The provision of nutritional advice and care for cancer patients: a UK national survey of healthcare professionals.
The provision of nutritional advice and care for cancer patients: a UK national survey of healthcare professionals.
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DOI：
10.1007/s00520-020-05736-y
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Turner L
中科院分区：
文献类型：
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作者：
Murphy JL;Munir F;Davey F;Miller L;Cutress R;White R;Lloyd M;Roe J;Granger C;Burden S;Turner L
癌症患者和癌症患者经常会遇到与营养相关的问题，应该接受一致且基于证据的适当营养建议。本研究的目的是根据英国国家健康研究所 (NIHR) 癌症与营养合作组织开展的一项英国全国调查，调查医疗保健专业人员 (HCP) 提供营养护理的当前实践。向专业团体和网络发送的在线调查包括有关讨论营养、提供信息、对指南的认识、提供营养建议的信心、改善营养管理的培训和策略的问题。有 610 名 HCP 做出了回应，其中包括护士 (31%)、营养师 (25%)、医生 (31%) 以及言语和语言治疗师 (9%)。大多数 HCP 讨论营养问题 (94%) 并提供营养信息 (77%)。然而，只有 39% 的 HCP 表示了解营养指南，只有 20% 的人完全有信心提供营养建议。不同专业群体对指南的认知度有所不同，大多数（但并非所有）营养师对指南的认知度最高，而全科医生的认知度最低（p = 0.001）。那些对指南有更高认识的 HCP 接受过培训 (p = 0.001)，并且更有可能对提供营养建议充满信心 (p =0.001)。虽然医护人员与癌症患者讨论营养问题并可能提供信息，但许多人缺乏对指南的认识和提供营养建议的信心。为了确保实践的一致性和患者护理的改进，加强适当营养教育和培训的提供还有余地。
People living with and beyond cancer often experience nutrition-related issues and should receive appropriate advice on nutrition that is consistent and evidence based. The aim of this study was to investigate current practice for the provision of nutritional care by healthcare professionals (HCPs) from a UK national survey produced by the National Institute for Health Research (NIHR) Cancer and Nutrition Collaboration. An online survey sent to professional groups and networks included questions on discussing nutrition, providing information, awareness of guidelines, confidence in providing nutritional advice, training and strategies for improving nutritional management. There were 610 HCPs who responded including nurses (31%), dietitians (25%), doctors (31%) and speech and language therapists (9%). The majority of HCPs discusses nutrition (94%) and provides information on nutrition (77%). However, only 39% of HCPs reported being aware of nutritional guidelines, and just 20% were completely confident in providing nutritional advice. Awareness of guidelines varied between the different professional groups with most but not all dietitians reporting the greatest awareness of guidelines and GPs the least (p = 0.001). Those HCPs with a greater awareness of guidelines had received training (p = 0.001) and were more likely to report complete confidence in providing nutritional advice (p = 0.001). Whilst HCPs discuss nutrition with cancer patients and may provide information, many lack an awareness of guidelines and confidence in providing nutritional advice. To ensure consistency of practice and improvements in patient care, there is scope for enhancing the provision of appropriate nutrition education and training.
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影响因子：
6.3
作者：
Arends, Jann;Bachmann, Patrick;Preiser, Jean-Charles
通讯作者：
Preiser, Jean-Charles
影响因子：
2.1
作者：
Kassianos, A. P.;Coyle, A.;Raats, M. M.
通讯作者：
Raats, M. M.
影响因子：
3.4
作者：
Martin, Lisa;de van der Schueren, Marian A. E.;Gramlich, Leah
通讯作者：
Gramlich, Leah
影响因子：
2.1
作者：
Hardcastle, S. J.;Maxwell-Smith, C.;Platell, C.
通讯作者：
Platell, C.
影响因子：
8.8
作者：
通讯作者：
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