CaÌncer gastrintestinal: impacto nutricional em pacientes hospitalizados / Gastrointestinal cancer: nutritional impact in hospitalized patients
Braspen J
; 31(3): 232-236, jul.-set. 2016.
Article
ي Pt
| LILACS
| ID: biblio-831486
المكتبة المسؤولة:
BR1.1
RESUMO
IntroduçaÌo O caÌncer gastrintestinal caracteriza-se pela localizaçaÌo no trato digestoÌrio, acome- tendo com maior incideÌncia o coÌlon, reto, estoÌmago, cavidade oral e esoÌfago. O estado nutricional de pacientes com este tipo de caÌncer eÌ comumente afetado devido aos sintomas da doença e ao tratamento, que podem dificultar a ingestaÌo alimentar, causar maÌ absorçaÌo dos nutrientes e, consequentemente, comprometer o estado nutricional. MeÌtodo Trata-se de um estudo descritivo de delineamento transversal, realizado com adultos e idosos internados no Hospital SaÌo Vicente de Paulo de Passo Fundo, RS, para tratamento oncoloÌgico, com diagnoÌstico de caÌncer gastrintestinal. Os dados foram obtidos a partir de consulta em prontuaÌrio meÌdico e anamnese nutricional. Foram coletados dados demograÌficos, cliÌnicos, alimentares, antropomeÌtricos e aplicada a AvaliaçaÌo Subjetiva Global Produzida pelo ProÌprio Paciente (ASG-PPP) durante as primeiras 24 horas de inter- naçaÌo, para posterior classificaçaÌo do estado nutricional. Resultados:
Participaram 102 pacientes, sendo a maioria do sexo feminino e idosos, com idade meÌdia de 60,7 anos (±11,43). Quanto aÌ localizaçaÌo do tumor, prevaleceu a neoplasia de intestino (n=66). De acordo com a ASG-PPP, 28,4% dos pacientes encontravam-se bem nutridos, 56,9% com desnutriçaÌo moderada/suspeita e 14,7% com desnutriçaÌo grave. A perda de peso foi registrada em 79,75% da amostra (n=63). A desnutriçaÌo moderada foi a prevalente nas neoplasias de estoÌmago, paÌncreas e intestino. O sintoma mais referido foi a inapeteÌncia (n=24). ConclusoÌes O estado nutricional e a ingestaÌo alimentar dos pacientes estudados sofreram depleçaÌo durante a internaçaÌo, estando a maioria com algum grau de desnutriçaÌo, necessitando de um acompanhamento nutricional adequado.(AU)ABSTRACT
Introduction:
Gastrointestinal neoplasms are characterized by occurring in the digestive system, affecting mostly organs like colon, rectum, stomach, oral cavity and esophagus. Nutritional status is frequently affected due to the prognostic of this kind of cancer. The treatment, which commonly interferes in diet quality and metabolism of some nutrients, makes the patient to lose weight and consequently his/her nutritional status.Methods:
Descriptive research with cross-sectional delineation regarding adult and senior patients at SaÌo Vicente de Paulo Hospital, Passo Fundo, RS, Brazil, during their oncological treatment for gastrointestinal neoplasms. Data were collected from consulting medical records and nutritional history. Demographic, clinic, dietetic and anthropometric data was collected applied to a Patient Generated Subjective Global Assessment (PGSGA) during first 24 hours hospitalization for a later nutritional evaluation.Results:
102 patients participated in the study, most of them were elderly female, with average age of 60.7 years old (±11.43). Intestine cancer prevailed regarding location of the neoplasms. According to PGSGA, 28.4% were found well nourished, 56.9% were found with moderate/suspicious malnutrition and, 14.7% with severe malnutrition. Weight lost was registered in 79.75% of sample (n=63). Moderate malnutri- tion prevailed regarding stomach, pancreas and intestine neoplasm. Innapetence was the most common symptom (n=24).Conclusions:
Nutritional status and food intake of the studied patients decreased considerably during hospitalization, being the majority of them with some degree of malnutrition and in need of an adequate nutritional monitoring.(AU)Key words
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Nutritional Status
/
Gastrointestinal Neoplasms
نوع الدراسة:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
المحددات:
Humans
اللغة:
Pt
مجلة:
Braspen J
موضوع المجلة:
Cincias da NutriÆo
السنة:
2016
نوع:
Article