Taste perception changes in multiple myeloma and head & neck cancer patients: A qualitative study

Q3 Nursing
Ghias Kulsoom , Maura Dowling , Krawczyk Janusz , Edel Barrett , Gupta Ananya
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引用次数: 0

Abstract

Changes in taste have been perceived as a common side effect of different cancers and may lead to malnutrition. Hence, the importance of understanding cancer patients' sensory taste perceptions and its impact on nutritional status, quality of life (QoL), and oral nutrition supplements (ONS) compliance becomes crucial. This qualitative study involved semi-structured, in-depth interviews with 24 adults (15 with multiple myeloma and 9 with head & neck cancer). The interviews were transcribed and the data analysis was conducted using reflexive thematic analysis and template analysis. This guided the development of four themes: 1. Taste and smell changes, 2. Impact on nutritional status and quality of life, 3. Information and help available for people experiencing changes in their taste, and 4. ONS and its compliance. Our findings show significant negative impact of chemosensory changes on nutritional status, quality of life and ONS compliance. Patient's experience with the level of support received for the management of taste changes during cancer treatment varied widely. Providing adequate information and support in a timely manner about changes in taste during treatment can improve patients' coping strategies and maintain their nutritional status. Overall, the findings highlight the importance of addressing taste changes and ONS compliance for people with multiple myeloma and head and neck cancer undergoing treatment. Specifically, the taste changes and its impact experienced by people with head and neck cancer were found to be more severe than those experienced by multiple myeloma patients. This study provides an understanding of changes in sensory taste perception experienced by cancer patients and its impact on nutritional status and QoL. This understanding can provide insight into ways to improve ONS consumption and compliance for preventing malnutrition. It is crucial to further conduct ONS sensory evaluations that cater to the specific needs of this cohort to help prevent malnutrition among cancer patients.
多发性骨髓瘤和头颈部癌症患者的味觉变化:定性研究
味觉变化被认为是不同癌症的常见副作用,可能导致营养不良。因此,了解癌症患者的味觉感受及其对营养状况、生活质量(QoL)和口服营养补充剂(ONS)依从性的影响至关重要。这项定性研究对 24 名成人(15 名多发性骨髓瘤患者和 9 名头部及颈部癌症患者)进行了半结构化深入访谈。对访谈内容进行了誊写,并采用反思性主题分析和模板分析法进行了数据分析。在此基础上形成了四个主题:1.味觉和嗅觉的变化;2.对营养状况和生活质量的影响;3.为味觉发生变化的人提供的信息和帮助;4.ONS 及其合规性。ONS 及其合规性。我们的研究结果表明,化疗感官变化对营养状况、生活质量和服用 ONS 的依从性有很大的负面影响。患者对癌症治疗期间味觉变化管理所获得的支持程度的体验差异很大。及时提供有关治疗期间味觉变化的充足信息和支持,可以改善患者的应对策略,维持他们的营养状况。总之,研究结果突出表明,对于正在接受治疗的多发性骨髓瘤和头颈部癌症患者来说,解决味觉变化和遵从 ONS 的重要性。具体而言,研究发现头颈癌患者的口味变化及其影响比多发性骨髓瘤患者更为严重。这项研究有助于了解癌症患者的味觉变化及其对营养状况和生活质量的影响。这种认识可以帮助人们了解如何改善 ONS 的食用量和依从性,从而预防营养不良。至关重要的是要进一步开展 ONS 感官评估,以满足这一群体的特殊需求,帮助癌症患者预防营养不良。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Nutrition Open Science
Clinical Nutrition Open Science Nursing-Nutrition and Dietetics
CiteScore
2.20
自引率
0.00%
发文量
55
审稿时长
18 weeks
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