Purpose

This study aimed to explore the nutritional status and examine the demographic, clinical, nutritional, and psychosocial characteristics associated with malnutrition among people with liver cancer.

Methods

A descriptive cross-sectional design was used. Data were collected from a convenience sample of 162 liver cancer outpatients at a tertiary university hospital. Nutritional status was evaluated using the Patient-Generated Subjective Global Assessment (PG-SGA). Self-administered structured questionnaires were administered, and medical records were reviewed for demographic, clinical, nutritional, and psychosocial characteristics.

Results

Based on PG-SGA scores, 27 patients (16.7%) were classified into the malnutrition group. The stages of liver cancer, chemotherapy, physical and psychological symptom distress, global distress index, levels of alpha-fetoprotein and protein induced by vitamin K absence or antagonists, body mass index, appetite, hemoglobin and albumin levels, and depression were statistically significantly associated with malnutrition. Logistic regression model revealed that physical symptom distress, liver cancer stage, depression, and body mass index influenced statistically significantly malnutrition.

Conclusions

In this study, clinical, nutritional, and psychosocial characteristics predicted malnutrition among people with liver cancer. Nurses should consider these characteristics when evaluating the nutritional status of people with liver cancer.

中文翻译：

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肝癌患者营养不良的人口统计学、临床和心理预测因素

目的

本研究旨在探讨肝癌患者的营养状况，并检查与营养不良相关的人口统计学、临床、营养和心理社会特征。

方法

使用描述性横截面设计。数据是从一所三级大学医院的 162 名肝癌门诊患者的方便样本中收集的。使用患者主观总体评估（PG-SGA）评估营养状况。进行了自我管理的结构化调查问卷，并审查了医疗记录的人口、临床、营养和社会心理特征。

结果

根据PG-SGA评分，27名患者（16.7%）被分为营养不良组。肝癌分期、化疗、身体和心理症状痛苦、整体痛苦指数、维生素K缺乏或拮抗剂引起的甲胎蛋白和蛋白质水平、体重指数、食欲、血红蛋白和白蛋白水平以及抑郁症在统计学上显着相关伴有营养不良。逻辑回归模型显示，身体症状困扰、肝癌分期、抑郁症和体重指数对营养不良的影响具有统计学显着性。

结论

在这项研究中，临床、营养和社会心理特征预测了肝癌患者的营养不良。护士在评估肝癌患者的营养状况时应考虑这些特征。