晚期癌症患者的肠外营养：医疗服务提供者的观点
Parenteral Nutrition in Advanced Cancer: The Healthcare Providers' Perspective.
作者信息
Balstad Trude R, Løhre Erik T, Thoresen Lene, Thronæs Morten, Skjelvan Laila S, Helgås Ragnhild G, Solheim Tora S, Sand Kari
机构信息
Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Cancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
出版信息
Oncol Ther. 2022 Jun;10(1):211-223. doi: 10.1007/s40487-022-00189-1. Epub 2022 Feb 24.
INTRODUCTION
The evidence base for parenteral nutrition (PN) in advanced cancer patients is limited. We studied healthcare providers' (HCPs') experiences with PN in cancer patients, focusing on perceived treatment benefits and challenges.
METHODS
An 18-item online survey was emailed to HCPs attending one of three regional palliative care seminars held within a 6-month period. The survey included single-response items, multiple-response items, and free text boxes concerning PN. Descriptive statistics and qualitative thematic content analysis were applied.
RESULTS
One hundred and two seminar participants completed the survey. Ninety-three percent were female, 86% were nurses/oncological nurses, and 80% worked in primary care. Respondents reported a well-functioning collaboration across levels of care. They perceived that PN may increase the patients' level of energy, improve the general condition, and reduce eating-related distress. On the downside, HCPs observed burdensome side effects, that the treatment was resource-demanding, and that decisions on PN withdrawal were difficult.
CONCLUSION
The study results are based on the perspectives of more than 100 HCPs with comprehensive clinical experience with PN. Their knowledge represents an important experience base for improvement of healthcare services and advanced care planning.
引言
晚期癌症患者肠外营养（PN）的循证依据有限。我们研究了医疗服务提供者（HCPs）在癌症患者中使用PN的经验，重点关注其感知到的治疗益处和挑战。
方法
向参加在6个月内举办的三场地区姑息治疗研讨会之一的HCPs发送了一份包含18个条目的在线调查问卷。该调查包括关于PN的单项选择题、多项选择题和自由文本框。应用了描述性统计和定性主题内容分析。
结果
102名研讨会参与者完成了调查。93%为女性，86%为护士/肿瘤护士，80%在初级保健机构工作。受访者报告称各护理层面之间的协作良好。他们认为PN可能会提高患者的能量水平、改善总体状况并减轻与进食相关的痛苦。不利的一面是，HCPs观察到了令人负担沉重的副作用，该治疗需要大量资源，且关于停用PN的决策很困难。
结论
该研究结果基于100多名对PN有全面临床经验的HCPs的观点。他们的知识是改善医疗服务和高级护理计划的重要经验基础。
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