Gastrointestinal Kanserli Hastalarda Preoperatif Dönemde Beslenme Durumunun ve Malnutrisyonun Değerlendirmesinde Farklı Yöntemlerin Karşılaştırılması

Abstract

This study was conducted in Sivas Cumhuriyet University Health Services Application and Research Hospital between February and August 2011. The study was carried out on a total of 81 volunteer patients, aged 19 years and over, 28 female (34,6%) and 53 male (65,4%) who were diagnosed with gastrointestinal system cancers. The aim of this study is to determine nutritional status of patients diagnosed with gastrointestinal system cancers by using three different methods such as Nutritional Risk Index (NRI), Nutritional Risk Screening-2002 (NRS-2002) and Subjective Global Assessment (SGA), to compare these methods and to evaluate malnutrition status of patients with preoperative gastrointestinal cancer. In the first part of the questionnaire, sociodemographic characteristics, diagnosis, dietary habits, cooking methods, type of fat used, frequency of food consumption and ASA (American Society of Anesthesiologists) scores of the individuals were questioned. In the second part, anthropometric measurements were taken, in the third part, biochemical data in routine hospital records were recorded and in the fourth part, Nutritional Risk Index was calculated and Nutritional Risk Screening-2002, Subjective Global Assessment were used. The mean age of the patients was 55,65±12,22 years, 57,1±12,9 for males and 53±10,5 for females. When the distribution of individuals in terms of body mass index (BMI) is examined, 20,8% of males and 21.4% of females are weak (BMI <18,5). According to nutritional assessment methods, while NRS-2002 was 13 (16%) without malnutrition risk, 68 (84%) had malnutrition risk. While 16 people with NRI values greater than 100 (19.8%), the number of those with mild malnutrition risk was 2 (2,5%), the number of patients with moderate malnutrition risk was 25 (30,9%), and those with heavy malnutrition were 38 ( 46,9%). The number of SGA A group was 12 (14,8%), the number of SGA B group was 19 (23,5%) and the SGA C group was 50 (61,7%). When the methods are compared with each other; If SGA is taken as a reference, it is seen that NRS-2002 has a stronger correlation than NRI in the methods. Since comprehensive nutritional assessment in patients with GIS cancer takes a lot of time, protocols should be established for regular assessment methods in health care institutions and hospitals.