恶性肿瘤患者营养不良与心理痛苦的现状及其相关性

Abstract
Figure/Table
References (18)
Related Citation (15)

Download: PDF (533 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the status quo of malnutrition and psychological pain in patients with malignant tumors, and to analyze the correlation between them. Methods The convenience sampling method was used to select a total of 352 malignant tumor patients who were hospitalized in Jiangsu Cancer Hospital from April 2018 to January 2019 as the research objects. The general situation questionnaire, psychological distress thermometer (DT), patient subjective overall assessment scale (PG-SGA) and nutritional risk screening tool 2002 (NRS 2002) were used to investigate the correlation between malnutrition and psychological distress. Results A total of 352 questionnaires were issued in this survey, and a total of 345 valid questionnaires were returned. The effective response rate was 98.01%. The detection rate of patients with significant psychological pain was 41.45%. The incidence of malnutrition screened by PG-SGA and NRS 2002 were 55.36% and 48.99%, respectively. The scores of PG-SGA and NRS 2002 were significantly positively correlated with DT scores (P ＜ 0.05). Parallel trials showed that there was a significant correlation between them (P ＜ 0.01), however in continuous trials, the difference was not statistically significant (P ＞ 0.05). Conclusion The malnutrition of patients with malignant tumors is positively correlated with the level of psychological pain. In the future, food-based nutritional interventions can be considered to improve the psychological state of patients.

Key words： Malignant tumor Malnutrition Psychological distress Correlation

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Ping1 ZHAO Yun1▲ MENG Aifeng2 WANG Yeping1 WANG Meixiang2 WU Bing1 YANG Bo1

Cite this article:

ZHANG Ping1 ZHAO Yun1▲ MENG Aifeng2 WANG Yeping1 WANG Meixiang2 WU Bing1 YANG Bo1. Status and correlation of malnutrition and psychological distress in patients with malignant tumors[J]. 中国医药导报, 2020, 17(27): 70-73.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I27/70

[1] Christopher Wild. Cancer Incidence and Mortality Worldwide：IARC CancerBase No.11 [EB/OL]. France：International Agency for Research on Cancer，2013. [2019-03-18]. http：//globocan.iarc.fr/Pages/fact_sheets_population.aspx.
[2] Akizuki N，Akechi T，Nakanishi T，et al. Development of a brief screening interview for adjustment disorders and major depression in patients with cancer [J]. Cancer，2003， 97（10）：2605-2613.
[3] Quyen TC，Angkatavanich J，Thuan TV，et al. Nutrition assessment and its relationship with performance and Glasgow prognostic scores in Vietnamese patients with esophageal cancer [J]. Asia Pac J Clin Nutr，2017，26（1）：49-58.
[4] Stomskin J，Petterson A，Kristjanson L，et al. The effect of self-selected complementary therapies on cancer patients′ quality of life and symptom distress：a prospective cohort study in an integrative oncology setting [J]. Complement Ther Med，2018，37（1）：1-5.
[5] GBD 2015 Risk Factors Collaborators. Global，regional，and national comparative risk assessment of 79 behavioural，environmental and occupational，and metabolic risks or clusters of risks，1990-2015：a systematic analysis for the Global Burden of Disease Study 2015 [J]. Lancet，2016， 388（10053）：1659-1724.
[6] Roth AJ，Kornblith AB，Batel-Copel L，et al. Rapid screening for psychologic distress in men with prostate carcinoma：a pilot study [J]. Cancer，1998，82（10）：1904-1908.
[7] 徐东升，李宏伟，付金芳，等.多维痛苦筛查在吉林省老年肿瘤患者中的应用[J].中国老年学杂志，2018，38（15）：3650-3652.
[8] Ottery FD. Rethinking nutritional support of the cancer patient：the new field of nutritional oncology [J]. Semin Oncol，1994，21（6）：770-778.
[9] 李艳荣，孟俊华，张新胜，等.NRS2002、SGA和MNA-SF评估2型糖尿病住院病人营养状况的结果比较[J].护理研究，2019，33（10）：1697-1701.
[10] Leblanc TW，Kamal AH. Assessing psychological toxicity and patient-reported distress as the sixth vital sign in cancer care and clinical trials [J]. AMA J Ethics，2017， 19（5）：460-466.
[11] 张叶宁，张海伟，宋丽莉，等.心理痛苦温度计在中国癌症患者心理痛苦筛查中的应用[J].中国心理卫生杂志，2010，24（12）：897-902.
[12] Rim SH，Yabroff KR，Dasari S，et al. Preventive care service use among cancer survivors with serious psychological distress：An analysis of the medical expenditure panel survey data [J]. Prev Med，2019，123（3）：152-159.
[13] Calderon C，Carmona-Bayonas A，Beato C，et al. Risk of malnutrition and emotional distress as factors affecting health-related quality of life in patients with resected cancer [J]. Clin Transl Oncol，2018，30（10）：1-8.
[14] Hopkinson JB. Nutritional support of the elderly cancer patient：the role of the nurse [J]. Nutrition，2015，31（4）：598-602.
[15] 石汉平.恶性肿瘤病人营养诊断及实施流程[J].中国实用外科杂志，2018，38（3）：257-261.
[16] Ma L，Poulin P，Feldstain A，et al. The association between malnutrition and psychological distress in patients with advanced head-and-neck cancer [J]. Curr Oncol， 2013，20（6）：e554-e560.
[17] Chabowski M，Polański J，Jankowska-Polańska B，et al. Is nutritional status associated with the level of anxiety，depression and pain in patients with lung cancer? [J]. J Thorac Dis，2018，10（4）：2303-2310.
[18] Zhu C，Wang B，Gao Y，et al. Prevalence and relationship of malnutrition and distress in patients with Cancer using questionnaires [J]. BMC Cancer，2018，18（1）：1272-1278.