Medina Cruz Erik, Palenzuela Luis Natacha, Rodríguez Novo Natalia, González Suarez Miriam, Casas Hernández Raquel, Novo Muñoz María Mercedes
University Hospital of the Canary Islands, 38320 Santa Cruz de Tenerife, Spain.
Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de La Laguna, 38200 Santa Cruz de Tenerife, Spain.
Nurs Rep. 2024 May 23;14(2):1312-1323. doi: 10.3390/nursrep14020099.
The use of validated tools to evaluate the nutritional status of the cancer patient provides guaranteed precision and reliability in their nutritional evaluation, ensuring that the information is accurate and reflects the patient's situation. The aim of this study was to identify the valid and reliable instruments in the evaluation of the nutritional status of cancer patients with a diagnosis of solid tumor undergoing antineoplastic treatment (chemotherapy and/or immunotherapy). A scoping review was conducted to search for original articles published in scientific journals in English, Spanish, or Portuguese in the past five years. In order to identify potentially relevant documents, searches were performed in the following databases: SCOPUS, WOS, CINAHL, MEDLINE, BVS, and PUBMED. DECS-MeSH descriptors and Boolean operators were used. In addition, the Arksey and O'Malley protocol, the Joanne Briggs Institute (JBI) method, and the flow chart of the Preferred Information Elements for Systematic Reviews and Meta-Analyses, known as PRISMA, were followed. The initial search strategy identified a total of 164 references, which were examined successively, leaving a final selection of ten studies. It was found that the most used instrument for nutritional evaluation was the Patient-Generated Subjective Global Assessment (PG-SGA). Other questionnaires also stood out such as the Mini Nutritional Assessment (MNA), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Screening (NRS 2002), and the Functional Assessment of Anorexia/Cachexia Therapy (FAACT). The variation in the tools used ranges from subjective assessments to objective measurements, thus underlining the need for a comprehensive and individualized approach.
使用经过验证的工具来评估癌症患者的营养状况，可确保其营养评估具有精确性和可靠性，保证所获信息准确且能反映患者的实际情况。本研究旨在确定在评估接受抗肿瘤治疗（化疗和/或免疫治疗）的实体瘤癌症患者营养状况时有效且可靠的工具。我们进行了一项范围综述，以查找过去五年在英文、西班牙文或葡萄牙文科学期刊上发表的原始文章。为了识别潜在相关文献，我们在以下数据库中进行了检索：SCOPUS、WOS、CINAHL、MEDLINE、BVS和PUBMED。使用了医学主题词表（DECS-MeSH）描述符和布尔运算符。此外，我们遵循了阿克西和奥马利协议、乔安妮·布里格斯研究所（JBI）方法以及系统评价和Meta分析的首选信息元素流程图（PRISMA）。初步检索策略共识别出164篇参考文献，经过逐一审查，最终选定了十项研究。结果发现，最常用的营养评估工具是患者主观全面评定法（PG-SGA）。其他问卷也较为突出，如微型营养评定法（MNA）、营养不良通用筛查工具（MUST）、营养风险筛查（NRS 2002）以及厌食/恶病质治疗功能评估（FAACT）。所使用工具的差异范围从主观评估到客观测量，这凸显了采用全面且个性化方法的必要性。
