Tình trạng dinh dưỡng của người bệnh ung thư phổi giai đoạn IV tại bệnh viện Ung Bướu Hà Nội năm 2023=Nutritional status of stage IV lung cancer patients at Hanoi Oncology hospital in 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Kim Huế Bùi, Vinh Quang Bùi, Quang Dũng Nguyễn, Thị Loan Nguyễn, Châu Quyên Trần, Thị Năm Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.286-293

Bộ sưu tập: Metadata

ID: 478164

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Đánh giá tình trạng dinh dưỡng của người bệnh bệnh ung thư phổi giai đoạn IV điều trị hóa chất tại Bệnh viện Ung Bướu Hà Nội năm 2023. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên người bệnh (NB) ung thư phổi giai đoạn IV điều trị hóa chất tại bệnh viện Ung Bướu Hà Nội trong năm 2023, mô tả đặc điểm tình trạng dinh dưỡng sử dụng công cụ PG-SGA. Kết quả: 170 bệnh nhân đủ tiêu chuẩn tham gia nghiên cứu, độ tuổi trung bình: 59,1±7,8. Tỷ lệ suy dinh dưỡng (SDD) theo BMI của đối tượng nghiên cứu là 48,8%, trong đó ở nam cao hơn nữ (lần lượt là 51,9% và 39%). Theo phân loại chu vi vòng cánh tay, tỷ lệ nam giới có nguy cơ suy dinh dưỡng cao hơn nữ giới (17,8% và 12,2%). Theo phân loại chu vi vòng bắp chân, tỷ lệ nữ giới có nguy cơ suy dinh dưỡng cao hơn nam giới (90,2% và 85,3%). Tỷ lệ người bệnh có nguy cơ suy dinh dưỡng hoặc suy dinh dưỡng vừa (PG-SGA B) là 62,4% và 33,5% người bệnh suy dinh dưỡng nặng (PG-SGA C). Hầu hết người bệnh (cả nam và nữ) cần hỗ trợ về dinh dưỡng, tỉ lệ cần can thiệp dinh dưỡng tích cực lên tới 82,9% ở cả 2 giới. Xét về các triệu chứng ảnh hưởng đến ăn uống, vấn đề thường gặp nhất là chán ăn (77,6%), tỉ lệ mệt mỏi và khô miệng là tương đương (lần lượt là 67,6% và 65,9%). Kết luận: Người bệnh ung thư phổi giai đoạn IV điều trị hóa chất có tỉ lệ bị suy dinh dưỡng cao theo công cụ PG-SGA trong quá trình điều trị nội trú và cần được tăng cường đánh giá, chăm sóc dinh dưỡng.To evaluate the nutritional status of stage IV lung cancer patients undergoing chemotherapy at Hanoi Oncology Hospital in 2023. Subjects and Methods: A cross-sectional descriptive study on patients with stage IV lung cancer receiving chemotherapy at Hanoi Oncology Hospital in the year 2023, using PGSGA instrument to describe and evaluate their nutritional status. Results: 170 eligible patients were enrolled. Their mean age was 59.1 ± 7.8 years. Malnutrition rate according to BMI classification was 48.8%, of which men had higher rate than women (51.9% vs. 39%). According to arm circumference classification, the rate of men at risk of malnutrition was higher than women (17.8% vs. 12.2%), whereas according to calf circumference classification, women’s rate was higher than men’s (90.2% vs 85.3%)
62.4% of patients had moderate malnutrition or at risk of malnutrition (PG-SGA B) and 33.5% had severe malnutrition (PG-SGA C). Most patients (both male and female) required nutritional support, those requiring active nutritional intervention were up to 82.9% in both sexes. In terms of eating problems, the most common was anorexia (77.6%), the rates of fatigue and xerostomia were similar (67.6% and 65.9%, respectively). Conclusion: According to PG-SGA instrument, patients with stage IV lung cancer undergoing chemotherapy were at high risk of malnutrition during hospitalization and required to enhance nutritional evaluation and care..

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