The prevalence of concern about weight loss and change in eating habits in people with advanced cancer
The prevalence of concern about weight loss and change in eating habits in people with advanced cancer
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DOI：
10.1016/j.jpainsymman.2006.05.012
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发表时间：
2006-10-01
影响因子：
4.7
通讯作者：
Corner, Jessica L.
中科院分区：
文献类型：
--
作者：
Hopkinson, Jane B.;Wright, David N. M.;Corner, Jessica L.
体重减轻和厌食症是晚期癌症患者的常见症状。关于这些现象的患者经验知之甚少，特别是他们是否发现他们的关注。在这项研究中，体重减轻和饮食相关的问题的患病率进行了评估，在晚期癌症患者接受专科姑息性家庭护理。这项调查是一项更大规模研究的一部分，该研究旨在探索帮助患者及其家人减轻体重和改变饮食习惯的可能性。2003年，病人在英格兰南部的两个专家姑息家庭护理小组的照顾下。问卷分发给233例晚期癌症患者的总合格病例。应答率为85%。在199名返回问卷的患者中，超过四分之三的人报告体重减轻（79%）和/或进食减少（76%）。排除了32名（16%）寻求家人或朋友帮助完成问卷的患者，超过一半（52%）报告了对减肥和/或饮食的担忧。无论是否接近死亡，都发现了对减肥或进食的担忧。接受姑息性家庭护理的晚期癌症患者通常会经历体重减轻和饮食相关的问题。还需要进一步的工作来确定是否可以通过干预措施来解决问题，从而为患者及其家属带来有意义的结果。
Weight loss and anorexia are commonly reported symptoms in people with advanced cancer. Little is known about patient experience of these phenomena, in particular whether they find them of concern. In this study, the prevalence of weight loss and eating-related concern was evaluated in patients with advanced cancer receiving specialist palliative homecare. The survey was a component of a larger study exploring the potential for helping patients and their families live with weight loss and change in eating habits. Patients were under the care of two specialist palliative homecare teams in the south of England in 2003. The questionnaire was distributed to the total eligible caseload of 233 patients with advanced cancer. The response rate was 85%. More than three-quarters of the 199 patients who returned the questionnaires reported weight loss (79%) and/or eating less (76%). Excluding the 32 patients (16%) who had sought help from a family member or friend to complete the questionnaires, more than half (52%) reported concern about weight loss and/ or eating. Concern about weight loss or eating was found irrespective of proximity to death. Weight loss and eating-related concerns are commonly experienced by people with advanced cancer receiving palliative homecare. Further work is needed to establish if concerns are amenable to interventions that translate into meaningful outcomes for patients and their families.