Department of Thoracic Oncology/West China Medical Center, West China Hospital, Sichuan University, Chengdu, China.
Radiation Physics Center, West China Hospital, Sichuan University, Chengdu, China.
J Cancer Educ. 2022 Jun;37(3):524-531. doi: 10.1007/s13187-020-01841-y.
To investigate the difference among patients, family members, physicians, and nurses in their ability to identify malnutrition risk in patients with thoracic cancer. The enrolled patients were evaluated by the NRS2002 nutritional risk scale. The patient-centered groups, including the patient, the primary caretaker, the physician, and the nurse, were given a questionnaire on their knowledge and understanding of nutrition therapy in cancer treatment. The incidence rate of nutritional risk in hospitalized patients with thoracic cancer was 13.8%. There were significant differences in the accuracy rate of nutritional risk assessment among the four groups (P < 0.001), in which the nurses' was 70.3%, 55.1% for the physician, 38.7% for family members, and 33.0% for patients, which was the poorest accuracy rate. No significant correlation was found between the accuracy of nutritional risk assessment and the education level and personal monthly income of each population (P > 0.05). Nearly all four groups considered it necessary to learn more about cancer nutrition therapy. For patients and their families, the main way to understand the knowledge of tumor nutrition was consultation with medical staff and information exchange between patients; for doctors, new media; and for nurses, classroom training. Nurses' assessment of nutritional risk in cancer patients achieved the highest accuracy, while the poorest accuracy originated from the patients.
为了调查胸癌患者的患者、家属、医生和护士在识别营养不良风险方面的能力差异。使用 NRS2002 营养风险量表对纳入的患者进行评估。以患者为中心的群体，包括患者、主要看护者、医生和护士，接受了一份关于癌症治疗中营养治疗知识和理解的问卷。住院胸癌患者的营养风险发生率为 13.8%。四个组在营养风险评估准确性方面存在显著差异（P<0.001），护士的准确率为 70.3%，医生为 55.1%，家属为 38.7%，患者为 33.0%，准确率最低。各人群营养风险评估准确性与受教育程度和个人月收入均无显著相关性（P>0.05）。几乎所有四个群体都认为有必要学习更多的癌症营养治疗知识。对于患者及其家属来说，了解肿瘤营养知识的主要途径是与医务人员咨询和患者之间的信息交流；对于医生来说是新媒体；对于护士来说则是课堂培训。护士对癌症患者营养风险的评估准确率最高，而最差的准确率则源于患者。
