Current status and influencing factors of nutrition management in patients with digestive tract cancer from the integrated perspective of medical care staff, patients, and family caregivers: a qualitative study

被引:2
作者
Zhi, Xiaoxu [1 ,2 ,3 ]
Chen, Jie [1 ,2 ,3 ]
Xie, Mingzhu [4 ,10 ]
Cao, Yuepeng [3 ,5 ,6 ]
Sun, Tiantian [1 ,2 ,3 ]
Zhang, Yinan [1 ,2 ,3 ]
Zhang, Liuliu [1 ,2 ,3 ]
Zhao, Yun [1 ,2 ,3 ]
Jin, Yanfei [7 ]
Xu, Qin [7 ]
Yao, Jun [8 ,9 ]
机构
[1] Nanjing Med Univ, Affiliated Canc Hosp, Nanjing 210009, Peoples R China
[2] Jiangsu Canc Hosp, Nanjing 210009, Peoples R China
[3] Jiangsu Inst Canc Res, Nanjing 210009, Peoples R China
[4] Fudan Univ, Dept Nursing, Shanghai Canc Ctr, 270 Dongan Rd, Shanghai 200032, Peoples R China
[5] Nanjing Med Univ, Dept Colorectal Surg, Jiangsu Canc Hosp, Nanjing 210009, Peoples R China
[6] Nanjing Med Univ, Affiliated Canc Hosp, Nanjing 210009, Peoples R China
[7] Nanjing Med Univ, Sch Nursing, Nanjing 211166, Peoples R China
[8] Nanjing Med Univ, Sch Hlth Policy & Management, Nanjing, Peoples R China
[9] Nanjing Med Univ, Inst Hlth Jiangsu Dev, Nanjing, Peoples R China
[10] Fudan Univ, Shanghai Med Coll, Dept Oncol, 270 Dongan Rd, Shanghai 200032, Peoples R China
基金
中国国家自然科学基金;
关键词
Digestive tract neoplasm; Nutrition status; Nutrition management; Integrated perspective; Qualitative research;
D O I
10.1007/s00520-024-09109-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundThe research aimed to collect experience and viewpoints related to the nutrition management of patients with digestive tract cancers from medical care staff, patients, and family caregivers and provide reasonable and effective references for the mode of nutrition management of these patients.MethodsUsing a phenomenological qualitative research method, six physicians, six nurses, three nutritionists, six patients, and six family caregivers from a tertiary A cancer hospital in Jiangsu Province were chosen by purposive sampling methods from February to June 2023. Data was collected through semi-structured in-depth interviews and analyzed by the content analysis method.ResultsData analysis revealed two major themes, each with four subcategories: current status of clinical nutrition management tract cancers which consisted of "lack of whole-process nutrition management model," "inadequate role of nutrition management professionals," "lack of a mechanism for continuous improvement of nutrition management quality," and "lack of nutrition science popularization and training system" and influencing factors of clinical nutrition management that contained "patient-related factors," "family-related factors," "medical staff-related factors," and "hospital environment and policy-related factors."ConclusionsNutritional management of digestive cancer patients is currently inadequate and should be viewed through an integrated perspective. Improvements should be made at four angles: patient, family, healthcare provider, and hospital environment by establishing a multidisciplinary nutritional management team.
引用
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页数:12
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