Radyasyon Onkoloji Servisinde Yatan Hastaların Beslenme Durumunun Değerlendirilmesi

Year 2024, Volume: 3 Issue: 1, 7 - 11, 30.04.2024

Himmet Durmaz , Tugba Yılmaz , Gül Kanyılmaz , Meryem Aktan , Berrin Benli Yavuz

https://doi.org/10.61745/jsmsau.1390944

Abstract

Amaç
Radyasyon onkoloji servisinde yatan kanser hastalarının beslenme durumları net değildir. Kanser hastaları üzerinde yapılan bu kesitsel çalışma, bu hasta grubundaki malnütrisyon riskinin yaygınlığını araştırmayı amaçladı.
Yöntem
Aralık 2018 ile Ocak 2022 tarihleri arasında radyasyon onkolojisi servisinde radyoterapi gören 373 hastayı retrospektif olarak araştırdık. Hastaların demografik bilgileri, NRS-2002 skoru, radyoterapiye ilişkin doz ve fraksiyon verileri toplandı.
Sonuç
Hastaların çoğunluğu (%66) erkekti. Küçük hücreli dışı akciğer kanseri (KHDAK) en sık görülen birincil tanıydı. Radyoterapinin birincil amacı 210 hastada (%56,3) palyatif radyoterapiydi. Hastaların çoğunluğunun (%46,4) normal BMI aralığında olduğu görüldü. Yatan hasta başvurusunda NRS-2002 skorlamasında hastaların %1,9'unun puanı ≥3 idi.
Tartışma
Araştırmanın sonucu radyasyon onkolojisi yataklı servisinde yetersiz beslenme oranının yüksek olmadığını gösteriyor. Ancak malnütrisyona yönelik sistematik bir taramanın yapılması ve hastaların multidisipliner beslenme ekibiyle desteklenmesi yataklı tedavi hizmetlerinde kanserli hasta bakımının anahtarıdır.

Keywords

NRS-2002, radyasyon onkolojisi, yataklı servis

An Evaluation of Nutritional Status of Patients in Radiation Oncology Inpatient Service

Abstract

Aim
The nutritional status of cancer patients in radiation oncology inpatient service is not clear. This cross sectional study on patients with cancer aimed to search the prevalence of the risk of malnutrition in this patient group.
Materials & Methods
We retrospectively searched 373 patients who got radiation therapy in radiation oncology inpatient unit between December 2018 and January 2022. Patients’ demographic information, NRS-2002 score, dose and fractionation data about radiation treatment collected.
Results
The majority of patients (66%) was male. Non-small cell lung cancer (NSCLC) was the most common primary diagnosis. The primary intent of radiotherapy was palliative radiotherapy for 210 patients (56.3%). Majority of patients (46.4%) had in normal BMI range. 1.9% of patients’ score was ≥3 in NRS-2002 scoring at inpatient admission.
Conclusion
The result of the survey does not show high malnutrition rate in radiation oncology inpatient service. However, the importance of the need for a systematic screening for malnutrition and supporting patients with multidisciplinary nutrition team is the key of cancer care in inpatient services.

Keywords

NRS-2002, radiation oncology, inpatient service

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