KHẢO SÁT THỰC TRẠNG NUÔI ĂN QUA ỐNG THÔNG CỦA BỆNH NHÂN XẠ TRỊ BỆNH VIỆN UNG BƯỚU THÀNH PHỐ HỒ CHÍ MINH

Abstract

A cross-sectional study of 50 cancer patients who were tube fed during radiotherapy at the Ho Chi Minh City Oncology Hospital was performed to investigate the effectiveness of tube feeding and the problems relating to this, such as feeding techniques, soup processing, physicians’ attitudes to the patients and patients’ desires. Results: 70% of patients had BMI < 18.5, and 92% of them had lost weight at the admission. During radiation therapy, patients were indicated to feed by tube. After using tube feeding, only 4% of the patients gained weight. Doing wrong tube feeding technique due to position was accounted for 26%, due to bolus was 92%, and big volume per shot was 10%. Correct preparation of soup or milk was only 19-39%. Currently, taking care of patient with tube is in charged by the staff of the radiation department. However, there were only 8% of patients who were instructed by physicians and 44% patients who were closely followed up. The use of large size, inflexible and uncapped feeding tubes were among the problems that made the patients feel uncomfortable. In conclusion, tube feeding for radiation patients was possibly not efficient. Tube feeding techniques were likely to be applied improperly and the cooking quality was not that good. Therefore, it would be best for the radiation patients if radiation department staff and professional dietitians work together on feeding issues.