동종 조혈모세포 이식 전후 영양상태 평가

• Published in: Asian oncology nursing Vol. 12; no. 1; pp. 110 - 116
• Main Authors: 박미영(Park, Mi Young), 박정윤(Park, Jeong Yun)
• Format: Journal Article
• Language: Korean
• Published: 대한종양간호학회 2012
• Subjects: 간호학; Hematopoietic Stem Cell Transplantation; 영양 상태; 동종 조혈모세포 이식; Nutritional Status; PG-SGA 도구; PG-SGA Tool; PG-SGA
• ISSN: 2287-2434; 2287-447X

Purpose: This study was performed to identify the pre-and post-transplant nutritional assessment for patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). Methods: The subjects of this study were 25 patients undergoing allogeneic HSCT. The data collection was performed from January 31st to March 31st, 2011. The Patient-Generated Subjective Global Assessment (PG-SGA), anthropometrics and biochemical test were collected from the time they entered the isolation unit until they left. Results: Pre-transplant nutritional assessment status indicated moderate malnutrition which scored $7.32{\pm}1.68$ in PG-SGA. There were 22 patients (88.0%) with moderate malnutrition and 3 patients (12.0%) with severe malnutrition. Post-transplant nutritional assessment indicated severe malnutrition status which scored $11.92{\pm}3.26$ in PG-SGA. Pre-and post-transplant nutritional assessment displayed significant differences (p<.001) in PG-SGA score. Hematopoietic stem cell transplantation led to a deterioration of patients' nutritional status. Pre-transplant patients were already in malnutrition status and patients undergoing allogeneic HSCT were at risk for malnutrition. Conclusion: Pre-and post-transplant patients were categorized as having undernutritional and malnutritional status. Pre-transplant nutrition status impacted on post-transplant nutritional status. Health care personnel should pay attention to patient's nutrition status when undergoing allogeneic HSCT with appropriate nutritional assessment tools.