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终末期肿瘤患者营养管理的辩证之道

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终末期肿瘤患者的营养管理需要审慎对待,既要避免不足,也要防止过度,要对患者进行全方面的评估,从而辨证施治.主要包括:高度重视肿瘤评估及患者全面评估,并且能够认识评估的复杂性,这是制定个性化营养支持方案的基础.营养管理策略的平衡与调整,强调在制定营养管理策略时,需要平衡患者的营养需求和代谢状况,避免过度或不足的营养支持.强调了心理干预和运动疗法对改善患者营养状况和生活质量的重要性.与患者及家属的有效沟通与决策制定,强调了与患者及家属的有效沟通是制定和实施营养管理方案的关键环节.
The Dialectical Approach to Nutrition Management in Terminal Cancer Patients
Nutrition management for terminal cancer patients requires careful consideration,aiming to avoid both insufficiency and excess.Comprehensive evaluation of the patient,including a thorough assessment of the tumor,is essential for a dialectical approach to treatment.This primarily involves attaching great importance to the assessment of the tumor and the patient's overall condition,while acknowledging the complexity of such evaluations,which serves as the foundation for developing personalized nutrition support plans.The balance and adjustment of nutrition management strategies emphasize the need to balance the nutritional needs and metabolic status of patients,avoiding both overnutrition and undernutrition.The importance of psychological intervention and exercise therapy in improving the nutritional status and quality of life of patients is also highlighted.Effective communication and decision-making with patients and family members are crucial for the successful formulation and implementation of nutrition management plans.

terminal cancernutrition supportpalliative care

丛明华

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国家癌症中心/国家肿瘤医学研究中心/中国医学科学院北京协和医学院肿瘤医院综合科 北京 100021

终末期肿瘤 营养支持 安宁疗护

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(14)