癌症患者营养教育实施策略及效果评价的研究进展

doi:10.3761/j.issn.1672-9234.2020.08.019

摘要/Abstract

摘要：

营养教育对改善癌症患者营养状态、提高患者生活质量具有重要意义。文章从癌症患者营养教育的相关概念、干预策略及效果评价等方面进行综述,从内容、施教者、教育对象、开展形式、时机和频次6个要素归纳了癌症营养教育的干预策略,用质性和量性的研究方法对营养教育的效果进行评价,提出丰富教育内容、加强多学科合作、扩大教育对象、增强趣味性和适切性、把握教育时机、强化教育频次、采用规范的方法从多个角度评价干预效果的建议。

陈敏, 沈玲. 癌症患者营养教育实施策略及效果评价的研究进展[J]. 中华护理教育, 2020, 17(8): 756-760.

图/表 1

参考文献 31

[1]	Bray F, Ferlay J, Soerjomataram I , et al. Global cancer statistics 2018:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018,68(6):394-424. doi: 10.3322/caac.21492 pmid: 30207593
[2]	Song CH, Cao JJ, Zhang F , et al. Nutritional risk assessment by scored patient-generated subjective global assessment associated with demographic characteristics in 23,904 common malignant tumors patients[J]. Nutr Cancer, 2019,71(1):50-60. doi: 10.1080/01635581.2019.1566478 pmid: 30741002
[3]	Marshall KM, Loeliger J, Nolte L , et al. Prevalence of malnutrition and impact on clinical outcomes in cancer services:a comparison of two time points[J]. Clin Nutr, 2019,38(2):644-651. doi: 10.1016/j.clnu.2018.04.007 pmid: 29789167
[4]	石汉平, 许红霞, 李苏宜 , 等. 营养不良的五阶梯治疗[J]. 肿瘤代谢与营养电子杂志, 2015,2(1):29-33.
[5]	张晓伟, 李薇, 陈公琰 , 等. 中国医务人员肿瘤营养知识-态度-行为调查分析[J]. 肿瘤代谢与营养电子杂志, 2016,3(2):108-113.
[6]	Kirbiyik F, Ozkan E . Knowledge and practices of medical oncologists concerning nutrition therapy:a survey study[J]. Clin Nutr ESPEN, 2018,27:32-37. doi: 10.1016/j.clnesp.2018.07.004 pmid: 30144890
[7]	Hébuterne X, Lemarié E, Michallet M , et al. Prevalence of malnutrition and current use of nutrition support in patients with cancer[J]. J Parenter Enteral Nutr, 2014,38(2):196-204. doi: 10.1177/0148607113502674
[8]	Li ZJ, Chen W, Li HL , et al. Nutrition support in hospitalized cancer patients with malnutrition in China[J]. Asia Pac J Clin Nutr, 2018,27(6):1216-1224. doi: 10.6133/apjcn.201811_27(6).0007 pmid: 30485919
[9]	Cong MH, Wang JJ, Fang Y , et al. A multi-center survey on dietary knowledge and behavior among inpatients in oncology department[J]. Support Care Cancer, 2018,26(7):2285-2292. doi: 10.1007/s00520-018-4057-9 pmid: 29404841
[10]	中国抗癌协会肿瘤营养与支持治疗专业委员会. 中国肿瘤营养治疗指南[M]. 北京: 人民卫生出版社, 2015: 49-50.
[11]	葛可佑 . 中国营养师培训教材[M]. 北京: 人民卫生出版社, 2005: 416.
[12]	曾果 . 公共营养学[M]. 北京: 科学出版社, 2018: 383.
[13]	石汉平, 杨剑, 张艳 . 肿瘤患者营养教育[J]. 肿瘤代谢与营养电子杂志, 2017,4(1):1-6.
[14]	季玉珍 . 营养教育对鼻咽癌患者营养状态及生活质量的影响[D]. 遵义:遵义医科大学, 2019.
[15]	Lee HO, Han SR, Choi SI , et al. Effects of intensive nutrition education on nutritional status and quality of life among postgastrectomy patients[J]. Ann Surg Treat Res, 2016,90(2):79-88. doi: 10.4174/astr.2016.90.2.79 pmid: 26878015
[16]	Chao PC, Chuang HJ, Tsao LY , et al. The Malnutrition Universal Screening Tool(MUST)and a nutrition education program for high risk cancer patients:strategies to improve die-tary intake in cancer patients[J]. Biomedicine(Taipei), 2015,5(3):17.
[17]	Ravasco P, Monteiro-Grillo I, Camilo M . Individualized nutrition intervention is of major benefit to colorectal cancer patients:long-term follow-up of a randomized controlled trial of nutritional therapy[J]. Am J Clin Nutr, 2012,96(6):1346-1353. doi: 10.3945/ajcn.111.018838 pmid: 23134880
[18]	Orlemann T, Reljic D, Zenker B , et al. A novel mobile phone app(OncoFood)to record and optimize the dietary behavior of oncologic patients:pilot study[J]. JMIR Cancer, 2018,4(2):e10703. DOI: 10.2196/10703. doi: 10.2196/10703 pmid: 30459139
[19]	Najafi S, Haghighat S, RajiLahiji M, et al. Randomized study of the effect of dietary counseling during adjuvant chemo-therapy on chemotherapy induced nausea and vomiting,and quality of life in patients with breast cancer[J]. Nutr Cancer, 2019,71(4):575-584. doi: 10.1080/01635581.2018.1527375 pmid: 30449171
[20]	吕阳, 屈清荣, 何卫芳 , 等. 回授法在胃癌术后化疗的农村患者营养教育中的应用[J]. 中华护理教育, 2018,15(11):828-833.
[21]	Um MH, Choi MY, Lee SM , et al. Intensive nutritional counseling improves PG-SGA scores and nutritional symptoms during and after radiotherapy in Korean cancer patients[J]. Support Care Cancer, 2014,22(11):2997-3005. doi: 10.1007/s00520-014-2304-2
[22]	Parekh N, Jiang JY, Buchan M , et al. Nutrition literacy among cancer survivors:feasibility results from the healthy eating and living against breast cancer(HEAL-BCa) study:a pilot randomized controlled trial[J]. J Cancer Educ, 2018,33(6):1239-1249. doi: 10.1007/s13187-017-1238-z pmid: 28624990
[23]	Quidde J, von Grundherr J, Koch B , et al. Improved nutrition in adolescents and young adults after childhood cancer-INAYA study[J]. BMC Cancer, 2016,16(1):872. doi: 10.1186/s12885-016-2896-7 pmid: 27825320
[24]	Yang YC, Lee MS, Cheng HL , et al. More frequent nutrition counseling limits weight loss and improves energy intake during oncology management:a longitudinal inpatient study in Taiwan[J]. Nutr Cancer, 2019,71(3):452-460. doi: 10.1080/01635581.2018.1516791 pmid: 30463443
[25]	Orell H, Schwab U, Saarilahti K , et al. Nutritional counseling for head and neck cancer patients undergoing(chemo)radiotherapy-a prospective randomized trial[J]. Front Nutr, 2019,6:22. doi: 10.3389/fnut.2019.00022 pmid: 30937304
[26]	Klassen AC, Smith KC, Shuster M , et al. “We're just not prepared for eating over our whole life”:a mixed methods approach to understanding dietary behaviors among longer term cancer survivors[J]. Integr Cancer Ther, 2018,17(2):350-362. doi: 10.1177/1534735417731515 pmid: 28971702
[27]	张璟, 王维利, 章新琼 . 消化系统肿瘤病人营养知信行现状及其相关因素调查[J]. 肠外与肠内营养, 2016,23(4):226-228,236.
[28]	石汉平 . 肿瘤营养疗法[J]. 中国肿瘤临床, 2014,41(18):1141-1144. doi: doi:10.3969/j.issn. 1000-8179.20141379
[29]	赵思雨, 张爱琴, 陈俊杉 , 等. 胃肠肿瘤化疗患者对五阶梯营养干预的真实体验[J]. 护理学杂志, 2019,34(21):86-88.
[30]	Missel M, Hansen M, Jackson R , et al. Re-embodying eating after surgery for oesophageal cancer:patients' lived experiences of participating in an education and counselling nutritional intervention[J]. J Clin Nurs, 2018,27(7/8):1420-1430. doi: 10.1111/jocn.2018.27.issue-7pt8
[31]	Aycinena AC, Jennings KA, Gaffney AO , et al. Cocinar Para Su salud! development of a culturally based nutrition education curriculum for hispanic breast cancer survivors using a theory-driven procedural model [J]. Health Educ Behav, 2017,44(1):13-22. doi: 10.1177/1090198116642236 pmid: 27179286

癌症患者营养教育实施策略及效果评价的研究进展

HTML阅读

PDF下载

赞

可视化

摘要/Abstract

引用本文

使用本文

图/表 1

参考文献 31

相关文章 15

Metrics

本文评价

推荐阅读 10

[1]	卢嫡, 王璐, 李葆华, 乔海芹, 李丽, 薛小鹿, 刘春霞. 院前管理平台在泌尿系结石手术患者健康教育中的应用研究[J]. 中华护理教育, 2024, 21(8): 981-985.
[2]	张力川, 路潜, 庞冬, 张彤, 沈傲梅, 王玉洁, 张亚茹. 头颈部恶性肿瘤放疗患者接受管饲的促进及障碍因素研究[J]. 中华护理教育, 2024, 21(3): 342-347.
[3]	孙静静, 桑文凤, 贾冠华, 秦娜娜, 王亚欣, 郭鑫田, 王丹. 中青年冠心病PCI术后患者自我管理干预方案的实施及效果评价[J]. 中华护理教育, 2024, 21(2): 133-139.
[4]	刘佳惠, 李金花, 李旭英, 陈婕君, 李星凤, 王婧, 胡美华. 肿瘤专科医院新入职护士培训目标清单的构建[J]. 中华护理教育, 2024, 21(2): 152-158.
[5]	王红莲, 谢文娟, 黄慧, 刘玉瑶, 尤雪莲, 陈慧. 癌症患者适应能力指数的汉化及信效度检验[J]. 中华护理教育, 2024, 21(2): 218-223.
[6]	孙月萍, 周蓉, 蒙莉萍, 郭亚琼, 张彩虹, 郭洪花. 妊娠期糖尿病结构化教育临床实践促进与阻碍因素分析[J]. 中华护理教育, 2023, 20(9): 1100-1106.
[7]	沈雅琳, 汤利萍, 黎露丝, 孙先霖, 曹英. 癌症患者居家体力活动依从性影响因素和改善策略的研究进展[J]. 中华护理教育, 2023, 20(8): 1009-1013.
[8]	马彩虹, 高欢玲, 尚春娥, 李红梅, 杨玉霖, 吕旭晶, 张思苑, 崔彩彩. 棋盘游戏在老年维持性血液透析患者容量管理健康教育中的应用[J]. 中华护理教育, 2023, 20(8): 901-908.
[9]	胡颖, 周明芳, 陈世华, 钟俊雅, 范尧, 俞丽丽, 大城昌平, 顾寿智. “互联网+”集中群组干预模式在孕晚期初产妇中的应用研究[J]. 中华护理教育, 2023, 20(8): 957-962.
[10]	钱湛, 林觐民, 杨晓婷, 朱慧. 儿童及青少年癌症患者重返学校体验的Meta整合[J]. 中华护理教育, 2023, 20(8): 974-980.
[11]	徐薇薇, 马晶淼, 陈金芳, 李娜娜, 王静. 癌症患者出院准备的研究现状及热点分析[J]. 中华护理教育, 2023, 20(8): 981-985.
[12]	刘璇璇, 李洁琼, 郝楠, 汪静容, 汤逸蘋, 高雅. 胃癌患者照顾者鼻肠管肠内营养照护能力评估量表的编制[J]. 中华护理教育, 2023, 20(7): 845-851.
[13]	吕展杨, 尤国美, 陶思怡. 症状网络在癌症症状管理中的应用进展[J]. 中华护理教育, 2023, 20(7): 891-896.
[14]	郑燕, 陈晓春, 袁婷. 1型糖尿病患儿健康教育飞行棋的设计与应用[J]. 中华护理教育, 2023, 20(5): 564-567.
[15]	徐珍华, 骆惠玉, 张云飞, 黎茂璐, 赵丽, 曹咏丽. 宫颈癌患者放射性肠炎发生率及危险因素的系统评价[J]. 中华护理教育, 2023, 20(5): 607-613.