A Qualitative Exploration of Nutrition Screening, Assessment and Oral Support Used in Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries.
A Qualitative Exploration of Nutrition Screening, Assessment and Oral Support Used in Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries.
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DOI：
10.3390/nu14040863
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发表时间：
2022-02-18
期刊：
影响因子：
5.9
通讯作者：
Burden ST
中科院分区：
文献类型：
--
作者：
Sowerbutts AM;Knight SR;Lapitan MCM;Qureshi AU;Maimbo M;Yenli EMT;Tabiri S;Ghosh D;Kingsley PA;Sundar S;Shaw CA;Valparaiso A;Alviz CA;Bhangu A;Theodoratou E;Weiser TG;Harrison EM;Burden ST
术前营养不良是术后死亡率和发病率的预后指标。有证据表明，治疗营养不良可以改善手术效果。本研究探讨了在低收入和中等收入国家（LMICs）外科癌症病房提供营养筛查、评估和支持。这是一项定性研究，参与者参加一个焦点小组或一个个人访谈。数据按主题进行分析。来自加纳、印度、菲律宾和赞比亚的34名参与者：24名保健专业人员（HCPs）和10名患者。结果显示，医护人员的知识水平和工作热情较高。缺乏病房和厨房设备、食物和可持续营养补充品是提供充足营养支助的障碍。各国在营养筛查和评估方面存在差异，这似乎是由资源驱动的。许多资源匮乏的医院侧重于单个患者的护理，而赞成采用综合系统方法来识别和管理营养不良。总之，通过将营养评估和支持整合到常规医院政策和程序中，从感兴趣的人员进行的病例管理转变为包括整个多学科团队在内的基于系统的方法，可以提高中低收入国家外科癌症患者的营养管理效率。
Preoperative undernutrition is a prognostic indicator for postoperative mortality and morbidity. Evidence suggests that treating undernutrition can improve surgical outcomes. This study explored the provision of nutritional screening, assessment and support on surgical cancer wards in low- and middle-income countries (LMICs). This was a qualitative study and participants took part in one focus group or one individual interview. Data were analysed thematically. There were 34 participants from Ghana, India, the Philippines and Zambia: 24 healthcare professionals (HCPs) and 10 patients. Results showed that knowledge levels and enthusiasm were high in HCPs. Barriers to adequate nutritional support were a lack of provision of ward and kitchen equipment, food and sustainable nutritional supplements. There was variation across countries towards nutritional screening and assessment which seemed to be driven by resources. Many hospitals where resources were scarce focused on the care of individual patients in favour of an integrated systems approach to identify and manage undernutrition. In conclusion, there is scope to improve the efficiency of nutritional management of surgical cancer patients in LMICs through the integration of nutrition assessment and support into routine hospital policies and procedures, moving from case management undertaken by interested personnel to a system-based approach including the whole multidisciplinary team.
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DOI：
10.1007/s00520-020-05736-y
发表时间：
2021-05
期刊：
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
影响因子：
--
作者：
Murphy JL;Munir F;Davey F;Miller L;Cutress R;White R;Lloyd M;Roe J;Granger C;Burden S;Turner L
通讯作者：
Turner L
DOI：
10.1007/s00464-015-4479-0
发表时间：
2016-06-01
影响因子：
3.1
作者：
Keller, Deborah S.;Flores-Gonzalez, Juan R.;Haas, Eric M.
通讯作者：
Haas, Eric M.
影响因子：
51.1
作者：
Sullivan, Richard;Alatise, Olusegun Isaac;Purushotham, Arnie
通讯作者：
Purushotham, Arnie
DOI：
10.1002/jcsm.12170
发表时间：
2017-06
期刊：
Journal of cachexia, sarcopenia and muscle
影响因子：
--
作者：
Burden ST;Gibson DJ;Lal S;Hill J;Pilling M;Soop M;Ramesh A;Todd C
通讯作者：
Todd C
影响因子：
5.9
作者：
Barcus GC;Papathakis PC;Schaffner A;Chimera B
通讯作者：
Chimera B