营养不良与接受家庭姑息治疗的晚期癌症患者的疲劳和焦虑有关。

Sebastiano Mercadante, Giuseppe Massimo Bellavia, Flavio Fusco, Lucia Adamoli, Carla Scibilia, Alessio Lo Cascio, Alessandra Casuccio
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引用次数: 0

摘要

目的:有关晚期癌症患者在家接受姑息治疗的营养状况的信息十分匮乏。本研究旨在评估接受专业家庭姑息治疗的患者的营养状况,并研究与营养不良相关的最终因素:设计:横断面地点/对象:两个专门的居家姑息关怀项目收治的患者:连续抽样选取接受居家姑息治疗的患者。抑郁、焦虑、恶心、食欲不振和幸福感差以 0-10 的数字量表进行测量。此外,还采用迷你营养评估表(MNA-SF)、疲劳评估量表(FAS)和 SARC-F 测量肌少症。此外,还记录了治疗厌食症的药物使用情况,包括皮质类固醇、孕激素或其他药物:结果:分析了 135 名患者的数据。68%和77%的患者营养不良和肌无力。在多变量回归分析中,焦虑(P = 0.036)和总 FAS(P = 0.013)与营养不良有独立关联。55%的患者正在接受皮质类固醇或醋酸甲孕酮治疗。结论:大多数晚期癌症患者的营养状况与营养不良无关:结论:大多数接受家庭姑息治疗的晚期癌症患者营养不良,与原发性肿瘤诊断无关。事实上,疲劳和焦虑与营养不良也有关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Malnutrition is Associated With Fatigue and Anxiety in Advanced Cancer Patients Admitted to Home Palliative Care.

Objective: Information regarding the nutrition profile of advanced cancer patients followed at home is lacking. The aim of this study was to assess the nutritional status of patients who were admitted to specialized home palliative care, and examine eventual factors associated with malnutrition.

Design: Cross-sectional. Setting/subject: patients who were admitted to 2 specialized home palliative care programs.

Participants: A consecutive sample of patients admitted to home care was selected. Depression, anxiety, nausea, poor appetite, and poor well-being were measured by numerical scale 0-10. Mini nutritional assessment form (MNA-SF), fatigue assessment scale (FAS), and sarcopenia by SARC-F. were performed. The use of drugs used for anorexia, including corticosteroids, progestins, or others, was recorded.

Results: Data of 135 patients were analyzed. Sixty-eight per cent and 77% of patients resulted to be malnourished and sarcopenic. In the multivariate regression analysis, anxiety (P = 0.036) and total FAS (P = 0.013) were independently associated with malnutrition. Fifty-five per cent of patients were receiving corticosteroids or megestol acetate. No significant associations with parameters examined were found.

Conclusion: The majority of advanced cancer patients admitted to home palliative care were malnourished independently of the primary tumor diagnosis. Indeed, fatigue and anxiety were independently associated with malnutrition.

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