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调查食管癌和胃癌幸存者的营养与支持性护理需求:一项横断面调查。

Investigating Nutrition and Supportive Care Needs in Esophageal and Gastric Cancer Survivors: A Cross-Sectional Survey.

作者信息

Sadeghi Fatemeh, Hussey Juliette, Doyle Suzanne L

机构信息

Discipline of Physiotherapy, School of Medicine, Trinity College Dublin, D02 PN40 Dublin, Ireland.

School of Biological, Health and Sports Science, Technological University Dublin, D07 XT95 Dublin, Ireland.

出版信息

Healthcare (Basel). 2025 Aug 20;13(16):2057. doi: 10.3390/healthcare13162057.

Abstract

: Advances in cancer diagnosis and treatment improved survivorship rates, but survivors' long-term quality of life remains a critical concern. Survivors of esophageal and gastric cancer often undergo extensive curative surgery, which can have lasting impacts on nutritional status. This study aimed to assess the nutritional status, dietary challenges, and supportive care needs of this population of cancer survivors. : In this cross-sectional study, adults diagnosed with esophageal or gastric cancer were invited to complete an anonymous survey to assess their nutritional status, quality of life, and psychological well-being. : A total of 114 responses were analyzed. Although over 70% of participants were more than two years post-diagnosis, more than 30% remained at risk of malnutrition. Additionally, over 36% reported ongoing dietary complications such as swallowing difficulties, dumping syndrome, diarrhea, and reflux. Impaired quality of life was observed in 31.7% of respondents, defined as having a global health status score below 66.1 on the EORTC QLQ-C30. Psychological distress was also evident, with over 25% screening positive for anxiety or borderline anxiety, and more than 22% for depression or borderline depression. : Malnutrition, gastrointestinal symptoms, impaired quality of life, and psychological distress remain prevalent among esophageal and gastric cancer survivors many years after diagnosis. These findings underscore the need for ongoing monitoring and the provision of targeted supportive care to improve long-term survivorship outcomes.

摘要

癌症诊断和治疗方面的进展提高了生存率,但幸存者的长期生活质量仍是一个关键问题。食管癌和胃癌幸存者通常要接受广泛的根治性手术,这可能会对营养状况产生持久影响。本研究旨在评估这群癌症幸存者的营养状况、饮食挑战和支持性护理需求。

在这项横断面研究中,邀请被诊断患有食管癌或胃癌的成年人完成一项匿名调查,以评估他们的营养状况、生活质量和心理健康状况。

共分析了114份回复。尽管超过70%的参与者在确诊后已超过两年,但仍有超过30%的人存在营养不良风险。此外,超过36%的人报告存在持续的饮食并发症,如吞咽困难、倾倒综合征、腹泻和反流。31.7%的受访者生活质量受损,定义为在欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)上的总体健康状况得分低于66.1。心理困扰也很明显,超过25%的人焦虑或接近焦虑筛查呈阳性,超过22%的人抑郁或接近抑郁筛查呈阳性。

在食管癌和胃癌幸存者中,诊断多年后营养不良、胃肠道症状、生活质量受损和心理困扰仍然普遍存在。这些发现强调了持续监测以及提供有针对性的支持性护理以改善长期生存结果的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3794/12385564/afe03edc0f35/healthcare-13-02057-g001.jpg

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