目的 调查基层医院恶性肿瘤化疗患者营养知识、态度、行为的现状,分析其影响因素,为基层医院肿瘤化疗患者营 养教育管理和营养干预提供临床依据。 方法 方便抽样法抽取 2022 年 7 月至 12 月广东省中山市小榄人民医院肿瘤科肿瘤化 疗的住院患者 220 例为调查对象,采用自行设计并经信度、效度验证的肿瘤化疗患者营养知信行(KAP)调查问卷进行现场问 卷调查。 结果 肿瘤患者营养的知识、态度和行为三者之间呈正相关,营养风险筛查 2002(NRS 2002) 及患者主观整体评估 (PG-SGA)与营养 KAP 之间存在着负相关,NRS 2002 及 PG-SGA 存在着正相关;患者营养知信行得分分别为(16. 80±0. 62) 分、(18. 44±0. 32)分、(20. 78±0. 27)分,及格率分别为 13. 5%、87. 5%、49%,优秀率分别为 0、45. 2%、0。 医保+合作医疗患者、 异地合作医疗的患者营养知识均较医保患者低(P<0. 05);营养知识从网络上获取的患者较从医护人员方面获取的得分更高 (P<0. 05);家庭支持程度对营养知识有统计学差异(P<0. 05);文化程度对营养态度有统计学差异(P<0. 05);相对于肺癌患 者,其他疾病的患者营养行为得分更低(P<0. 05);工人职业的患者较农民营养行为得分高(P<0. 05);医疗社会支持程度对营 养行为差异有统计学意义(P<0. 05)。 结论 基层医院恶性肿瘤化疗患者营养知识掌握非常不理想,营养态度积极,行为较差。 综合评估基层医院肿瘤化疗患者情况,充分考虑患者的付费方式、文化程度、职业、医疗社会及家庭支持等因素,针对性进行 营养知识教育,提供个体化、专业化和精细化的营养教育和营养干预,改善患者营养行为,提高患者营养知信行水平。

FGObjective To investigate the status of nutritional KAP of cancer patients undergoing chemotherapy in primary hospitals and analyze its influencing factors so as to provide clinical basis for nutritional education management and nutritional intervention of cancer patients undergoing chemotherapy in primary hospitals. Method A total of 220 inpatients receiving cancer chemotherapy in a Xiaolan People's Hospital of Zhongshan from July to December 2022 were selected by convenient sampling method. A self-designed questionnaire on nutrition KAP of cancer chemotherapy patients was used for field questionnaire survey. Result The KAP of nutrition in cancer patients were positively correlated NRS2002 and PG-SGA were negatively correlated with nutrition KAP and NRS2002 and PG-SGA were positively correlated. The scores of nutritional KAP were 16. 80±0. 62 18. 44±0. 32 and 20. 78± 0. 27 points. The passing rate was 13. 5% 87. 5% 49% and the excellent rate was 0 45. 2% 0. The nutritional knowledge of patients with medical insurance and new rural cooperative medical care and patients with remote cooperative medical care was lower than that of patients with medical insurance P<0. 05 The scores of patients with nutritional knowledge obtained from the Internet were higher than those obtained from medical staff P< 0. 05 The degree of family support had a statistical difference in nutrition knowledge P<0. 05 There was statistical difference between education level and nutrition attitude P<0. 05 Compared with lung cancer patients nutritional practice scores were lower in chemotherapy patients with other diseases P<0. 05 The nutritional practice scores of workers were higher than those of farmers P < 0. 05 The degree of medical social support had statistical difference on nutritional practice P<0. 05 . Conclusion The nutritional knowledge of cancer chemotherapy patients in primary hospitals is not ideal with a positive attitude towards nutrition and poor practice. Comprehensive assessment of patients' conditions full consideration of patients' payment method education level occupation medical and social support family support and other factors targeted nutrition knowledge education provide individualized professional and refined nutrition education and nutrition intervention improve patients' nutritional practice and enhancing the nutritional knowledge-attitude-practice level of patients.