PDF(Pubmed)
Abstract：
UNASSIGNED: Malnutrition in cancer patients reduces response to chemotherapy, increases the hospitalization costs, hospital infections, and deaths. The aim of this study was to determine the prevalence, level of malnutrition, and its related factors in cancer patients at a local hospital in Southern Vietnam.
UNASSIGNED: A descriptive cross-sectional study was performed on all 118 cancer patients who were undergoing inpatient treatment at Long An General Hospital, Vietnam from May to September 2020. Data were collected from patients by face-to-face interviewing using a subjective global assessment (SGA) and from medical records. Malnutrition is divided into three groups: SGA-A (normal), SGA-B (mild/moderate/suspected malnutrition), SGA-C (severe malnutrition). Multivariable logistic regression is used to identify factors related to malnutrition with statistical significance p < 0.05.
UNASSIGNED: Out of 118 participants, 72 (61.0%) were males and 84 (71.2%) aged ⩾60 years. The prevalence of malnutrition in cancer patients was 84.7% (100/118), in which 33% (39/118) were severe (SGA-C) and 51.7% (61/118) were mild-moderate (SGA-B). Pancreatic and lung cancers are the most malnourished. The results of multivariate logistic regression analysis showed that the factors related to malnutrition in cancer patients were gastrointestinal symptoms lasting 2 weeks (odds ratio: 6.10, 95% confidence interval: 1.12-33.35), patients with decreased motor function (odds ratio: 13.73, 95% confidence interval: 2.56-73.86), blood albumin <35 g/l (odds ratio: 6.42, 95% confidence interval: 1.54-26.82), and blood lymphocyte ⩽ 1700 cells/mm3 (odds ratio: 5.36, 95% confidence interval: 1.31-21.97).
UNASSIGNED: There was a high proportion of malnutrition in cancer patients. Therefore, it is necessary to strengthen nutrition counseling and intervention for these patients, especially those that have prolonged gastrointestinal symptoms, reduced motor function, and low blood albumin or low blood lymphocytes.
UNASSIGNED: A descriptive cross-sectional study was performed on all 118 cancer patients who were undergoing inpatient treatment at Long An General Hospital, Vietnam from May to September 2020. Data were collected from patients by face-to-face interviewing using a subjective global assessment (SGA) and from medical records. Malnutrition is divided into three groups: SGA-A (normal), SGA-B (mild/moderate/suspected malnutrition), SGA-C (severe malnutrition). Multivariable logistic regression is used to identify factors related to malnutrition with statistical significance p < 0.05.
UNASSIGNED: Out of 118 participants, 72 (61.0%) were males and 84 (71.2%) aged ⩾60 years. The prevalence of malnutrition in cancer patients was 84.7% (100/118), in which 33% (39/118) were severe (SGA-C) and 51.7% (61/118) were mild-moderate (SGA-B). Pancreatic and lung cancers are the most malnourished. The results of multivariate logistic regression analysis showed that the factors related to malnutrition in cancer patients were gastrointestinal symptoms lasting 2 weeks (odds ratio: 6.10, 95% confidence interval: 1.12-33.35), patients with decreased motor function (odds ratio: 13.73, 95% confidence interval: 2.56-73.86), blood albumin <35 g/l (odds ratio: 6.42, 95% confidence interval: 1.54-26.82), and blood lymphocyte ⩽ 1700 cells/mm3 (odds ratio: 5.36, 95% confidence interval: 1.31-21.97).
UNASSIGNED: There was a high proportion of malnutrition in cancer patients. Therefore, it is necessary to strengthen nutrition counseling and intervention for these patients, especially those that have prolonged gastrointestinal symptoms, reduced motor function, and low blood albumin or low blood lymphocytes.
摘要：
■癌症患者的营养不良会降低对化疗的反应，增加了住院费用，医院感染,和死亡。这项研究的目的是确定患病率，营养不良的程度，越南南部一家当地医院的癌症患者及其相关因素。
对在隆安综合医院接受住院治疗的所有118名癌症患者进行了描述性横断面研究，2020年5月至9月，越南。数据是通过使用主观全局评估（SGA）进行面对面访谈并从病历中收集的。营养不良分为三组：SGA-A（正常），SGA-B（轻度/中度/疑似营养不良），SGA-C（严重营养不良）。多变量logistic回归用于识别与营养不良相关的因素，具有统计学意义p<0.05。
■在118名参与者中，72（61.0%）为男性，84（71.2%）为60岁。癌症患者营养不良的患病率为84.7%(100/118),其中33%(39/118)为重度(SGA-C),51.7%(61/118)为轻度-中度(SGA-B)。胰腺癌和肺癌是最营养不良的。多因素logistic回归分析结果显示,癌症患者营养不良的相关因素为持续2周的胃肠道症状(比值比:6.10,95%置信区间:1.12-33.35),运动功能下降的患者（比值比：13.73，95％置信区间：2.56-73.86），血白蛋白<35g/l（比值比：6.42，95％置信区间：1.54-26.82），和血液淋巴细胞1700细胞/mm3（比值比：5.36，95%置信区间：1.31-21.97）。
■癌症患者营养不良的比例很高。因此,有必要加强对这些患者的营养咨询和干预，尤其是那些有长期胃肠道症状的人，降低电机功能，低血白蛋白或低血淋巴细胞。
对在隆安综合医院接受住院治疗的所有118名癌症患者进行了描述性横断面研究，2020年5月至9月，越南。数据是通过使用主观全局评估（SGA）进行面对面访谈并从病历中收集的。营养不良分为三组：SGA-A（正常），SGA-B（轻度/中度/疑似营养不良），SGA-C（严重营养不良）。多变量logistic回归用于识别与营养不良相关的因素，具有统计学意义p<0.05。
■在118名参与者中，72（61.0%）为男性，84（71.2%）为60岁。癌症患者营养不良的患病率为84.7%(100/118),其中33%(39/118)为重度(SGA-C),51.7%(61/118)为轻度-中度(SGA-B)。胰腺癌和肺癌是最营养不良的。多因素logistic回归分析结果显示,癌症患者营养不良的相关因素为持续2周的胃肠道症状(比值比:6.10,95%置信区间:1.12-33.35),运动功能下降的患者（比值比：13.73，95％置信区间：2.56-73.86），血白蛋白<35g/l（比值比：6.42，95％置信区间：1.54-26.82），和血液淋巴细胞
■癌症患者营养不良的比例很高。因此,有必要加强对这些患者的营养咨询和干预，尤其是那些有长期胃肠道症状的人，降低电机功能，低血白蛋白或低血淋巴细胞。
