tailieunhanh - báo cáo hóa học:" Functioning and health in patients with cancer on home-parenteral nutrition: a qualitative study"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí hóa học đề tài : Functioning and health in patients with cancer on home-parenteral nutrition: a qualitative study | Mueller et al. Health and Quality of Life Outcomes 2010 8 41 http content 8 1 41 I HEALTH AND QUALITY OF LIFE OUTCOMES RESEARCH Open Access Functioning and health in patients with cancer on home-parenteral nutrition a qualitative study Martin Mueller 1 2 Stefanie Lohmann1 2 Paul Thul3 Arved Weimann4 and Eva Grill 1 2 Abstract Background Malnutrition is a common problem in patients with cancer. One possible strategy to prevent malnutrition and further deterioration is to administer home-parenteral nutrition HPN . While the effect on survival is still not clear HPN presumably improves functioning and quality of life. Thus patients experiences concerning functioning and quality of life need to be considered when deciding on the provision of HPN. Currently used quality of life measures hardly reflect patients perspectives and experiences. The objective of our study was to investigate the perspectives of patients with cancer on their experience of functioning and health in relation to HPN in order to get an item pool to develop a comprehensive measure to assess the impact of HPN in this population. Methods We conducted a series of qualitative semi-structured interviews. The interviews were analysed to identify categories of the International Classification of Functioning Disability and Health ICF addressed by patients statements. Patients were consecutively included in the study until an additional patient did not yield any new information. Results We extracted 94 different ICF-categories from 16 interviews representing patient-relevant aspects of functioning and health 32 categories from the ICF component Body Functions 10 from Body Structures 32 from Activities Participation 18 from Environmental Factors . About 8 of the concepts derived from the interviews could not be linked to specific ICF categories because they were either too general disease-specific or pertained to Personal Factors . Patients referred to 22 different aspects of functioning .