癌症护理与营养咨询:肿瘤学家在患者学习和行为改变中的作用。

Global advances in integrative medicine and health Pub Date : 2024-09-13 eCollection Date: 2024-01-01 DOI:10.1177/27536130241285029
Patrick G Corr, William Hudson, Nikhil Kalita
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引用次数: 0

摘要

背景:在美国,癌症仍然是一种主要的慢性疾病,其疾病负担沉重,治疗方案具有挑战性。营养与癌症患者的长期健康结果和康复率密切相关,但临床医生在功能营养方面的培训一直存在差距。本研究对患者进行访谈,以了解他们在癌症治疗期间获得营养支持的经历:了解患者在癌症治疗(即手术、化疗、放疗和/或免疫治疗)和可用营养咨询方面的经验和需求:这是一项多阶段研究,包括对美国大西洋中部地区癌症患者的调查数据(50 人)和后续半结构式访谈(20 人)。访谈参与者包括正在接受治疗的癌症患者(7 人)和在接触时处于缓解期的癌症患者(13 人)。参与者分享了他们接受治疗的经历,以及他们对肿瘤门诊治疗质量的看法。本研究的核心内容是讨论他们在治疗期间所接受的营养咨询的质量:通过数据收集和分析,得出了五个主题:(1) 患者需要更多的营养教育;(2) 没有现成的个性化资源;(3) 患者认为肿瘤学家很少接受与癌症相关的正规营养培训;(4) 肿瘤学家对营养的态度可能会影响患者护理;(5) 患者通过非正规渠道寻求营养信息。通常情况下,患者很难接触到有执照的营养师或其他能够提供生活方式建议的专业人士:这项研究的结果正被用于开发一个临床医生工具箱,其中包含资源、建议和服务,可与寻求更多营养和饮食改变信息的患者共享。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cancer Care and Nutrition Counseling: The Role of the Oncologist in Patient Learning and Behavior Change.

Background: Cancer remains a leading chronic disease in the United States with a high burden of disease and challenging treatment protocol. Nutrition is critically linked to long-term health outcomes and recovery rates among cancer patients, but there remains a persistent gap in clinician training regarding functional nutrition. This study interviews patients to understand their experiences of nutrition support they received while in cancer treatment.

Objectives: Understand patient experiences and needs regarding cancer treatment (i.e., surgery, chemotherapy, radiation, and/or immunotherapy) and available nutrition counseling.

Methods: This was a multi-phase study incorporating survey data (n = 50) and follow-up, semi-structured interviews (n = 20) of cancer patients in the Mid-Atlantic United States. Interview participants included those undergoing active cancer treatment (n = 7) and those in remission at the time of contact (n = 13). Participants shared their experiences receiving treatment and their perspectives regarding the quality of care they received in outpatient oncology clinics. Central to this study was a discussion regarding the quality of nutrition counseling they received while in treatment.

Results: Five themes emerged through data collection and analysis: (1) patients need additional education regarding nutrition, (2) personalized resources are not readily available, (3) perceptions from patients that oncologists receive little formal nutrition training related to cancer, (4) oncologists' attitude toward nutrition may influence patient care, and (5) patients seek nutrition information through informal sources. Commonly, patients had little access to licensed dieticians or other professionals capable of providing lifestyle recommendations.

Conclusions: The results of this study are being used to develop a clinician toolbox of resources, recommendations, and services that can be shared with patients seeking additional information regarding nutrition and diet change.

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