Quimioterapia: Efeitos Colaterais e Influência no Estado Nutricional de Pacientes Oncológicos

UNICIÊNCIAS ◽  
2018 ◽  
Vol 22 (2) ◽  
pp. 100
Author(s):  
Fernanda Elise Corrêa ◽  
Márcia Keller Alves
Keyword(s):  
Side Effects ◽  
Data Collection ◽  
Nutritional Status ◽  
Clinical Stage ◽  
Female Gender ◽  
Cross Sectional Study ◽  
The Body ◽  
Chemotherapy Treatment ◽  
Cross Sectional ◽  
Outpatient Chemotherapy

Por ser um tratamento medicamentoso sistêmico, a quimioterapia atinge não somente as células cancerosas como também as células sadias do organismo, levando a efeitos colaterais indesejados. O texto tem por objetivo analisar a influência dos efeitos colaterais da quimioterapia no estado nutricional de pacientes oncológicos de um hospital de Caxias do Sul. Tratou-se de um estudo transversal descritivo. A população de estudo se constitui por pacientes diagnosticados com câncer e em tratamento quimioterápico ambulatorial no período da coleta de dados (junho a setembro de 2016). Como instrumento de coleta de dados foi utilizada a versão, em português, da Avaliação Subjetiva Global - Produzida pelo Paciente. Informações referentes aos dados gerais do paciente (idade, gênero, peso pregresso e atual, e altura), tipo de tumor, estádio clínico da doença, foram retiradas dos prontuários dos pacientes. Os dados foram analisados descritivamente no software Excel Microsoft® e apresentados através de frequência absoluta (n) e relativa (%). Foram avaliados 42 pacientes, com prevalência do gênero feminino. Os principais efeitos colaterais encontrados foram os sintomas orais, gastrointestinais, sistêmico e inapetência, sendo que a maioria dos pacientes relatou apresentar estes sintomas concomitantemente. Apenas 11,9% dos pacientes relataram não sentir efeitos colaterais do tratamento quimioterápico. Pacientes classificados com excesso de peso e bem nutridos foram os que mais relataram efeitos colaterais. Mostraram-se os efeitos colaterais da quimioterapia, tendo como principais sintomas os orais e os relacionados ao trato gastrointestinal, o que pode vir a afetar diretamente o estado nutricional destes pacientes, considerando que uma grande parte dos indivíduos teve perda de peso significativa.Palavras chaves: Quimioterapia. Câncer. Estado Nutricional AbstractAs a systemic drug treatment, chemotherapy acts not only on the cancer cells but also the healthy cells of the body, leading to undesirable side effects. Analyzing the influence of chemotherapy effects of cancer patients from a hospital in Caxias do Sul, this  was a descriptive cross-sectional study. The study population consists of patients diagnosed with cancer and in outpatient chemotherapy treatment during the period of data collection (June to September 2016). As a data collection instrument,  the Portuguese version of the Subjective Global Assessment was used - Produced by the Patient. Information regarding the patients’ general data (age, gender, previous and current weight, and height), type of tumor, clinical stage of the disease, was gathered from the patients' records. The data were analyzed descriptively in Microsoft® Excel software and presented through absolute (n) and relative (%) frequency. 42 patients, with a prevalence of the female gender, were evaluated. The main side effects were oral, gastrointestinal, systemic and inappetence symptoms, with most of the patients reporting these symptoms concomitantly. Only 11.9% of the patients reported no side effects of chemotherapy treatment. Patients classified as overweight and well- nourished were the ones that reported the most side effects. The side effects of chemotherapy have been shown, and the main symptoms were the ones related to the oral and gastrointestinal tract, which can directly affect the patients’ nutritional status. Keywords: Chemotherapy. Cancer. Nutritional Status.

scholarly journals The importance of dysphagia screening and nutritional assessment in hospitalized patients

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Patrícia Amaro Andrade ◽  
Carolina Araújo dos Santos ◽  
Heloísa Helena Firmino ◽  
Carla de Oliveira Barbosa Rosa
Keyword(s):  
Nutritional Status ◽  
Global Assessment ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
The Body ◽  
Subjective Global Assessment ◽  
Cross Sectional ◽  
Knee Height

ABSTRACT Objective: To determine frequency of dysphagia risk and associated factors in hospitalized patients as well as to evaluate nutritional status by using different methods and correlate the status with scores of the Eating Assessment Tool (EAT-10). Methods: This was a cross-sectional study including 909 inpatients of a philanthropic hospital. For the diagnosis of dysphagia we used an adapted and validated Brazilian version of the Eating Assessment Tool (EAT-10). The nutritional status was evaluated through the subjective global assessment, and anthropometric measurements included weight, calf and arm circumference, and knee height. The Mann-Whitney test, associations using the Pearson’s χ2 and Spearman’s correlation were used to verify differences between the groups. Results: The prevalence of dysphagia risk was 10.5%, and aging was the associated factor with this condition. Patients at risk presented lower values of arm and calf circumference, variables that correlated inversely with the Eating Assessment Tool (EAT-10) score. Malnutrition was observed in 13.2% of patients based on the subjective global assessment and in 15.2% based on the Body Mass Index. Conclusion: Screening for dysphagia and malnutrition should be introduced in hospitals routine to avoid or minimize damages caused by dysphagia or malnutrition, especially among older people.

scholarly journals Treatment outcomes and influencing factors on patients with Pulmonary Tuberculosis: a retrospective study

2021 ◽  
Vol 3 (2) ◽  
pp. 105-108
Author(s):  
Jamshid Ayatollahi ◽  
◽  
Abolhasan Halvani ◽  
Mohammadhesam Gharaei Khezri ◽  
Hossein Shahcheraghi ◽  
...  
Keyword(s):  
Side Effects ◽  
Frequency Distribution ◽  
Cross Sectional Study ◽  
The Body ◽  
Sputum Culture ◽  
Response To Treatment ◽  
Sputum Smear ◽  
Drug Side Effects ◽  
Cross Sectional ◽  
Significant Difference

Introduction: Tuberculosis infection caused by Mycobacterium tuberculosis is one of the most common infectious diseases, especially in countries such as Iran. The course of treatment and the number of drugs used vary depending on the severity of the disease and the parts of the body involved. The resistant tuberculosis to treatment has increased in recent years. Thus, this study was conducted to investigate the frequency distribution of response to treatment of patients with tuberculosis in Sirjan, Iran. Methods: This descriptive cross-sectional study investigated all patients with tuberculosis in Sirjan city who had referred to health centers during the years 2011-2019. The data collection tool was a pre-prepared checklist that included information on age, sex, sputum smear results, sputum culture results, diabetes, patients' nationality, drug side effects, and response to treatment. Finally, data was entered into SPSS version 22, and analyzed. Results: In this study, the overall response rate was 83% and the mortality rate was 10%. Between the frequency distribution of response to treatment in terms of gender, age, sputum smear results, sputum culture results, patients' nationality and diabetes was not statistically significant difference. Also, no statistically significant difference was found between the frequency distribution of pulmonary TB treatment response in terms of drug allergy, drug hepatitis and other drug side effects. Conclusion: According to results, can be concluded that none of the variables: age, sex, smear and culture result, and history of diabetes have no an effect on response to treatment and mortality of tuberculosis.

scholarly journals Fatigue dan status nutrisi pada pasien dengan kanker payudara yang menjalani kemoterapi

2020 ◽  
Vol 13 (4) ◽  
pp. 278-283
Author(s):  
Sapti Ayubbana ◽  
Sari Narulita
Keyword(s):  
Breast Cancer ◽  
Side Effects ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Nursing Intervention ◽  
P Value ◽  
Breast Cancer Patients ◽  
Chemotherapy Treatment ◽  
Cross Sectional ◽  
Breast Cancer Chemotherapy

Fatigue and nutritional status in patients with breast cancer undergoing chemotherapyBackground: Breast cancer is one type of cancer and is one of the leading causes of death in the world. Cancer patients who receive chemotherapy are at risk of impaired nutritional status due to the disease and its treatment. Chemotherapy treatment can have side effects on the gastrointestinal system such as nausea, vomiting, stomatitis, anorexia, changes in taste. These side effects can cause the patient's nutritional intake to decrease. Cancer and its treatment can cause fatigue complaints.Purpose: to identify the relationship between fatigue and nutritional status in patients with breast cancer patients undergoing chemotherapyMethods: The design of this study was quantitative using a cross sectional approach. The population in this study were patients with breast cancer undergoing chemotherapy. This research was conducted at Dr.H. Abdul Moeloek Hospital of Lampung Province with 42 respondents.Results: Spearman correlation test results found that nutritional status variables have a significant relationship with fatigue (p value = 0.031) with moderate correlation strength (r = 0.471).Conclusion: The nursing intervention on the side effects of chemotherapy treatment which has a positive effect on nutritional conditions in an effort to overcome nutritional disorders and complaints of fatigue in cancer patients.Keywords: Breast Cancer; Chemotherapy; Fatigue; Nutritional StatusPendahuluan: Kanker payudara merupakan salah satu jenis kanker dan menjadi salah satu penyebab kematian di dunia. Pasien kanker yang menerima kemoterapi memiliki resiko gangguan status nutrisi akibat penyakit dan pengobatannya. Pengobatan kemoterapi dapat memberikan efek samping terhadap sistem ganstrointestinal seperti mual, muntah, stomatitis, anoreksia, perubahan rasa. Efek samping tersebut dapat menyebabkan asupan nutrisi pasien dapat mengalami penurunan. Kanker dan pengobatannya dapat menyebabkan keluhan fatigue.Tujuan: Mengetahui adanya hubungan antara status nutrisi terhadap fatigue pada pasien kanker payudara yang menjalani kemoterapi.Metode: Desain penelitian ini adalah kuantitatif dengan menggunakan pendekatan cross sectional . Populasi pada penelitian ini adalah pasien dengan kanker payudara yang menjalani kemoterapi. Penelitian ini dilakukan di RSUD Dr.H. Abdul Moeloek Provinsi Lampung dengan 42 responden.Hasil: Pada uji korelasi spearman didapatkan bahwa variabel status nutrisi mempunyai hubungan yang bermakna dengan fatigue ( p value = 0,031) dengan kekuatan korelasi sedang (r = 0,471).Simpulan: Kesimpulan diperlukan intervensi keperawatan terhadap efek samping pengobatan kemoterapi yang berdapak terhadap kondisi nutrisi dalam upaya mengatasigangguan nutrisi dan keluhan fatigue pada pasien kanker 

scholarly journals Hubungan Status Gizi dengan Tingkat Produktivitas Pekerja Wanita di PT. Idec Abadi Wood Industries Tarakan

2019 ◽  
Vol 5 (1) ◽  
pp. 52-59
Author(s):  
Risaldi Risaldi ◽  
Ratih Wirapuspita ◽  
Iriyani Kamarudin
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Body Mass ◽  
Protein Intake ◽  
Cross Sectional Study ◽  
The Body ◽  
Nutritional State ◽  
Regression Result ◽  
Cross Sectional ◽  
Good Nutritional State

Factors that affect worker producktivity is the intake level of nutrient of worker who can be seen from their nutritional status. The need for workers nutrition must be in accordance with the job. A worker with a good nutritional state will have a better working capacity and endurance, on the other hand a worker with a poor nutritional state will accelerate exhaustion and this can disrupt productivity. This study aims to know the correlation of nutritional status that consists of body mass index, energi intake, protein intake,  and intake of iron to the productivity of female workers in PT. Idec Abadi Wood Industries. This study uses cross sectional study design. The sample in this study was a female worker at the wholesale totaling 50 people, by measured the body mass index (BMI) and recall 24 hours. Data analysis technique used is multiple linier regression. Result from the study showed an association between nutrional status (BMI) and productivity (0,001 < 0,05), energy intake with productivity (0.008 < 0,05), intake of iron with productivity (0.045 < 0.05). And there was no significant association between protein intake and productivity (0,243 < 0,05). Companies were advised to make a special program for the monitoring process and the adequacy of nutrient intake of workers. The company needs to add medical personel especially in the field of nutrition. Dissemination of information through sosialization, posters or leflets on the pattern of balanced nutrition for workersKeywords   : Productivity, Nutritional Status

scholarly journals Analysis of the nutritional status of adolescents in Pará, Brazil, from 2010 to 2019

2021 ◽  
Vol 21 (2) ◽  
Author(s):  
Ana Gabriela De Sousa Costa ◽  
Randerson José De Araujo Sousa ◽  
Ligia Amaral Filgueiras
Keyword(s):  
Nutritional Status ◽  
Severe Obesity ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Number Of Patients ◽  
The Status ◽  
Male Sex ◽  
Status Index

Objective: to analyze the nutritional status of adolescents in the status state of Pará, Brazil, in order to observe the trends in the Height x Age and BMI x Age indexes. Material and Methods: it was a quantitative, retrospective and cross-sectional study from 2010 to 2019. The female and male sex were evaluated in each nutritional status index “Height x Age” and “BMI x Age”. The collected data were organized in Microsoft Excel 2010 software and statistics was performed in the Action Stat 3.7 program. A theoretical framework was adopted with complete scientific articles published in the BVS, SciELO, MEDLINE, LILACS databases and institutional documents. The ethics committee's assessment was not necessary. Results: in “Height x Age”, a total of 132,114 adolescents were registered and the female gender prevailed (65.8%), normality in the distribution of data was observed and a difference was noted in the category “Suitable for age”, which registered more notifications (80.9%). In the "BMI x Age", 132,204 were reported, a normal distribution was found, but there was a statistical difference between the sexes in the categories: "overweight", "obesity", "severe obesity" and "eutrophy", which represented the largest percentage (73.4%). Conclusion: the population is mostly female, and the distribution of records is heterogeneous. Both sexes were shown to be of adequate height for their age and eutrophic. However, it was noticed that the nutritional scenario is changing, which may lead, in the future, to public health problems, such as the increase in the number of patients with chronic non-communicable diseases.

scholarly journals Nutritional Scenario of Adolescent Boys in Dhaka University Campus

2015 ◽  
pp. 9-15
Author(s):  
Latfun Nahar ◽  
Nazma Parvin
Keyword(s):  
Nutritional Status ◽  
Cross Sectional Study ◽  
Hemoglobin Level ◽  
The Body ◽  
University Campus ◽  
Adolescent Boys ◽  
Cross Sectional ◽  
Socioeconomic Condition ◽  
Selective Schools ◽  
University Laboratory School

A cross sectional study was carried out among the adolescent boys (11-15 years) in two selective schools (University Laboratory School and Udoyan School) in Dhaka University campus to investigate the nutritional and health status as well as socioeconomic condition. Nutritional status was determined anthropometrically and biochemically (hemoglobin estimation). According to the body mass index, two-third of the boys (75.7%) were normal, 15.4% were over-weight and only 8.9% were found to be thinner. The percent prevalence of anemia was 7.1% based on WHO criteria and the mean hemoglobin level was 14.35 g/dl (±1.38). Energy intake of the boys aged 11-12 years met 79.31% of RDA and those of 13-15 years met 76.09% of RDA. Protein intake of all the boys was more than RDA. Dietary intake of vitamin A was more than 90% of RDA. and that for thiamin and niacin was more than RDA. Iron intake was 60.4% and 66.45% of RDA for the two groups of boys. Vitamin C intake was inadequate (46.76% and 36.06% RDA) for the respective group of boys. Nutritional status (anthropometric) is directly associated with expenditure on food. Percentage of thinness decreased as expenditure on food increased. Monthly expenditure on food had significant relation with hemoglobin level of the adolescents. Most of the participants (67 .5%) did not suffer from any disease. Rest of the boys suffered from fever (23.6%), diarrhea (10.9%), common, cold (29.1 %), respiratory infection (9.1 %), measles (3.6%), typhoid (5.5%) and others (18.2%).5

scholarly journals The relationship between income and nutritional status with the incidence of hypertension in elderly

2020 ◽  
Vol 5 (1) ◽  
pp. 81
Author(s):  
Emi Nur Sariyanti ◽  
Diffah Hanim ◽  
Sapja Anantanyu
Keyword(s):  
Nutritional Status ◽  
Community Health Center ◽  
The Elderly ◽  
Cross Sectional Study ◽  
The Body ◽  
P Value ◽  
Cross Sectional ◽  
Blood Pressure Data ◽  
Spearman Test ◽  
The Relationship

Background:Blood pressure is a disease that is often found in the elderly. Many studies show that socioeconomic status is closely related to the incidence of hypertension especially in the elderly. In addition, since hypertension is generally associated with being overweight and obese, nutritional status can also be a factor for experiencing hypertension in the elderly.Objective:To analyze the relationship between income and nutritional status with the incidence of hypertension in the elderly.Method: This study used a cross-sectional study design involving 133 elderly respondents in the area of the Klaten Community Health Center. Income data were obtained using the respondents’ basic characteristic questionnaire. Nutritional status was obtained based on anthropometric measurements of body weight and height which were calculated using the Body Mass Index (BMI). While blood pressure data were obtained from Sphygmomanometer measurements. The data obtained were analyzed using the Spearman test with a p-value <0.05. This study was approved by Ethics Commission UniversitasSebelasMaret.Results: The results of this study indicate there is a relationship between income and the incidence of hypertension in the elderly (p=0.046) while the nutritional status has no relationship with the incidence of hypertension (p=0.640).Conclusion: High income has a low risk of the elderly experiencing hypertension, while nutritional status good or not they do not have a risk of hypertension.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 81-84

scholarly journals Analisa Kejadian Stunting Dengan Tingkat Perkembangan Balita Usia 36-48 Bulan

2021 ◽  
Vol 16 (3) ◽  
pp. 632-650
Author(s):  
Sitti Zakiyyah Putri ◽  
Sitti Maryam Bachtiar ◽  
Dahniar ◽  
Ismul
Keyword(s):  
Nutritional Status ◽  
Body Height ◽  
Strong Relationship ◽  
Cross Sectional Study ◽  
The Body ◽  
Developmental Level ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Cognitive Levels

Stunting is a nutritional status that is based on the Body Height index by Age (TB / U). The incidence of stunting that has taken place since childhood has a very strong relationship with slow motor and IQ (intelligence) is lower. The level of development of children has a higher quality than normal resources this has increased cognitive levels, poor learning and psychosocial achievement. The purpose of this study is to see whether there is a relationship between stunting events and the level of development of toddlers aged 36-48 months in TK Pertiwi Majene 2019. This type of research is observational analytic research with a cross-sectional study with the method of Exhaustive Sampling and the instruments used are microtome and graphs used. used as a KPSP questionnaire developmental level questionnaire. The sample used was toddlers aged 36-48 months as many as 38 people. The results of the analysis approved by Chi-Square showed rejected with a significant value of 0.37, which means greater than 0.05 (p> 0.05). It is possible to conclude that there is a significant relationship between the incidence of stunting with the level of development of toddlers aged 36-48 months. Suggestions for further researchers to be able to add factors that can influence the occurrence of stunting as well as adding samples to get more significant results.

scholarly journals Overuse of Steroid Drugs Methylprednisolone and Dexamethasone (Oral) Causes a Diabetic Patient to Become Infected with the Black Fungus in the Corona Virus.

2021 ◽  
Author(s):  
Ashwin Singh Chouhan ◽  
Bharat Parihar ◽  
Bharti Rathod ◽  
Ramprasad Prajapat
Keyword(s):  
Side Effects ◽  
Age Groups ◽  
Diabetes Patient ◽  
Cross Sectional Study ◽  
The Body ◽  
Cross Sectional ◽  
Ocular Infections ◽  
Excessive Consumption ◽  
Steroid Drugs ◽  
Potential Damage

Abstract Background Overuse of both methylprednisolone and dexamethasone drug on a corona patient can result in serious side effects and new infections may appear during their use. Prolonged use of methylprednisolone and dexamethasone may produce posterior subcapsular glaucoma, glaucoma with potential damage to the optic nerves, and may accelerate the establishment of secondary ocular infections caused by fungi or viruses.It has also been observed that more methylprednisolone and dexamethasone drug increases the level of glucose in the body, leading to normal corona patients who do not have any disease and diabetes after recovering from excessive consumption of methylprednisolone and dexamethasone drug.Materials and Methods A cross sectional study was conducted among 50 COVID doctors from the department's outpatient pool of COVID patients, distributing questionnaires to all subjects of different age groups. The questionnaire included information related to the name, age, gender and various factors that affect the doctor's choice of methylprednisolone and dexamethasone.Result and Discussion A total of 50 doctors and some medical stores from across India were included in the survey. Doctors prescribed more methylprednisolone and dexamethasone medicine than steroid medicines to corona patients. In our research, most side effects were observed for corona patients taking methylprednisolone and dexamethasone drug. Conclusion This research had shown that overdose of methylprednisolone and dexamethasone drug take diabetes patient he has serious eye effect and cause black fungus.

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