Objective To understand the dietary situation of colorectal cancer patients during chemotherapy and analyze their dietary structure and its influencing factors to provide a basis for medical staff to formulate targeted dietary recipes and dietary intervention measures.Method A total of 178 colorectal cancer patients who received chemotherapy in the First Affiliated Hospital of Sun Yat-sen University from September 2021 to March 2022 were enrolled in the study.The food intake,nutrient intake,knowledge,belief and practice of food of patients were investigated and analyzed.Chinese food pagoda(CHFP)scoring method was used to score dietary structure of patients.Multivariate Logistic regression analysis was used to explore the influencing factors of dietary structure.Result The median CHFP total score of colorectal cancer patients receiving chemotherapy was 24.94(21.78,28.51)points,among which the CHFP scores of cereals and potatoes,fruits and oils were higher.The daily actual intakes of energy and carbohydrate of colorectal cancer patients during chemotherapy were lower than recommended intakes(P＜0.05).The multivariate Logistic regression analysis showed that emaciation(body mass index＜18.5 kg/m2)was a protective factor for high CHFP score(OR=0.263,95%CI 0.078-0.885,P=0.031),while high nutrition knowledge score(OR=1.142,95%CI 1.017-1.283,P=0.025)and high nutrition behavior score(OR=1.121,95%CI 1.014-1.240,P=0.026)were risk factors for high CHFP score.Conclusion The dietary structure of most colorectal cancer patients receiving chemotherapy is inappropriate,and the energy supply ratio of major nutrients is unreasonable.Dietary nutrition knowledge and behavior are the main influencing factors.Medical staff should pay attention to dietary education and intervention in clinical practice to improve the rationality of the dietary structure of colorectal cancer patients undergoing chemotherapy.
关键词
结直肠癌/化疗/膳食结构/知信行
Key words
Colorectal cancer/Chemotherapy/Dietary structure/Knowledge,belief and practice
维普
万方数据