Section of Oncology, Department of Medicine, University of Verona School of Medicine and Verona University Hospital Trust, Verona, Italy.
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.
J Cancer Res Clin Oncol. 2023 Jul;149(7):3435-3445. doi: 10.1007/s00432-022-04232-6. Epub 2022 Aug 9.
Supportive care, including exercise, nutritional and psychological support, is becoming increasingly important in cancer given their impact on 'patients' quality and quantity of life. The purpose of this study was to explore willingness, preferences barriers and facilitators for a multimodal intervention in patients with cancer.
An anonymous questionnaire was proposed on randomly selected days to the patients visiting the cancer outpatients' facilities at the Oncology Unit of the University Hospital of Verona. The questionnaire investigated willingness, preferences, barriers, and facilitators associated with participation in a multimodal program designed for patients with cancer. Exercise level was estimated using two open questions, nutritional risk was identified using the Nutritional Risk Screening 2002, while distress was evaluated with the Distress Thermometer.
Based on 324 participants, 65% were interested in starting a multimodal intervention. Patients declared to prefer to receive instructions from dedicated experts, with a face-to-face approach, and during the anticancer treatment. Treatment-related side effects were the major obstacles for a multimodal program, while the availability of a specialized staff as exercise kinesiologists, dietitians, and psycho-oncologists was found to be an important facilitator for increasing 'patients' participation.
Patients patients with cancer are interested in participating in a multimodal supportive care program specifically designed for them. Information from this study may help to design a tailored multimodal intervention for patients with cancer.
鉴于支持性治疗（包括运动、营养和心理支持）对“患者”生活质量和数量的影响，其在癌症中的作用变得越来越重要。本研究旨在探讨癌症患者对多模式干预的意愿、偏好、障碍和促进因素。
在意大利维罗纳大学医院肿瘤病房，随机选择几天向门诊患者发放匿名问卷，调查其参与专为癌症患者设计的多模式方案的意愿、偏好、障碍和促进因素。运动水平通过两个开放式问题进行评估，营养风险使用 2002 年营养风险筛查进行识别，而痛苦则使用痛苦温度计进行评估。
基于 324 名参与者，65%的人有兴趣开始多模式干预。患者表示更愿意接受专门专家的指导，采用面对面的方式，并在抗癌治疗期间接受指导。与治疗相关的副作用是多模式方案的主要障碍，而拥有专门的工作人员（运动生理学家、营养师和心理肿瘤学家）被认为是增加“患者”参与的重要促进因素。
癌症患者有兴趣参与专门为他们设计的多模式支持性治疗方案。本研究的信息可能有助于为癌症患者设计量身定制的多模式干预措施。
