Malnutrition Prevalence and Consistency of Malnutrition Screening Tools and Anthropometric
Measures Among Adult Cancer Patients in a Private Hospital: A Cross Sectional Study

OZMAN ,Nur Ecem BAYDI; BAKIR ,Binnur OKAN

doi:10.31067/0.2020.317

Nur Ecem BAYDI OZMAN

(Acıbadem Kozyatağı Hastanesi, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye)

Binnur OKAN BAKIR

(Yeditepe Üniversitesi, Beslenme ve Diyetetik, İstanbul, Türkiye)

Acıbadem Üniversitesi Sağlık Bilimleri Dergisi

Yıl: 2020Cilt: 11Sayı: 4ISSN: 1309-470X / 1309-5994Sayfa Aralığı: 671 - 677Metin Dili: İngilizce

DOI: https://doi.org/10.31067/0.2020.317

17 0

İngilizce
Türkçe

Malnutrition Prevalence and Consistency of Malnutrition Screening Tools and Anthropometric Measures Among Adult Cancer Patients in a Private Hospital: A Cross Sectional Study

Abstract: Objectives: Malnutrition is a common complication seen among cancer patients and may affect morbidity and mortality. Thus, evaluation of nutritional status and screening for malnutrition is crucial both for prevention and intervention. In this crosssectional study, we aimed to evaluate malnutrition prevalence and compare two malnutrition screening tools and anthropometric measures among adult cancer patients. Material and Method: The study was conducted in a private hospital with 59 patients between 7th of January and 7th of April in 2016. Nutritional screening and assessment tools and measurements were applied 48 hours after the patient was admitted to the hospital. We used two tools for detecting malnutrition which are Nutritional Risk Screening-2002 (NRS-2002) and Subjective Global Assessment (SGA). Anthropometric measurements were body mass index (BMI), triceps skinfold thickness (TST), and midupper arm circumference (MUAC). Results: According to NRS-2002 results, 41% of the patients were under nutritional risk and SGA results were consistent regarding malnutrition screening (p<0.05). SGA results showed that 15% of the patients were moderately malnourished and 26% of the patients had severe malnutrition. A significant relationship between tools and anthropometry was only found between TST and SGA (p<0.05). Conclusion: Malnutrition prevalence among oncology patients seems to be significant and screening is important for prevention and intervention. Both NRS-2002 and SGA tools are useful and consistent for screening malnutrition

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ÖZEL BIR HASTANEDE YATAN YETIŞKIN KANSER HASTARINDA MALNUTRISYON PREVALANSI VE TARAMA ÖLÇEKLERI ILE ANTROPOMETRIK ÖLÇÜMLERIN TUTARLILIĞI: KESITSEL ÇALIŞMA

Öz:Amaç: Malnutrisyon kanser hastalarında sıklıkla görülen bir komplikasyondur ve morbidite ve mortaliteyi etkileyebilmektedir. Bu nedenle, beslenme durumun değerlendirilmesi ve malnutrisyon taraması hem korunma hem de müdahale açısından gereklidir. Bu kesitsel çalışmada, yetişkin onkoloji hastalarında malnutrisyon prevalansının değerlendirilmesi ve iki farklı malnutrisyon tarama ölçeğinin ve antropometrik ölçümlerin karşılaştırması amaçlanmıştır. Yöntem: Çalışma 7 Ocak – 7 Nisan 2016 tarihleri arasında özel bir hastanede 59 kişi ile yürütülmüştür. Hastanın hastaneye yatışını takip eden ilk 48 saat içinde malnutrisyon taraması ve ölçümler gerçekleştirilmiştir. Malnutrisyon taraması için Nutritional Risk Screening-2002 (NRS-2002) ve Subjective Global Assesssment (SGA) ölçekleri, antropometrik değerlendirmede beden kütle indeksi (BKİ), deri kıvrım kalınlığı (DKK) ve üst orta kol çevresi (ÜOKÇ) kullanılmıştır. Bulgular: NRS-2002 sonuçlarına göre hastaların %41’inin beslenme riski taşıdığı ve sonucun SGA ile uyumlu olduğu saptanmıştır (p<0,05). SGA sonuçlarına göre hastaların %15’inin orta derecede malnutrisyonlu, %26’sının şiddetli malnutrisyonu olduğu görülmüştür. Ölçekler ile antropometrik ölçümler arasında anlamlı ilişki sadece DKK ve SGA arasında bulunabilmiştir (p<0,05). Sonuç: Onkoloji hastalarında malnutrisyon prevalansı yüksektir ve hem korunma hem müdahale için malnutrisyon taraması önemlidir. NRS-2002 ve SGA malnutrisyon taraması için kullanışlı ve birbirleri ile uyumlu ölçeklerdir.

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Belge Türü: DergiMakale Türü: Araştırma MakalesiErişim Formatı: Erişime Açık

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