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癌症患者吞咽困难风险与经口摄入量水平之间的关系。

Relation between risk of dysphagia and oral intake level in cancer patients.

作者信息

Rocha Alexia Diovana Fernandes da, Berbert Monalise Costa Batista, Martins Vera Beatris

机构信息

Programa de Pós-graduação em Residência Multiprofissional Integrada em Saúde, Onco-hematologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.

Departamento de Fonoaudiologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.

出版信息

Codas. 2025 Feb 10;37(2):e20240100. doi: 10.1590/2317-1782/e20240100pt. eCollection 2025.

Abstract

OBJECTIVE

To relate the self-perceived risk of dysphagia with the level of oral intake in hospitalized oncology patients.

METHODS

This cross-sectional study had a convenience sample of adults and older adults diagnosed with cancer and hospitalized in an oncology hospital in southern Brazil. Data on sex, age, length of hospitalization, comorbidities, oncological diagnosis, treatment, and feeding route were obtained from the participants' medical records. The level of oral intake was classified using the Functional Oral Intake Scale (FOIS), and the risk of dysphagia was identified using the Eating Assessment Tool (EAT-10). The relationship between these variables was analyzed using Spearman's correlation coefficient.

RESULTS

The study included 60 participants - 42 with solid tumors and 18 with hematological tumors; 35 females (58.3%) and 25 males(41.7%), with a mean age of 58.5 ± 13.1 years. Of these, 56 exclusively used the oral route for feeding (93.3%), and 18 were at risk of dysphagia (30%). Older patients were at higher risk for dysphagia than adults (p-value = 0.020). EAT-10 scores (median = 0; IQR = 0-4) were significantly inversely correlated (RHO = -0.463; p-value = 0.000) with FOIS classifications (N: level 2 = 2; level 3 = 2; level 4 = 2; level 5 = 12; level 7 = 42).

CONCLUSION

The study found that lower EAT-10 scores corresponded to higher FOIS levels. In other words, the lower the risk of dysphagia, the lower the susceptibility to using alternative feeding routes.

摘要

目的

探讨住院肿瘤患者自我感知的吞咽困难风险与经口摄入量水平之间的关系。

方法

本横断面研究采用便利抽样法,选取了在巴西南部一家肿瘤医院住院的成年及老年癌症患者。从参与者的病历中获取性别、年龄、住院时间、合并症、肿瘤诊断、治疗及喂养途径等数据。经口摄入量水平采用功能性经口摄入量表(FOIS)进行分类,吞咽困难风险采用饮食评估工具(EAT-10)进行评估。使用Spearman相关系数分析这些变量之间的关系。

结果

该研究纳入了60名参与者,其中42名患有实体瘤,18名患有血液系统肿瘤;35名女性(58.3%),25名男性(41.7%),平均年龄为58.5±13.1岁。其中,56名患者仅通过经口途径进食(93.3%),18名患者存在吞咽困难风险(30%)。老年患者吞咽困难风险高于成年患者(p值 = 0.020)。EAT-10评分(中位数 = 0;四分位间距 = 0 - 4)与FOIS分类(N:2级 = 2;3级 = 2;4级 = 2;5级 = 12;7级 = 42)显著负相关(RHO = -0.463;p值 = 0.000)。

结论

该研究发现,较低的EAT-10评分对应较高的FOIS水平。换句话说,吞咽困难风险越低,使用替代喂养途径的可能性越低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e60/11813178/49f40e076dbb/codas-37-2-e20240100-g01-en.jpg

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