Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach
This paper presents a multi-professional integrated approach toward the recognition and management of the nutritional and psychological needs of cancer patients. In particular, the patients undertook a multi-professional, multistep process that included the collection of both personal and clinical d...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Diseases |
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| Online Access: | https://www.mdpi.com/2079-9721/10/3/47 |
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| author | Giuseppe Carruba Maria Luisa Calagna Ildegarda Campisi Stella Cutrera Laura Napoli Giovanni Pitti Valentina Palmisano Giuseppina Savio Antonella Usset Vita Leonardi Angela Di Pasquale Salvatore Requirez Livio Blasi |
| author_facet | Giuseppe Carruba Maria Luisa Calagna Ildegarda Campisi Stella Cutrera Laura Napoli Giovanni Pitti Valentina Palmisano Giuseppina Savio Antonella Usset Vita Leonardi Angela Di Pasquale Salvatore Requirez Livio Blasi |
| author_sort | Giuseppe Carruba |
| collection | DOAJ |
| description | This paper presents a multi-professional integrated approach toward the recognition and management of the nutritional and psychological needs of cancer patients. In particular, the patients undertook a multi-professional, multistep process that included the collection of both personal and clinical data, the evaluation of anthropometric measures, nutritional status and psychometric indices, and an ensuing personalized nutritional prescription and psychological support, ultimately leading to combined nutritional and psychological interventions to control their adherence to a nutritional program and to consolidate motivation to change. Overall, 120 patients were recruited for the study. The majority (84.2%) were female. Breast cancer was by far the most frequent malignancy (52.5%), followed by colorectal (17.5%), pancreatic (9.2%), ovarian (9.2%) and lung (5.0%) cancers. The results of the nutritional and psychological screening at baseline indicated that only 35% of patients had a normal BMI, whilst a relatively high proportion (nearly 32%) was overweight or obese (25%). The INRAN and MEDI-LITE questionnaires, which were used to assess the eating habits and adherence to a Mediterranean diet, respectively, revealed a mixed prevalence of cereals/cereal-based, fresh/processed meat, and fish or fishery food, with a medium–low adherence to the Mediterranean diet in nearly 38% of patients. The BUT, HADS and SF-36 tests, which were used to assess psychological disturbances, showed that 37.5% of patients had disorders regarding body image, 29.2% had abnormal anxiety and 20.0% had a depressive state, while no significant association was observed between the SF-36 PCS and MCS and the patients′ characteristics. The results of the potential impact of this novel approach on the QoL of patients after completion of the course are awaited with expectation. |
| first_indexed | 2024-03-10T00:15:35Z |
| format | Article |
| id | doaj.art-03d5db1e69764c89878932cc83e6c2c9 |
| institution | Directory Open Access Journal |
| issn | 2079-9721 |
| language | English |
| last_indexed | 2024-03-10T00:15:35Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diseases |
| spelling | doaj.art-03d5db1e69764c89878932cc83e6c2c92023-11-23T15:51:39ZengMDPI AGDiseases2079-97212022-07-011034710.3390/diseases10030047Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model ApproachGiuseppe Carruba0Maria Luisa Calagna1Ildegarda Campisi2Stella Cutrera3Laura Napoli4Giovanni Pitti5Valentina Palmisano6Giuseppina Savio7Antonella Usset8Vita Leonardi9Angela Di Pasquale10Salvatore Requirez11Livio Blasi12Servizio di Internazionalizzazione e Ricerca Sanitaria (SIRS), Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli—Palermo, Piazza N. Leotta 2, 90127 Palermo, ItalyProgetto Obiettivo 4.1.5 di Piano Sanitario Nazionale 2015 “Alimentazione e Stili di Vita”, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyProgetto Obiettivo 4.1.5 di Piano Sanitario Nazionale 2015 “Alimentazione e Stili di Vita”, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyProgetto Obiettivo 4.1.5 di Piano Sanitario Nazionale 2015 “Alimentazione e Stili di Vita”, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyProgetto Obiettivo 4.1.5 di Piano Sanitario Nazionale 2015 “Alimentazione e Stili di Vita”, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyProgetto Obiettivo 4.1.5 di Piano Sanitario Nazionale 2015 “Alimentazione e Stili di Vita”, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyProgetto Obiettivo 4.1.5 di Piano Sanitario Nazionale 2015 “Alimentazione e Stili di Vita”, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyClinical Oncology, Medical Oncology Unit (ARNAS)-Civico, 90100 Palermo, ItalyClinical Oncology, Medical Oncology Unit (ARNAS)-Civico, 90100 Palermo, ItalyClinical Oncology, Medical Oncology Unit (ARNAS)-Civico, 90100 Palermo, ItalyAzienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyHealth Department, Azienda di Rilievo Nazionale ad Alta Specializzazione (ARNAS)-Civico, Di Cristina, Benfratelli, Piazza N. Leotta 2, 90127 Palermo, ItalyClinical Oncology, Medical Oncology Unit (ARNAS)-Civico, 90100 Palermo, ItalyThis paper presents a multi-professional integrated approach toward the recognition and management of the nutritional and psychological needs of cancer patients. In particular, the patients undertook a multi-professional, multistep process that included the collection of both personal and clinical data, the evaluation of anthropometric measures, nutritional status and psychometric indices, and an ensuing personalized nutritional prescription and psychological support, ultimately leading to combined nutritional and psychological interventions to control their adherence to a nutritional program and to consolidate motivation to change. Overall, 120 patients were recruited for the study. The majority (84.2%) were female. Breast cancer was by far the most frequent malignancy (52.5%), followed by colorectal (17.5%), pancreatic (9.2%), ovarian (9.2%) and lung (5.0%) cancers. The results of the nutritional and psychological screening at baseline indicated that only 35% of patients had a normal BMI, whilst a relatively high proportion (nearly 32%) was overweight or obese (25%). The INRAN and MEDI-LITE questionnaires, which were used to assess the eating habits and adherence to a Mediterranean diet, respectively, revealed a mixed prevalence of cereals/cereal-based, fresh/processed meat, and fish or fishery food, with a medium–low adherence to the Mediterranean diet in nearly 38% of patients. The BUT, HADS and SF-36 tests, which were used to assess psychological disturbances, showed that 37.5% of patients had disorders regarding body image, 29.2% had abnormal anxiety and 20.0% had a depressive state, while no significant association was observed between the SF-36 PCS and MCS and the patients′ characteristics. The results of the potential impact of this novel approach on the QoL of patients after completion of the course are awaited with expectation.https://www.mdpi.com/2079-9721/10/3/47cancer patientsnutritional statuspsychological statusmulti-professional interventionsmodel approach |
| spellingShingle | Giuseppe Carruba Maria Luisa Calagna Ildegarda Campisi Stella Cutrera Laura Napoli Giovanni Pitti Valentina Palmisano Giuseppina Savio Antonella Usset Vita Leonardi Angela Di Pasquale Salvatore Requirez Livio Blasi Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach Diseases cancer patients nutritional status psychological status multi-professional interventions model approach |
| title | Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach |
| title_full | Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach |
| title_fullStr | Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach |
| title_full_unstemmed | Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach |
| title_short | Unmet Nutritional and Psychological Needs of Cancer Patients: An Integrated Multi-Professional Model Approach |
| title_sort | unmet nutritional and psychological needs of cancer patients an integrated multi professional model approach |
| topic | cancer patients nutritional status psychological status multi-professional interventions model approach |
| url | https://www.mdpi.com/2079-9721/10/3/47 |
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