Đánh giá tình trạng dinh dưỡng bệnh nhân ung thư tại Khoa Chống đau và Chăm sóc giảm nhẹ

Abstract

Objective: To assess the nutritional status of cancer patients when admitted to the hospital for treatment in the Department of Pain Management and Palliative Care. Subject and method: 100 patients entering the Department of Pain management and Palliative Care for the first time were surveyed for a number of clinical indicators, tested and assessed on nutritional status in accordance with the PG-SGA (Scored Patient - Generated Subjective Global Assessment). Result: 68% of patients were male; 63% of patients were ≥ 60 years old; 64% of patients were with gastrointestinal cancer; 82% of patients were in stage IV; 32% of patients had a combination of diseases; and 20% of patients had the systemic status ECOG at 3 points. Assessed on BMI, 19% had light weight, 12% were moderately thin, and 9% were too thin. Assessed on the level of albumin in blood, 21% were of slight decrease, 14% were of moderate and 3% were of severe decrease. Among the 100 patients, 78% suffered from weight loss, 61% suffered from reduced appetite, 62% suffered from activity decrease, 100% suffered from an increase in nutritional requirements, 40% suffered from muscle impairment, fat impairment, and fluid excess. The most common symptoms affecting eating and drinking were: Fatigue (65%), loss of appetite (60%), pain (28%), early satiety (25%). Generally, 11% were in good nutritional status, 58% were in mild malnutrition or moderate malnutrition, 31% were in severe malnutrition. The score group 0 - 1 accounted for 9%, the score group 2 - 3 accounted for 21%, the score group 4 - 8 accounted for 29% and the score group ≥ 9 accounted for 61%. Conclusion: Assessment of the nutritional status of cancer patients when admitted to the hospital for treatment in the Department of Pain management and Palliative Care revealed that 11% were in good nutritional status, 58% were in mild malnutrition or moderate malnutrition, 31% were in severe malnutrition