School of Health Care Sciences, Faculty of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan.
Faculty of Human Nutrition, Department of Human Nutrition, Tokyo Kasei Gakuin University, 22 Sanban-cho, Chiyoda-ku, Tokyo 102-8341, Japan.
Nutrients. 2023 Jun 11;15(12):2712. doi: 10.3390/nu15122712.
This study aims to identify the background factors and experiences of patients with cancer with eating-related problems who require nutrition counselling. Using a mixed-methods approach, this secondary analysis study was conducted on patients with head and neck, oesophageal, gastric, colorectal, or lung cancers who were receiving outpatient chemotherapy. They completed a questionnaire measuring nutrition impact symptoms, eating-related distress, and quality of life (QOL). Patients who required nutrition counselling were interviewed to identify the specific issues they experienced. We reported on nutritional status and nutrition impact symptoms in a previous study. Of the 151 participants, 42 required nutrition counselling. Background factors associated with nutrition counselling were related to the following psychosocial variables: small number of people in the household, undergoing treatment while working, low QOL, and eating-related distress. Four themes were extracted from the specific issues experienced by patients: motivation for self-management, distress from symptoms, seeking understanding and sympathy, and anxiety and confusion. The desire for nutrition counselling was attributable to 'anxiety caused by the symptoms' and 'confusion about the information on eating'. Healthcare professionals should promote multidisciplinary collaboration after considering the factors associated with the required nutrition counselling to provide nutritional support.
本研究旨在确定需要营养咨询的癌症患者的背景因素和与饮食相关的问题经历。本二次分析研究采用混合方法，对接受门诊化疗的头颈部、食管、胃、结直肠或肺癌患者进行。他们完成了一份问卷，测量营养影响症状、与饮食相关的困扰和生活质量（QOL）。需要营养咨询的患者接受了访谈，以确定他们所经历的具体问题。我们在之前的研究中报告了营养状况和营养影响症状。在 151 名参与者中，有 42 名需要营养咨询。与营养咨询相关的背景因素与以下心理社会变量有关：家庭人口少、治疗期间工作、生活质量低和与饮食相关的困扰。从患者经历的具体问题中提取出四个主题：自我管理的动机、症状引起的困扰、寻求理解和同情以及焦虑和困惑。对营养咨询的渴望归因于“症状引起的焦虑”和“对饮食信息的困惑”。医疗保健专业人员在考虑与所需营养咨询相关的因素后，应促进多学科合作，以提供营养支持。
