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埃塞俄比亚南部哈瓦萨市哈瓦萨大学综合专科医院接受化疗的成年癌症患者的营养状况及其决定因素

Nutritional Status and Its Determinants among Adult Cancer Patients Undergoing Chemotherapy Treatment at Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia.

作者信息

Muhamed Ahmed Nuru, Tesema Berihun Bante, Hiruy Endalk Getasew, Shiferaw Sahlu Mitku, Aycheh Dessie Temesgen, Abate Melsew Dagne

机构信息

Department of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, SNNPR, Ethiopia.

Department of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

J Nutr Metab. 2022 Sep 28;2022:8740272. doi: 10.1155/2022/8740272. eCollection 2022.

Abstract

BACKGROUND

Malnutrition is a common problem in cancer patients. It has an impact on all aspects of the patient's life such as increasing the risk of infection, treatment toxicity, hospital stay, and health-care costs. Factors influencing the nutritional status of adult cancer patients undertaking chemotherapy treatment in Ethiopia have not been thoroughly investigated. As a result, the purpose of this study is to assess the nutritional status and its determinants among adult cancer patients undergoing chemotherapy treatment at Hawassa University Comprehensive Specialized Hospital.

OBJECTIVES

The objective of this study is to determine the nutritional status and its determinants among adult cancer patients undergoing chemotherapy treatment at Hawassa University Comprehensive Specialized Hospital.

METHODS

A cross-sectional study was conducted among adult cancer patients undergoing chemotherapy treatment at Hawassa University Comprehensive Specialized Hospital Oncology Treatment Center, from January to May 2021. The data were gathered through a face-to-face interview and chart review method. Epi Data 4.6 was used to enter the data, which was then exported to SPSS version 25 for statistical analysis. Multivariable logistic regression analysis was used to determine the association between nutritional status and potential risk factors. A value less than 0.05 was used to determine statistical significance.

RESULT

This study revealed that 48.1% of participants have some level of malnutrition. Lowest wealth index AOR 0.06 (0.016-0.2), food insecurity AOR 0.1 (0.05-0.24), vomiting AOR 0.2 (0.110-.444), poor appetite AOR 0.2 (0.11-0.44), no diarrhea AOR 2.6 (1.34-5.00), and poor functioning AOR 0.3 (0.2-0.54) were significantly associated with good nutritional status. . The prevalence of malnutrition among adult cancer patients undergoing chemotherapy treatment at HUCSH was high. Wealth index, food security, poor appetite, diarrhea, and performance status were significantly correlated with the nutritional status of the patients. To improve the patient's nutritional status, economic support, early nutritional screening, and assessment, management of chemotherapy-induced symptoms should be considered.

摘要

背景

营养不良是癌症患者的常见问题。它对患者生活的各个方面都有影响,比如增加感染风险、治疗毒性、住院时间和医疗费用。在埃塞俄比亚,影响接受化疗的成年癌症患者营养状况的因素尚未得到充分研究。因此,本研究的目的是评估在哈瓦萨大学综合专科医院接受化疗的成年癌症患者的营养状况及其决定因素。

目的

本研究的目的是确定在哈瓦萨大学综合专科医院接受化疗的成年癌症患者的营养状况及其决定因素。

方法

2021年1月至5月,在哈瓦萨大学综合专科医院肿瘤治疗中心对接受化疗的成年癌症患者进行了一项横断面研究。数据通过面对面访谈和病历审查方法收集。使用Epi Data 4.6录入数据,然后导出到SPSS 25版进行统计分析。采用多变量逻辑回归分析来确定营养状况与潜在风险因素之间的关联。P值小于0.05用于确定统计学显著性。

结果

本研究显示,48.1%的参与者存在一定程度的营养不良。最低财富指数调整后比值比为0.06(0.016 - 0.2),粮食不安全调整后比值比为0.1(0.05 - 0.24),呕吐调整后比值比为0.2(0.110 - 0.444),食欲不佳调整后比值比为0.2(0.11 - 0.44),无腹泻调整后比值比为2.6(1.34 - 5.00),功能不佳调整后比值比为0.3(0.2 - 0.54)与良好营养状况显著相关。在哈瓦萨大学综合专科医院接受化疗的成年癌症患者中,营养不良的患病率较高。财富指数、粮食安全、食欲不佳、腹泻和身体状况与患者的营养状况显著相关。为改善患者的营养状况,应考虑经济支持、早期营养筛查和评估以及化疗所致症状的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdb8/9534717/1c37553ea482/JNME2022-8740272.001.jpg

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