癌症化疗门诊患者对营养咨询的需求及其与生活质量、营养状况和与饮食相关的困扰的关系：一项横断面研究。
Need and demand for nutritional counselling and their association with quality of life, nutritional status and eating-related distress among patients with cancer receiving outpatient chemotherapy: a cross-sectional study.
机构信息
Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Department of Clinical Nutrition, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
出版信息
Support Care Cancer. 2019 Sep;27(9):3385-3394. doi: 10.1007/s00520-018-4628-9. Epub 2019 Jan 14.
PURPOSE
Patients with cancer often experience general nutritional problems as the disease progresses. We aimed to examine if there is a need and demand for nutritional counselling among cancer outpatients, and explore relevant psychological factors pertaining to eating and nutrition.
METHODS
A survey was conducted among adult patients receiving outpatient chemotherapy at the Tokyo Medical and Dental University Hospital. The participants completed self-report questionnaires, which included questions on their nutritional state (Patient-Generated Subjective Global Assessment Short Form), experience of eating-related distress and quality of life (QOL) (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-C30).
RESULTS
Of the 151 (median age, 66.5 years) participants, 42 had a demand for nutritional counselling. Patients' experience of eating-related distress and demand for nutritional counselling were significantly associated, particularly in regard to 'conflicts over food between patients and the people surrounding them' (p = 0.005), 'concerns about food' (p = 0.007) and 'self-motivated effect related to nutrition' (p = 0.018). A significant association was also observed between the demand for nutritional counselling and global health status (p = 0.028), emotional functioning (p = 0.022), cognitive functioning (p = 0.028) and social functioning (p = 0.040) in terms of QOL. Patients with a low QOL tended to demand nutritional counselling.
CONCLUSIONS
The demand for nutritional counselling was associated with QOL and eating-related distress. Therefore, medical staff caring for patients with cancer, such as attending physicians, dietitians, nurses, clinical psycho-oncologists, social workers and psychiatric oncologists, should collaborate and share information to provide nutritional counselling.
目的
随着癌症的进展，癌症患者通常会出现一般营养问题。我们旨在研究癌症门诊患者是否有营养咨询的需求和意愿，并探讨与饮食和营养相关的心理因素。
方法
在东京医科齿科大学医院接受门诊化疗的成年患者中进行了一项调查。参与者完成了自我报告问卷，其中包括营养状况（患者主观整体评估简短形式）、与饮食相关的困扰和生活质量（欧洲癌症研究和治疗组织生活质量问卷-C30）的问题。
结果
在 151 名（中位年龄 66.5 岁）参与者中，有 42 人有营养咨询需求。患者的饮食相关困扰经历与对营养咨询的需求显著相关，尤其是在“患者及其周围人群对食物的冲突”（p=0.005）、“对食物的担忧”（p=0.007）和“与营养相关的自我激励效应”（p=0.018）方面。对营养咨询的需求与全球健康状况（p=0.028）、情绪功能（p=0.022）、认知功能（p=0.028）和社会功能（p=0.040）也存在显著关联。生活质量较低的患者往往需要营养咨询。
结论
对营养咨询的需求与生活质量和与饮食相关的困扰有关。因此，照顾癌症患者的医务人员，如主治医生、营养师、护士、临床心理肿瘤学家、社会工作者和精神肿瘤学家，应协作并共享信息，提供营养咨询。
Zotero 插件