TÌNH TRẠNG DINH DƯỠNG CỦA BỆNH NHÂN UNG THƯ ĐIỀU TRỊ NỘI TRÚ TẠI BỆNH VIỆN QUA MỘT SỐ PHƯƠNG PHÁP ĐÁNH GIÁ

Abstract

Objectives: To determine the nutritional status of cancer patients inpatient treatment at Long An General Hospital according to body mass index (BMI), Albumin and lymphocytes blood. Methods: A descriptive cross-sectional study was performed on 118 cancer patients who were inpatient treatment at the Oncology Department of Long An General Hospital from April to September, 2020 with inclusion criteria being diagnosed with cancer. They have test results on blood Albumin, blood lymphocytes, and have the ability to contact, and they can answer interview questions. Results: The median age of patients was 66 years old, male accounted for 61%, the majority lived in rural areas 63.5%. Assessed by blood lymphocytes, the rate of 72.9% malnutrition (severe 17%; mild and moderate 56.9%). Assessed by Albumin, the rate of malnourished 70.3% (severe 8.5%; mild and moderate 61.8%). Assessed by BMI, the rate of 55.1% malnourished (severe 19.5%; mild and moderate 35.6%). Location factors, reduced motor function and albumin are associated with malnutrition according to BMI. People in urban areas are less malnourished than in rural areas OR=0.5 (CI 95% 0.2-0.9). Patients with reduced motor function have malnutrition 3.2 times higher than those without reduced motor function (OR=3.2, 95% CI (1.5-6.8)). Patients with albumin <35g/l had malnutrition 2.4 times higher than those with albumin ≥35 g/l (OR=2.6 (CI95% 1.1-5,4)). Conclusion: Most cancer patients are malnourished. It is necessary to strengthen timely and adequate nutrition counseling and intervention. It is necessary to combine many different nutritional assessment methods to promptly detect the patient's malnutrition status early.