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助力康复:放射治疗师在优化乳腺癌女性营养方面能发挥作用吗?

Fuelling Recovery: Is There a Role for Radiation Therapists in Optimising Nutrition for Women With Breast Cancer?

作者信息

Feighan Laura, MacDonald-Wicks Lesley, Callister Robin, Surjan Yolanda

机构信息

Global Centre for Research and Training in Radiation Oncology, School of Health Sciences, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.

School of Health Sciences, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, New South Wales, Australia.

出版信息

J Med Radiat Sci. 2025 Sep;72(3):350-360. doi: 10.1002/jmrs.874. Epub 2025 Mar 27.

Abstract

INTRODUCTION

Women with breast cancer receiving radiation therapy (RT) can experience treatment side effects and compromised quality of life. The quality of a person's diet can play a vital role in preventing cancer and other chronic diseases. Despite this, studies show many Australians do not meet the recommended guidelines for consuming a quality diet. Currently, women with breast cancer receiving RT are not routinely provided nutritional support, highlighting a possible gap in the comprehensive care of this population. This study aims to explore the dietary practices of women with breast cancer receiving RT and their perceptions of nutritional support during treatment. Furthermore, an investigation of the radiation therapists' role in providing nutritional support is considered.

METHODS

A cross-sectional study design was implemented via an online survey. The survey was offered to women with breast cancer receiving RT in Australia's Capital Territory, New South Wales and Queensland regions. The survey comprised 70 questions focused on exercise, nutritional habits and overall health. The Short Dietary Questions were used specifically for the nutrition-based questions.

RESULTS

Ninety women completed the survey; none met all recommended dietary guidelines, with only 33% consuming recommended fruit servings and 12% meeting vegetable requirements daily. While half the women reported receiving dietary guidance during RT, the content and quality of advice are unclear.

CONCLUSION

This study highlights both the dietary patterns of women with breast cancer receiving RT and their unmet needs for nutritional guidance. While nutritional support is crucial for patient wellbeing during cancer treatment, further research is needed to determine optimal approaches for diet education delivery. Specifically, investigation into how radiation therapists can effectively integrate evidence-based nutritional support into their practice to improve patient care.

摘要

引言

接受放射治疗(RT)的乳腺癌女性可能会经历治疗副作用,生活质量也会受到影响。一个人的饮食质量在预防癌症和其他慢性病方面起着至关重要的作用。尽管如此,研究表明许多澳大利亚人并未达到优质饮食的推荐指南。目前,接受RT的乳腺癌女性并未常规获得营养支持,这凸显了该人群综合护理中可能存在的差距。本研究旨在探讨接受RT的乳腺癌女性的饮食习惯及其在治疗期间对营养支持的看法。此外,还考虑对放射治疗师在提供营养支持方面的作用进行调查。

方法

通过在线调查实施横断面研究设计。该调查面向在澳大利亚首都领地、新南威尔士州和昆士兰州地区接受RT的乳腺癌女性。该调查包括70个关于运动、营养习惯和整体健康的问题。简短饮食问题专门用于基于营养的问题。

结果

90名女性完成了调查;没有人完全符合所有推荐的饮食指南,只有33%的人每天摄入推荐的水果份数,12%的人达到蔬菜需求。虽然一半的女性报告在RT期间接受了饮食指导,但建议的内容和质量尚不清楚。

结论

本研究突出了接受RT的乳腺癌女性的饮食模式及其对营养指导未满足的需求。虽然营养支持对癌症治疗期间患者的福祉至关重要,但需要进一步研究以确定提供饮食教育的最佳方法。具体而言,调查放射治疗师如何能够有效地将循证营养支持整合到他们的实践中以改善患者护理。

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