息。在澳大利亚公立医院接受治疗的肿瘤患者中,营养不良很常见,近一半的患者需要改善症状管理和/或营养干预。阅读现有营养信息的患者认为这些信息有用;然而,需要注意的是,患者对这些营养资源的认识以及提供有关补充剂和管理症状的信息的意识还有待提高。

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