Grindel C G, Whitmer K, Barsevick A
Cancer Pract. 1996 Mar-Apr;4(2):81-7.
Nutritional support is often initiated in patients with cancer who are unable to meet their nutritional needs by the oral route. Much has been written about the effect of nutritional support on physiological outcomes in patients with cancer. However, less is known about the relationship between improvement of nutritional status and quality of life. Trends in the treatment of cancer highlight the need for an examination of home nutrition support and quality of life. The purpose of this article is to describe the state of knowledge about the relationship of home enteral and parenteral nutrition support and quality of life. Research exploring the dimensions of quality of life (physical functioning, psychological status, interpersonal relationships and social functioning, financial concerns, and symptoms, and complications of nutritional support) is presented. Implications for clinical practice and research are identified. The trend for increased numbers of patients on home nutrition support emphasizes the need to understand the patient's and family's experience in managing this treatment in the home.
对于无法通过口服途径满足营养需求的癌症患者，通常会启动营养支持。关于营养支持对癌症患者生理结局的影响，已有大量著述。然而，关于营养状况改善与生活质量之间的关系，人们了解得较少。癌症治疗的趋势凸显了审视家庭营养支持与生活质量的必要性。本文旨在描述关于家庭肠内和肠外营养支持与生活质量关系的知识现状。文中呈现了探索生活质量维度（身体功能、心理状态、人际关系与社会功能、经济担忧以及营养支持的症状和并发症）的研究。确定了对临床实践和研究的启示。接受家庭营养支持的患者数量增加的趋势，强调了了解患者及其家庭在家中管理这种治疗的体验的必要性。
