上海市郊区康复期肿瘤患者的营养知识-态度-行为现况调查  

Investigation on nutrition knowledge,attitude and practice of rehabilitation cancer patients of rural in Shanghai

作　　者：谢华 王彦 宗敏 陈艳秋 白慧婧 吴春晓[2] 孙建琴 XIE Hua;WANG Yan;ZONG Min;CHEN Yanqiu;BAI Huijing;WU Chunxiao;SUN Jianqin(Department of Nutrition,the Affiliated Huadong Hospital of Fudan University,Shanghai200040,China;Shanghai Center for Disease Control and Prevent,Shanghai,200030,China)

机构地区：[1]复旦大学附属华东医院营养科,上海200040 [2]上海市疾病预防控制中心,200030

出　　处：《重庆医学》2019年第A01期105-108,共4页Chongqing medicine

摘　　要：目的上海郊区康复期肿瘤患者的营养知识-态度-行为现况,为制定针对性、有效性的肿瘤营养教育方案提供依据。方法2017年9-11月,在上海郊区的青浦、奉贤、嘉定,采用简单随机抽样的方法,用经验证的问卷对病程大于1年且完成治疗的肿瘤康复期患者进行调查。结果收到有效问卷154份。KAP总分为(38.80±13.14)分,仅1人得分是80分(0.6%),14人得分≥60分(9.09%)。营养知识得分中位数为4(0,10)分,合格率1.95%,优秀率为0.6%;营养态度得分中位数为10(10,14)分,合格率为44.16%,优秀率为11.04%;营养行为得分中位数为22(18,30)分,合格率为26.62%,优秀率为3.90%。男女肿瘤患者的营KAP总分有差异,女性略好于男性(女vs.男:40.80±12.35vs.34.94±13.40,P=0.008),女性的营养态度和营养行为得分显著高于男性(P=0.043,P=0.001)。营养行为和KAP总分,≤60岁中青年人要优于>60岁老年人(P=0.018,P=0.031)。10.7%肿瘤患者体质量下降大于6kg,28.7%的患者体重下降1~3kg,仅有56.7%体质量没有变化。患者就诊时72%医院无营养筛查。患者如有营养问题,求助的对象依次为,医生、亲戚朋友、百度和营养师(65.6%、24.0%、9.3%、4.7%),而获得营养知识的渠道依次为医生,电视报纸,微信网络和营养师(51.3%、42.0%、16.7%、10.0%)。结论上海郊区肿瘤康复期患者总体的营养知信行情况不甚理想,营养知识极度缺乏,营养行为较差。医生是患者获得营养知识的主要渠道。应当加强对郊区肿瘤患者的营养教育,同时也要对医生进行营养知识的培训,以期提高肿瘤患者的生活质量。Objective To investigate the situation of knowledge-attitude-practice (KAP) towards nutrition with rehabilitation cancer patients,and to provide scientifc evidences for the implementation of nutrition education. Methods A multi-center,observational study was preformed from September to november 2017 in Qingpu,Fengxian and Jiading,rural of Shanghai.Tumor patients who had a course of more than one year were collected by convenience sampling method and investigated by using a self-designed questionnaire. Results 154 valid questionnaires were received.The KAP total score was 38.80±13.14 points,only one person scored 80 points (0.6%),and 14 people scored ≥ 60 points (9.09%).The median score of nutrition knowledge was 4 (0,10) points,the pass rate was 1.95%,and the excellent rate was 0.6%.The median score of nutrition attitude was 10 (10,14) points,the pass rate was 44.16%,and the excellent rate was 11.04%.The median score of nutritional behavior was 22 (18,30) points,the pass rate was 26.62%,and the excellent rate was 3.90 %.There was a difference in the total score of KAP between male and female cancer patients,and women were slightly better than males (female vs male 40.80±12.35 vs 34.94±13.40, P =0.008).Women's nutritional attitudes and nutritional behavior scores were significantly higher than men's ( P =0.043, P = 0.001 ).Nutritional behavior and KAP total score in younger than in older ( P =0.018, P =0.031).10.7% of tumor patients lost more than 6kg,28.7% of patients lost 1-3 kg,and only 56.7% had no change in body weight.72% of hospitals did not have nutritional screening.If the patient has nutritional problems,they will ask doctors,relatives,friends,Baidu and dietitians (65.6%,24.0%,9.3%,4.7%).Patients would like to get nutrition knowledge efrom doctors,TV newspapers,WeChat network.And dietitian (51.3%,42.0%,16.7%,10.0%). Conclusion The overall nutritional knowledge of rehabilitation cancer patients in the suburban Shanghai is not ideal,the nutritional knowledge is extremely lacking,and the nutritional be

关 键 词：肿瘤患者 营养 知识 态度 行为 

分 类 号：R193[医药卫生—卫生事业管理]