EVALUATION OF MALNUTRITION RISK IN PATIENTS TREATED IN THE PALLIATIVE CARE CLINIC

Aysel Özcan; Zehra Margot Çelik

Makale detayları

EVALUATION OF MALNUTRITION RISK IN PATIENTS TREATED IN THE PALLIATIVE CARE CLINIC

Yazarlar:

Aysel Özcan | Zehra Margot Çelik

Yayıncı:

Marmara University

Ana Başlıklar:

Halk Sağlığı (Diğer)

Dergi:

Journal of Health Sciences and Management Vol.5 Issue 2, pp.51-58

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001353946

pISSN:

2757-6914

Anahtar kelimeler:

Özet:

 Aim: Palliative care is a patient- and family-centered multidisciplinary approach that aims to improve patients current symptom management and quality of life. Malnutrition is common in these patients and may negatively affect the course of disease and treatment. The aim of this study was to determine the malnutrition risk levels of palliative care patients and to examine the relationship with comorbidities, inflammation status, nutritional methods and biochemical findings. Methods: This cross-sectional and descriptive study was conducted in a state hospital palliative care service between December 2024 and February 2025 and was completed with the participation of 130 patients. The malnutrition risk levels of the patients were determined by NRS-2002 and biochemical findings, medical data and nutritional information were obtained from patient files. Data were analyzed in SPSS 28.0 program. Results: In 62.3 of the patients, NRS-2002 score was 3 and malnutrition risk was determined. When biochemical parameters were analyzed, it was observed that values such as albumin, prealbumin and CRP were significantly associated with malnutrition risk. In addition, age factor and some disease groups were found to be effective on the risk of malnutrition, especially malignancy and respiratory diseases were found to be associated with the risk of malnutrition. Conclusion: It has been found that the risk of malnutrition in palliative care service is high and may be associated with some biochemical findings and diseases.

 Aim: Palliative care is a patient- and family-centered multidisciplinary approach that aims to improve patients current symptom management and quality of life. Malnutrition is common in these patients and may negatively affect the course of disease and treatment. The aim of this study was to determine the malnutrition risk levels of palliative care patients and to examine the relationship with comorbidities, inflammation status, nutritional methods and biochemical findings. Methods: This cross-sectional and descriptive study was conducted in a state hospital palliative care service between December 2024 and February 2025 and was completed with the participation of 130 patients. The malnutrition risk levels of the patients were determined by NRS-2002 and biochemical findings, medical data and nutritional information were obtained from patient files. Data were analyzed in SPSS 28.0 program. Results: In 62.3 of the patients, NRS-2002 score was 3 and malnutrition risk was determined. When biochemical parameters were analyzed, it was observed that values such as albumin, prealbumin and CRP were significantly associated with malnutrition risk. In addition, age factor and some disease groups were found to be effective on the risk of malnutrition, especially malignancy and respiratory diseases were found to be associated with the risk of malnutrition. Conclusion: It has been found that the risk of malnutrition in palliative care service is high and may be associated with some biochemical findings and diseases.

 Aim: Palliative care is a patient- and family-centered multidisciplinary approach that aims to improve patients current symptom management and quality of life. Malnutrition is common in these patients and may negatively affect the course of disease and treatment. The aim of this study was to determine the malnutrition risk levels of palliative care patients and to examine the relationship with comorbidities, inflammation status, nutritional methods and biochemical findings. Methods: This cross-sectional and descriptive study was conducted in a state hospital palliative care service between December 2024 and February 2025 and was completed with the participation of 130 patients. The malnutrition risk levels of the patients were determined by NRS-2002 and biochemical findings, medical data and nutritional information were obtained from patient files. Data were analyzed in SPSS 28.0 program. Results: In 62.3 of the patients, NRS-2002 score was 3 and malnutrition risk was determined. When biochemical parameters were analyzed, it was observed that values such as albumin, prealbumin and CRP were significantly associated with malnutrition risk. In addition, age factor and some disease groups were found to be effective on the risk of malnutrition, especially malignancy and respiratory diseases were found to be associated with the risk of malnutrition. Conclusion: It has been found that the risk of malnutrition in palliative care service is high and may be associated with some biochemical findings and diseases.

 Amaç: Palyatif bakım, hastaların mevcut semptom yönetimini ve yaşam kalitesi artışını amaçlayan hasta ve aile merkezli multidisipliner bir yaklaşımdır. Bu hastalarda malnütrisyon sık görülmekte ve hastalık ve tedavi seyrini olumsuz etkileyebilmektedir. Bu çalışmanın amacı palyatif bakım hastalarının malnütrisyon risk düzeylerini belirlemek, eşlik eden hastalıklar, inflamasyon durumu, uygulanan beslenme yöntemleri ve biyokimyasal bulgular ile ilişkisini incelemektir. Yöntemler: Aralık 2024  Şubat 2025 tarihleri arasında bir devlet hastanesi palyatif bakım servisinde kesitsel ve tanımlayıcı nitelikte gerçekleştirilen bu çalışma 130 hasta katılımı ile tamamlanmıştır. Hastaların malnütrisyon risk düzeyleri NRS-2002 ile belirlenmiş biyokimyasal bulgular, tıbbi veriler ve beslenme bilgileri hasta dosyalarından temin edilmiştir. Veriler SPSS 28.0 programında analiz edilmiştir. Bulgular: Hastaların 62,3ünde NRS-2002 puanı 3 olarak saptanmış ve malnütrisyon riski belirlenmiştir. Biyokimyasal parametreler incelendiğinde, albümin, prealbümin ve CRP gibi değerlerin malnütrisyon riski ile anlamlı ilişkili olduğu görülmüştür. Ayrıca, yaş faktörü ve bazı hastalık gruplarının malnütrisyon riski üzerinde etkili olduğu, özellikle malignite ve solunum hastalıkları ile malnütrisyon riskinin ilişkili olduğu tespit edilmiştir. Sonuç: Palyatif bakım servisinde malnütrisyon riskinin yüksek olduğu, bazı biyokimyasal bulgular ve hastalıklar ile ilişkili olabileceği bulunmuştur.

Makale detayları

EVALUATION OF MALNUTRITION RISK IN PATIENTS TREATED IN THE PALLIATIVE CARE CLINIC

Yazarlar:

Aysel Özcan | Zehra Margot Çelik

Yayıncı:

Marmara University

Ana Başlıklar:

Halk Sağlığı (Diğer)

Dergi:

Journal of Health Sciences and Management Vol.5 Issue 2, pp.51-58

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001353946

pISSN:

2757-6914

Palliative care

Inflammation

Nutritional status

MalnutritionPalyatif bakım

İnflamasyon

Beslenme durumu

Malnütrisyon

Sayı

Makale detayları

Yazarlar: Aysel Özcan | Zehra Margot Çelik

Yayıncı: Marmara University

Ana Başlıklar: Halk Sağlığı (Diğer)

Dergi: Journal of Health Sciences and Management Vol.5 Issue 2, pp.51-58

Belge Tipi: Makale

Yayın Tarihi: 5/2025

Belge Dili: Türkçe

Document ID (Org No.): 2001353946

pISSN: 2757-6914

Sayı

Yazarlar:

Aysel Özcan | Zehra Margot Çelik

Yayıncı:

Marmara University

Ana Başlıklar:

Halk Sağlığı (Diğer)

Dergi:

Journal of Health Sciences and Management Vol.5 Issue 2, pp.51-58

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001353946

pISSN:

2757-6914