Need and demand for nutritional counselling and their association with quality of life, nutritional status and eating-related distress among patients with cancer receiving outpatient chemotherapy: a cross-sectional study
Need and demand for nutritional counselling and their association with quality of life, nutritional status and eating-related distress among patients with cancer receiving outpatient chemotherapy: a cross-sectional study
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DOI：
10.1007/s00520-018-4628-9
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发表时间：
2019-09-01
影响因子：
3.1
通讯作者：
Matsushima, Eisuke
中科院分区：
文献类型：
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作者：
Koshimoto, Saori;Arimoto, Masako;Matsushima, Eisuke
目的癌症患者在疾病进展过程中经常会出现一般性的营养问题。我们的目的是检查是否有必要和癌症门诊患者的营养咨询需求，并探讨有关饮食和nutritions.MethodsA调查的相关心理因素进行了门诊化疗的成年患者在东京医科齿科大学医院。参与者完成了自我报告的问卷调查，其中包括他们的营养状况（患者生成的主观全球评估简表），饮食相关的痛苦和生活质量（QOL）的经验（欧洲癌症研究和治疗组织生活质量量表-C30）的问题。患者的饮食相关的痛苦和营养咨询的需求显着相关的经验，特别是在患者和他们周围的人之间的食物冲突“（p=0.005），对食物的关注”（p=0.007）和自我激励的影响与营养“（p=0.018）。在QOL方面，还观察到营养咨询需求与总体健康状况（p=0.028）、情感功能（p=0.022）、认知功能（p=0.028）和社会功能（p=0.040）之间存在显著关联。低生活质量的患者往往需要营养consultations.ConclusionsThe营养咨询的需求与生活质量和饮食相关的困扰。因此，照顾癌症病人的医护人员，例如主诊医生、营养师、护士、临床心理肿瘤学家、社会工作者和精神科肿瘤学家，应互相合作和分享信息，提供营养辅导。
PurposePatients with cancer often experience general nutritional problems as the disease progresses. We aimed to examine if there is a need and demand for nutritional counselling among cancer outpatients, and explore relevant psychological factors pertaining to eating and nutrition.MethodsA survey was conducted among adult patients receiving outpatient chemotherapy at the Tokyo Medical and Dental University Hospital. The participants completed self-report questionnaires, which included questions on their nutritional state (Patient-Generated Subjective Global Assessment Short Form), experience of eating-related distress and quality of life (QOL) (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-C30).ResultsOf the 151 (median age, 66.5years) participants, 42 had a demand for nutritional counselling. Patients' experience of eating-related distress and demand for nutritional counselling were significantly associated, particularly in regard to conflicts over food between patients and the people surrounding them' (p=0.005), concerns about food' (p=0.007) and self-motivated effect related to nutrition' (p=0.018). A significant association was also observed between the demand for nutritional counselling and global health status (p=0.028), emotional functioning (p=0.022), cognitive functioning (p=0.028) and social functioning (p=0.040) in terms of QOL. Patients with a low QOL tended to demand nutritional counselling.ConclusionsThe demand for nutritional counselling was associated with QOL and eating-related distress. Therefore, medical staff caring for patients with cancer, such as attending physicians, dietitians, nurses, clinical psycho-oncologists, social workers and psychiatric oncologists, should collaborate and share information to provide nutritional counselling.