Department of Nursing and Nutrition, University College Copenhagen, Copenhagen, Denmark; REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Department of Clinical Research, University of Southern Denmark, Nyborg, Denmark; Bond Institute of Health and Sport, Bond University, Gold Coast, Australia.
Bond Institute of Health and Sport, Bond University, Gold Coast, Australia.
Nutrition. 2020 Jan;69:110548. doi: 10.1016/j.nut.2019.06.028. Epub 2019 Jul 2.
Patients with head and neck cancer experience many problems with eating which make them at high risk of malnutrition. Pre-habilitation swallowing exercises as overseen by a speech pathologist can improve swallowing function. A multidisciplinary approach to care, including effective nutritional screening, assessment and intervention has demonstrated improved outcomes in terms of meet nutritional requirements, improved nutritional status and quality of life. Nutritional recommendations are 1.2-1.5 g protein per kilogram per day and 125kJ/kg body weight per day but as these are guides close monitoring of intake and weight is important. Multidisciplinary teams and telehealth have shown better outcomes for nutrition and swallowing status for head and neck cancer patients and ongoing support is required for best patient care.
头颈部癌症患者在进食方面会遇到许多问题，使他们面临营养不良的高风险。由言语病理学家监督的预康复吞咽练习可以改善吞咽功能。多学科护理方法，包括有效的营养筛查、评估和干预，已经证明在满足营养需求、改善营养状况和生活质量方面有更好的效果。营养建议是每天每公斤体重 1.2-1.5 克蛋白质和每天 125kJ/kg 体重，但这些只是指南，密切监测摄入量和体重很重要。多学科团队和远程医疗已经显示出对头颈部癌症患者的营养和吞咽状况更好的结果，需要持续的支持来提供最佳的患者护理。
