Food caregivers influence on nutritional intake among admitted haematological cancer patients – A prospective study
| Autor: | Niels Frost Andersen, Astrid Lindman, Helle Rasmussen |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Counseling Male medicine.medical_specialty Side effect media_common.quotation_subject Nutritional Status Hospitals University Young Adult Patient Admission Professional Competence Food Service Hospital Surveys and Questionnaires Internal medicine medicine Humans Prospective Studies Prospective cohort study Aged media_common Aged 80 and over Meal Oncology (nursing) business.industry Malnutrition Nutritional Requirements Cancer Appetite General Medicine Middle Aged medicine.disease Taste disorder Hematologic Neoplasms Haematological cancer Vomiting Physical therapy Female medicine.symptom business Dietary Services |
| Zdroj: | Lindman, A, Rasmussen, H B & Andersen, N F 2013, ' Food caregivers influence on nutritional intake among admitted haematological cancer patients-a prospective study ', European Journal of Oncology Nursing, vol. 17, no. 6, pp. 827-34 . https://doi.org/10.1016/j.ejon.2013.06.010 |
| ISSN: | 1462-3889 |
| DOI: | 10.1016/j.ejon.2013.06.010 |
| Popis: | Purpose Haematological cancer patients have an increased risk of undernourishment due to their malignancy, treatment toxicity and severe infections. This study examines whether kitchen assistants working as food caregivers increase nutritional intake and knowledge among haematological cancer patients. Methods Comparison of two cross-sectional studies with dietary assessment of patients with haematological malignancies before ( N = 42) and after ( N = 45) implementation of food caregivers. Secondly, a questionnaire concerning dietary counselling performed before ( N = 74) and after ( N = 78) the implementation. Results The energy requirements were fulfilled with 76.2% (CI 95% 64.6–87.9) and 93.3% (CI 95% 82.3–104.3) of the calculated need in the before-group and the after-group, respectively ( p = 0.03). The improvement was mainly due to increased energy intake through between meal snacks served by the food caregivers. There was no difference in protein intake between the two groups. The study showed that more than two-thirds of the patients in both groups had side effects like fatigue, loss of appetite, vomiting, xerostomia or taste disorder to a degree that affected nutritional intake. When adjusted for side effects, patients in the after-group increased energy intake by 22% (CI 95% 6.1–38.0) ( p = 0.007). After implementation of food caregivers significantly more patients stated that they were informed about their nutritional needs, 41% in the before-group and 67% in the after-group ( p = 0.001). Conclusions Educated and trained food caregivers working at the wards increase nutritional intake and knowledge among haematological cancer patients and play an important role in the multi professional nutritional management. |
| Databáze: | OpenAIRE |
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