Nutritional screening and assessment in cancer-associated malnutrition.
Nutritional screening and assessment in cancer-associated malnutrition.
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DOI：
10.1016/j.ejon.2005.09.005
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发表时间：
2005-01-01
期刊：
影响因子：
--
通讯作者：
Davies, Michelle
中科院分区：
文献类型：
--
作者：
Davies, Michelle
高达 85% 的癌症患者出现临床营养不良，这会对患者对治疗的反应产生负面影响，增加治疗相关副作用的发生率，并可能降低生存率。及早识别营养不良或有营养不良风险的患者可以促进康复并改善预后。此外，早期营养干预具有成本效益，因为它可以减少并发症发生率和住院时间。筛查和评估工具的开发和使用对于癌症患者的有效营养干预和管理至关重要。营养筛查旨在识别营养不良或存在营养不良重大风险的患者。通过筛查发现的患者需要转介给营养师或营养专家进行深入的营养评估，包括检查医学、饮食、心理和社会史、体格检查、人体测量和生化测试。营养评估后开始的干预措施应根据个人情况进行调整，并考虑患者的预后。营养护理是护理实践的一个基本方面，护士在癌症患者营养不良的早期发现和筛查中发挥着重要作用。
Up to 85% of all patients with cancer develop clinical malnutrition, which negatively affects patients' response to therapy, increases the incidence of treatment-related side effects and can decrease survival. Early identification of patients who are malnourished or at risk of malnutrition can promote recovery and improve prognosis. In addition, early nutritional intervention is cost effective, as it reduces complication rates and length of hospital stay. The development and use of screening and assessment tools is essential for effective nutritional intervention and management of patients with cancer. Nutritional screening aims to identify patients who are malnourished or at significant risk of malnutrition. Patients identified through screening require referral to a dietician or specialist in nutrition for an in-depth nutritional assessment, involving examination of medical, dietary, psychological and social history, physical examination, anthropometry and biochemical testing. Interventions initiated after nutritional assessment should be tailored to the individual and take into consideration the patient's prognosis. Nutritional care is a fundamental aspect of nursing practice and nurses are ideally placed to play an essential role in the early detection and screening of malnutrition in patients with cancer.