关键词: cancer dietitian nutrition care practice nutritionist oncology review

Mesh : Humans Asia, Southeastern Neoplasms / therapy Nutrition Therapy / methods Nutritionists Medical Oncology Dietetics / methods

来  源:   DOI:10.3390/nu16101427   PDF(Pubmed)

Abstract:
Although evidence-based nutrition care is recommended for patients with cancer, current nutrition care practices provided by nutritionists and dietitians in Southeast Asian countries are not clearly reported. The aim of this scoping review was to describe nutritionists\' and dietitians\' current oncology nutrition care practice within Southeast Asia by identifying access to dietetic services, tools or strategies used in providing care, and barriers and enablers to implementing nutrition care practices. Five databases (Ovid MEDLINE, Global Health, Embase, Cochrane Central Register of Controlled Trials, and Proquest) were searched through structured search strategies, in addition to strategic searching of grey literature. A total of 4261 sources of evidence were retrieved. After full-text screening, 18 studies from Southeast Asian countries met the inclusion criteria and were included in this review. The provision and reporting of nutrition care practices provided by nutritionists and dietitians were limited. Access to dietetic services, including nutritional screening tools and reason to be referred, were varied within studies. Barriers and enablers to nutrition care provision were unique and related to each country\'s specific resources and guidelines. In summary, there was varied reporting of nutrition care practices provided to patients with cancer in Southeast Asia and a lack of clarity on the actual standardized processes. Future research is warranted to further explore the barriers and enablers to providing nutrition care by local nutritionists and dietitians in Southeast Asia.
摘要:
尽管癌症患者建议采用循证营养护理,目前由东南亚国家的营养学家和营养师提供的营养护理实践没有明确报道.这项范围审查的目的是通过确定获得饮食服务的机会来描述东南亚的营养学家和营养师当前的肿瘤学营养护理实践,用于提供护理的工具或策略,以及实施营养护理实践的障碍和推动者。五个数据库(OvidMEDLINE,全球卫生,Embase,Cochrane中央控制试验登记册,和Proquest)通过结构化搜索策略进行搜索,除了灰色文献的战略搜索。共检索到4261个证据来源。经过全文筛选,来自东南亚国家的18项研究符合纳入标准,被纳入本综述。营养学家和营养师提供的营养护理实践的提供和报告是有限的。获得饮食服务,包括营养筛查工具和转诊理由,在研究中有所不同。提供营养护理的障碍和促成因素是独特的,并且与每个国家的特定资源和指南相关。总之,在东南亚,向癌症患者提供的营养护理实践报告各不相同,但实际的标准化流程缺乏明确性.未来的研究有必要进一步探索东南亚当地营养学家和营养师提供营养护理的障碍和促成因素。
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