Patient satisfaction with nutrition services amongst cancer patients treated with autologous stem cell transplantation: a comparison of usual and extended care
Patient satisfaction with nutrition services amongst cancer patients treated with autologous stem cell transplantation: a comparison of usual and extended care
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DOI：
10.1111/jhn.12135
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发表时间：
2014-04-01
影响因子：
3.3
通讯作者：
Isenring, E.
中科院分区：
文献类型：
--
作者：
Hung, Y. -C.;Bauer, J.;Isenring, E.
BackgroundThis study aims to determine patient satisfaction with clinical nutrition services delivered by a accredited practicing nutritional nutritional technician among cancer patients treated with autologous stem cell transplantation that was provided with usual and extended care at 100days post-transplantation.MethodsPatients were randomized to receive usual nutritional care or extended nutritional care during the course of their stem cell transplantation.出院后，常规护理患者没有得到进一步的营养支持，而扩展护理患者在移植后100天内接受同一营养师的电话饮食咨询。在移植后100天匿名填写患者对临床营养服务的满意度问卷。使用独立的t-tests.Results37例患者同意参加这项研究（54%男性，平均年龄58.7 - 9.5岁，中位体重指数26.8kgm（-2），范围16.4-47.6kgm（-2））; 33例患者完成了研究，28例患者返回问卷（响应率=85%）。两组对问卷各部分的评分均较高，组间差异无统计学意义（P>0.05）。虽然没有统计学意义上的，延长护理患者谁收到至少三个电话评价较高的整体满意度相比，那些谁收到较少的电话，这种差异是临床上重要的（得分差异=0.56）。在出院后至少接到三个电话的延长护理患者比那些干预频率较低的患者更满意。需要进一步探讨营养服务的频率和强度。
BackgroundThis study aimed to determine patient satisfaction with clinical nutrition services delivered by an accredited practicing dietitian amongst cancer patients treated with autologous stem cell transplantation that was provided with usual and extended care at 100days post-transplantation.MethodsPatients were randomised to receive usual nutrition care or extended nutrition care during the course of their stem cell transplantation. After hospital discharge, usual care patients received no further nutrition support, whereas extended care patients received telephone dietary counselling from the same dietitian for up to 100days post-transplantation. The patient satisfaction with clinical nutrition service questionnaire was completed anonymously at 100days post-transplantation. Group comparisons were made using independent t-tests.ResultsThirty-seven patients consented to participate in the study (54% male; mean age 58.79.5years; median body mass index 26.8kgm(-2), range 16.4-47.6kgm(-2)); 33 patients completed the study and 28 patients returned the questionnaire (response rate=85%). All components of the questionnaire were rated highly by both groups; there was no significant difference between the groups (P>0.05). Although not statistically significant, extended care patients who received at least three telephone calls rated a higher overall satisfaction compared to those who received less calls; this difference was clinically important (score difference=0.56).ConclusionsCancer patients treated with autologous stem cell transplantation were satisfied with usual and extended nutrition care. Extended care patients who received at least three telephone calls after hospital discharge were more satisfied than those with less frequent intervention. Further exploration regarding the frequency and intensity of nutrition service is required.