Emir ÇELİK, Muhammed Şamil ASLAN, Nilay Şengül SAMANCI, Mehmet KARADAĞ, Veysel SUZAN, Yasemin ÇAKAN ÇELİK, Nebi Serkan DEMİRCİ, Fuat Hulusi DEMİRELLİ

Hospitalize Kanser Hastalarında Malnütrisyon Riski ve Yaşam Kalitesine Etkisi

Amaç: Malnutrisyon kanser hastalarında en sık klinik sorunlardan biridir. Hospitalize kanser hastalarında sıklığı daha da artar. Bu çalışmada hospitalize edilmiş kanser hastalarında malnutrisyon sıklığı ve yaşam kalitesine (YK) etkisinin araştırılması amaçlandı. Gereç ve Yöntem: Kesitsel olarak dizayn edilen bu çalışmada medikal onkoloji servisine yatan kanser tanılı hastalar için Nutrisyon Risk Skorlaması-2002 (NRS-2002) ve “Avrupa Kanser Araştırma ve Tedavi Teşkilatı” (EORTC)-QLQ C30 ölçekleri dolduruldu. Klinik ve laboratuvar paramatreleri ile malnutrisyon riski ve YK arasındaki ilişki istatistik yöntemleri ile analiz edildi. Bulgular: Çalışmaya 113 hasta dahil edildi. NRS-2002 sonuçlarına göre %42,5 (n=48) hastada malnutrisyon riski tespit edildi. Cinsiyet ve yaş açısından gruplar arasında fark yoktu. EORTC-QLQ C30 ölçek puanları karşılaştırıldığında malnutrisyon riskinin genel sağlık skoru üzerine etkisi yoktu (p=0,679). Fiziksel fonksiyon ve rol fonksiyon skorları malnutrisyon riski olanlarda anlamlı olarak daha düşüktü (daha kötü YK). Diğer fonksiyonel skalalar açısından gruplar arasında anlamlı istatistiksel fark yoktu. Daha iyi genel sağlık skoruna etki eden faktörlere tek değişkenli lojistik regresyon (LR) uygulandığında sadece hemoglobin düzeyi anlamlı faktör olarak bulundu. Bu yüzden çok değişkenli LR yapılmadı. Sonuç: Malnutrisyon risk değerlendirmesi hastaneye yatan her kanser hastasına mutlaka yapılmalıdır. Malnutrisyon riski olan hastalarda EORTC-QLQ C30 ölçeğine göre daha kötü YK olduğu görüldü. Risk saptanan hastalara erken dönemde nutrisyon desteği verilmelidir.

Risk of Malnutrition and Its Effects on the Quality of Life of Hospitalized Cancer Patients

Aim: Malnutrition is one of the most common clinical problems in cancer patients. Its frequency increases in hospitalized cancer patients. In this study, it was aimed to investigate the frequency of malnutrition and its effect on quality of life (QOL) in hospitalized cancer patients. Materials and Methods: In this cross-sectional study, Nutrition Risk Screening-2002 (NRS-2002) and European Organization for the Research and Treatment of Cancer (EORTC)-QLQ C30 scales were completed for patients with cancer diagnosed in the medical oncology service. The relationship between clinical and laboratory parameters, malnutrition risk and QOL was analyzed by statistical methods. Results: One-hundred thirteen patients were included in the study. According to the results of NRS-2002, 42.5% (n=48) patients were at risk of malnutrition. There was no difference between the groups in terms of gender and age. When the EORTC-QLQ C30 scale scores were compared, the risk of malnutrition had no effect on the overall health score (p=0.679). Physical function and role function scores were significantly lower in those at risk of malnutrition (worse QOL). There was no statistically significant difference between the groups in terms of other functional scales. When univariate logistic regression (LR) was applied to the factors affecting better general health score, only hemoglobin level was found to be a significant factor. Therefore, multivariate LR was not done.

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