Author/Authors :
ATASOY, Beste M. Sağlık Bakanlığı, Marmara Üniversitesi - Tıp Fakültesi, Pendik Eğitim ve Araştırma Hastanesi - Radyasyon Onkolojisi Anabilim Dalı, Radyasyon Onkolojisi Kliniği, Turkey , ÖZGEN, Zerrin Marmara Üniversitesi - Pendik Eğitim ve Araştırma Hastanesi - Radyasyon Onkolojisi Kliniği, Turkey , YÜKSEK KANTAŞ, Özlem Enteral Nütrisyon Evde Bakım ve Eğitim Hemşiresi, Turkey , DEMİREL, Birsen Marmara Üniversitesi - Tıp Fakültesi - Beslenme ve Diyet Bölümü, Turkey , AKSU, Atınç Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi - Radyasyon Onkolojisi Kliniği, Turkey , DANE, Faysal Marmara Üniversitesi - Tıp Fakültesi - İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, Turkey , KUŞÇU, M. Kemal Marmara Üniversitesi - Tıp Fakültesi - Psikiyatri Anabilim Dalı, Turkey , ALSAN ÇETİN, İlknur Marmara Üniversitesi - Tıp Fakültesi - Radyasyon Onkolojisi Anabilim Dalı, Turkey , İBRAHİMOV, Roman Marmara Üniversitesi - Tıp Fakültesi - Radyasyon Onkolojisi Anabilim Dalı, Turkey , ABACIOGLU, Ufuk Marmara Üniversitesi - Tıp Fakültesi - Radyasyon Onkolojisi Anabilim Dalı, Turkey
Abstract :
Objective: To assess the effectiveness of close and intense monitoring on nutritional status of cancer patients involving a dietitian and a nutrition education nurse during chemoradiotherapy (CRT). Patients and Methods: Fourteen curative CRT patients diagnosed with head and neck (n=10), gastrointestinal system (n=3) or lung (n=1) cancer were recruited into this prospective study. A subjective global assessment (SGA) scale was used for nutritional assessment at the beginning and in every week of CRT. Weekly follow-ups were done in hospital by the dietitian and at home by the nutrition nurse. Beside the nutritional parameters home visits included care givers assessment for their response to recommendations. Results: Three patients had mild malnutrition (SGA-B) at the beginning of CRT. However, 8 patients had SGA-B and one SGA-C (severe malnutrition) at the end of CRT. The response of the care givers to nutritional recommendations was adequate to excellent. All newly diagnosed malnourished patients had head and neck tumors and either refused supportive care (n=2) or were older than 80 years (n=2) or had a low performance status (n=1). Conclusion: Despite an adequate support and follow-up, nutritional parameters may deteriorate in older age, and in low performance head and neck cancer patients during CRT. Defining the risk factors initially may help to determine the level of nutritional support.
NaturalLanguageKeyword :
Cancer , Chemoradiotherapy , Nursing , Nutritional support
