ARE THE NUTRITIONAL STATUS AND TUBE FEEDING ASSOCIATED WITH QUALITY OF LIFE IN ONCOLOGIC PATIENTS ON PALLIATIVE CARE?
DOI:
https://doi.org/10.12957/demetra.2019.38198Keywords:
Palliative care. Oncology. Nutritional therapy. Tube feeding, Enteral nutrition. Quality of life.Abstract
Objective: To evaluate the association of nutritional status and tube feeding on the quality of life of oncology patients in palliative care. Methods: Oncological patients enrolled in the Palliative Care Program of a university hospital (n=70) participated in the study. Nutrition therapy data (tube feeding or oral feeding) were collected through a previously structured questionnaire. The nutritional evaluation was performed by the Patient-Generated Subjective Global Assessment (PG-SGA). In addition, the EORTC QLQ-C15-PAL questionnaire was used to assess the quality of life. Results: Of the 70 patients, 58.6% (n=41) were males, aged between 31-101 years. The most frequent tumors were in head and neck (18.6%; n=13). The frequency of malnutrition was 87.2% (n=61). Regarding the feeding route, 84.3%(n=59) received oral feeding and 15.7%(n=11), tube feeding. The mean score for the Global Quality of Life domain was 66.6, regardless of the dietary route. Malnourished patients had a higher score for the Physical Function domains (34.9±30; p=0.005) and Dyspnea (20.7±29.9; p=0.02).Tube feeding was associated with a higher frequency of nausea (Median = 33.3; p=0.014). Conclusions: A high frequency of malnutrition (87.2%) and a low frequency of tube feeding (15.7%) was observed. Nutritional status and probe feeding were not associated with the Global Quality of Life of cancer patients in palliative care. However, malnutrition was associated with “lower scores of " physical function and dyspnea, while probe feeding was associated with a higher frequency of nausea.
DOI: 10.12957/demetra.2019.38198
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