| Summary: | 碩士 === 輔仁大學 === 營養科學系碩士班 === 101 === Nutrition may improve therapenic effect and life quality of cancer patients. Based on these evidences, special subsidization of nutritional care for cancer patients in hospitals has been implemented under “Cancer Treatment Quality Improvement Project” by Bureau of Health Promotion in Taiwan since 2010. The purpose of this study was to evaluate the effectiveness of the subsidization of nutritional care for cancer patients. Validated questionnaires were mailed to 54 accredited cancer centers and completed by dietitians and other medical staffs. Head and neck cancer, esophagus cancer, gastric cancer, colorectal cancer and lung cancer patients were conducted by interviews in 7 cancer centers in Taiwan. Totally 51 cancer centers (94%) responded to the survey. All cancer centers had inpatient nutrition screening for cancer patients. Screening criteria were mostly weight loss and swallow/eating problems. Most nutritional counseling in cancer centers was free of charge. Medical staffs (n=269) responded either satisfied (54%) or very satisfied (23%) about nutritional counseling. Most of staffs suggested that dietitian should increase outpatient service and increase frequencies of follow-up. Patients’ (n=102) usual body weights were statistically lower than that before counseling (p<0.0001). Body weights after counseling (60.98±11.17kg) were still lower than that before counseling (61.11±11.02kg) (p=0.6039). Hemoglobin was statistically lower than that before counseling. Hematocrit, white blood cell and Albumin were not statistical differences before and after nutritional counseling. After counseling, patients’ meat and beans intakes (3.44±2.49ex. vs. 4.72±2.93ex.) (p<0.0005) and supplements intakes were increased significantly (p<0.0001). Dietary myth was corrected (p<0.0001). Most cancer patients could understand the contents of nutritional counseling (97%) and followed dietitians’ suggestions (77%). Nutritional counseling was considered useful (49%) or very useful (23%). In summary, most cancer centers in Taiwan have set up nutrition screening, referral, and assessment system for cancer patients. Both medical staffs and cancer patients had positive feedback to nutrition counseling.
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