营养状况差与头颈部/食管癌治疗六个月后患者满意度低有关:一项前瞻性多中心队列研究。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS Nutrition in Clinical Practice Pub Date : 2024-09-22 DOI:10.1002/ncp.11211
Adrianne M Widaman, Andrew G Day, Maggie A Kuhn, Rupinder Dhaliwal, Vickie Baracos, Merran Findlay, Judith D Bauer, Marian de van der Schueren, Alessandro Laviano, Lisa Martin, Leah Gramlich
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引用次数: 0

摘要

背景患者报告的结果测量与肿瘤患者的存活率有关。摄入量改变和营养不良是头颈癌和食管癌(HNC/EC)患者的常见症状。本研究旨在探讨患者报告的医疗护理满意度与营养状况之间的关系:这项前瞻性队列研究收集了来自 11 个国际癌症治疗机构的数据:163 名成年患者(n = 115 名 HNC;n = 48 名 EC)填写了患者满意度问卷(加拿大医疗保健评估项目简版),并被纳入研究。HNC/EC 患者对医疗护理的总体满意度在基线时为 88.3/100 ± 15.3,6 个月后保持在 86.6/100 ± 16.8 的高水平(最高满意度为 100 分)。根据患者主观全面评估简表(Patient-Generated Subjective Global Assessment Short Form)的定义,营养状况差与治疗 6 个月后患者对整体医疗护理、与医生的关系、疾病管理、沟通和决策的满意度较低有关(P<0.05)。
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Poor nutrition status associated with low patient satisfaction six months into treatment for head and neck/esophageal cancer treatment: A prospective multicenter cohort study.

Background: Patient-reported outcome measures have been associated with survival in oncology patients. Altered intake and malnutrition are common symptoms for patients treated for head and neck cancer and esophageal cancer (HNC/EC). The purpose of this study was to examine the relationship between patient-reported satisfaction with medical care and nutrition status.

Methods: This prospective cohort study collected data from 11 international cancer care sites.

Results: One hundred and sixtythree adult patients (n = 115 HNC; n = 48 EC) completed a patient satisfaction questionnaire (the Canadian Health Care Evaluation Project Lite) and were included. HNC/EC patient global satisfaction with medical care was 88.3/100 ± 15.3 at baseline and remained high at 86.6/100 ± 16.8 by 6 months (100 max satisfaction score). Poor nutrition status, as defined by the Patient-Generated Subjective Global Assessment Short Form, was associated with lower patient satisfaction with overall medical care, relationship with doctors, illness management, communication, and decision-making 6 months into treatment (P < 0.01). There was no difference in global satisfaction between patients who did and did not report swallowing difficulty (P = 0.99) and patients with and without feeding tube placement (P = 0.36). Patients who were seen by a dietitian for at least one nutrition assessment had global satisfaction with care that was 16.7 percentage points higher than those with no nutrition assessment (89.3 ± 13.8 vs 72.6 ± 23.6; P = 0.005) CONCLUSION: In HNC/EC patient-centered oncology care, decreasing malnutrition risk and providing access to dietitian-led nutrition assessments should be prioritized and supported to improve patient satisfaction and standard of care. Feeding tube placement did not decrease patient satisfaction with medical care.

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来源期刊
CiteScore
6.00
自引率
9.70%
发文量
128
审稿时长
3 months
期刊介绍: NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
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