Beliefs and Perceptions About Parenteral Nutrition and Hydration by Advanced Cancer Patients.
Beliefs and Perceptions About Parenteral Nutrition and Hydration by Advanced Cancer Patients.
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DOI：
10.1089/pmr.2022.0009
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发表时间：
2022
影响因子：
2.5
通讯作者：
Miyashita, Mitsunori
中科院分区：
文献类型：
--
作者：
Abe, Akiko;Amano, Koji;Morita, Tatsuya;Miura, Tomofumi;Mori, Naoharu;Tatara, Ryohei;Kessoku, Takaomi;Matsuda, Yoshinobu;Tagami, Keita;Otani, Hiroyuki;Mori, Masanori;Taniyama, Tomohiko;Nakajima, Nobuhisa;Nakanishi, Erika;Kako, Jun;Kiuchi, Daisuke;Ishiki, Hiroto;Matsuoka, Hiromichi;Satomi, Eriko;Miyashita, Mitsunori
关键词：
晚期癌症患者对肠外营养和水化（PNH）的信念和看法尚未阐明。澄清他们的信念和知觉，探讨他们的信念和知觉与恶病质阶段的关系。日本接受姑息治疗的晚期癌症患者的问卷调查。我们要求患者回答15个关于他们对PNH的信念和看法的问题。计算患者特征和调查参数的频率。采用Mann-Whitney U检验进行比较。我们通过因子分析和多元logistic回归分析来确定影响癌症恶病质分期的独立因素。在495名患者中，378人有反应。由于数据缺失，357例仍留在频率分布分析中，其中344例分为非恶病质组（n = 174）和恶病质组（n = 170）。大约60%的人认为PNH是有益的。大约70%的人认为PNH是一种标准的医疗实践。大约70%的人认为他们没有得到充分的解释。两组在任何项目上都没有显著差异。我们提取了四个概念组。“相信PNH有害”的概念被确定为一个独立因素[优势比2.57(95%置信区间1.10-6.01),p = 0.030]。超过一半的患者认为PNH是有益的，是有或没有癌症恶病质的标准医疗实践。癌症恶病质患者对PNH的负面认知降低。
The beliefs and perceptions of parenteral nutrition and hydration (PNH) by advanced cancer patients have not been elucidated. To clarify their beliefs and perceptions and to explore the relationships between their beliefs and perceptions and cachexia stages. A questionnaire survey of advanced cancer patients receiving palliative care across Japan. We asked patients to answer 15 items regarding their beliefs and perceptions of PNH. Frequencies were calculated for the patient characteristics and survey parameters. Comparisons were performed using the Mann–Whitney U test. We conducted a factor analysis and a multiple logistic regression analysis to identify the independent factors affecting cancer cachexia stages. Among 495 patients, 378 responded. Due to missing data, 357 remained in the frequency distribution analysis, and 344 were classified into the noncachexia group (n = 174) and cachexia group (n = 170). Approximately 60% thought that PNH were beneficial. Approximately 70% considered PNH a standard medical practice. Approximately 70% did not feel that they received a sufficient explanation. There were no significant differences in any items between the two groups. We extracted four conceptual groups. The concept of “Belief that PNH are harmful” was identified as an independent factor [odds ratio 2.57 (95% confidence intervals 1.10–6.01), p = 0.030]. More than half of the patients thought that PNH were beneficial and standard medical practices with or without cancer cachexia. The negative perception of PNH decreased in patients with cancer cachexia.
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影响因子：
45.3
作者：
Roeland, Eric J.;Bohlke, Kari;Loprinzi, Charles L.
通讯作者：
Loprinzi, Charles L.
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：
3.1
作者：
Amano, Koji;Morita, Tatsuya;Tatara, Ryohei
通讯作者：
Tatara, Ryohei
影响因子：
3.1
作者：
Arakawa, Sayaka;Amano, Koji;Mori, Masanori
通讯作者：
Mori, Masanori
影响因子：
6.2
作者：
Wu, Chien-Yi;Chen, Ping-Jen;Mori, Masanori
通讯作者：
Mori, Masanori