Prevalence of Nutrition- Impact Symptoms at Different Disease Stages among Paediatric Cancer Patients Undergoing Chemotherapy at Moi Teaching and Referral Hospital, Eldoret, Kenya

Okemwa Julian Nyaboke
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Abstract

Malnutrition incidence among patients with cancer ranges from 30% - 80% globally.  Cancer is a major cause of death in Kenya after cardiovascular and infectious diseases. This research assessed the relationship between nutritional status and quality of life (QoL) of the 52 paediatric cancer patients undergoing chemotherapy at Moi Teaching and Referral Hospital (MTRH) Eldoret, Kenya. A cross-sectional analytical design was applied and the researcher administered a questionnaire and Nutritional Risk Screening (NRS-2002) instruments were used for data collection. The statistical package for social sciences (SPSS) version 21 was used to analyse the data descriptively. The findings revealed that nutrition impact symptoms were more pronounced in the second and third stages of cancer where most of the respondents experienced vomiting (94.3%),  decreased appetite (80.8%), and diarrhoea (69.23%). The use of the Nutrition Impact Symptom (NIS) checklist in the paediatric oncology clinic/ward triggers more therapeutic interventions. The awareness for NIS will likely evoke more research in assessment, impact, and treatment.
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肯尼亚埃尔多雷特Moi教学和转诊医院接受化疗的儿科癌症患者在不同疾病阶段营养影响症状的流行程度
全球癌症患者营养不良发生率在30% - 80%之间。在肯尼亚,癌症是继心血管疾病和传染病之后的主要死亡原因。本研究评估了在肯尼亚埃尔多雷特Moi教学和转诊医院(MTRH)接受化疗的52名儿科癌症患者的营养状况与生活质量(QoL)之间的关系。采用横断面分析设计,研究人员进行问卷调查,并使用营养风险筛查(NRS-2002)工具收集数据。使用社会科学统计软件包(SPSS)第21版对数据进行描述性分析。研究结果显示,营养影响症状在癌症的第二和第三阶段更为明显,大多数受访者出现呕吐(94.3%)、食欲下降(80.8%)和腹泻(69.23%)。在儿科肿瘤科门诊/病房使用营养影响症状(NIS)检查表可触发更多的治疗干预措施。对NIS的认识可能会在评估、影响和治疗方面引发更多的研究。
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