Trabalho de Conclusão de Curso - Graduação

Perfil nutricional de pacientes com câncer do trato digestório internados em um hospital universitário do estado do Pará

Introduction: Patients with cancer in the digestive tract present changes in their nutritional status which can lead to multiple degrees of malnutrition. The evaluation of nutritional status is crucial to identify the risk of malnutrition or an existent malnutrition. Objective: To...

ver descrição completa

Autor principal: MENDONÇA, Thalita Luana do Nascimento
Outros Autores: SILVA, Thalyta Mayara Andrade
Grau: Trabalho de Conclusão de Curso - Graduação
Publicado em: 2023
Assuntos:
Acesso em linha: https://bdm.ufpa.br:8443/jspui/handle/prefix/5481
Resumo:
Introduction: Patients with cancer in the digestive tract present changes in their nutritional status which can lead to multiple degrees of malnutrition. The evaluation of nutritional status is crucial to identify the risk of malnutrition or an existent malnutrition. Objective: To characterize the clinical, anthropometric and dietary profile of patients with cancer in the digestive tract admitted to a University Hospital in Belém, PA. Methods: This is a descriptive, cross­sectional and prospective study with analytical quality, conducted at Hospital Universitário João de Barros Barreto (HUJBB), from july 2018 to march 2020, in Belém/PA. The sample consisted in adults and elderly patients of both sexes diagnosed with cancer in the digestive system and attached glands. Results: 59 patients with digestive tract cancer were included, about 50.8% were male and 49.2% female, 96.6% were former smokers and 76.3% were former alcoholics. The main gastrointestinal symptoms presented were constipation about 36%, vomiting with 22.3%, diarrhea and abdominal pain both with 18.6%. In swallowing disorders, odynophagia and dysphagia were manifested for 28.8% and 27.1%, respectively. From neurological disoders, headache by 20.3% of the patients and motor weakness by about 17% were the most frequent symptoms. The most frequent type of cancer was stomach cancer, 57.6%, followed by intestine, 16.9%, and esophagus, 10.2%. Most of the adults, 61.8%, were classified as eutrophic in terms of BMI, while the elderly, 60%, were malnourished. Of the 59 patients, 62.7% were malnourished (light, moderate or severe) in terms of brachial circumference. From 25 elderly, 56% presented loss of muscular mass based on calf circumference. About food habits, there was an increase on the consumption of carcinogenic food. Conclusion: The malnutrition proved to be prevalent in these patients, mainly in elderly. The presence of symptoms and food inappetence were associated with antineoplastic treatment. It was also observed a high consumption of food promoters at the expense of food protectors.