• 沒有找到結果。

第六章 結論與建議

第三節 建議

目前國內於門診追蹤之口腔癌、鼻咽癌患者,醫護人員所觀察到之營養狀 態大多是以患者體重變化作為依據,較少合併使用如迷你營養評估量表

(MNA)、進食困難量表(CSI)等量表,如能推廣於門診使用此類型量表,能 更加將患者營養問題客觀化、數值化,不僅提昇使患者對於自身營養情形之理 解,同時也能增加醫護人員對患者營養狀態之警覺性,當患者經評估後有進食 困難之問題出現,便能及早判斷是否需復健師或其他專業人員介入治療。

二、護理教育

護理教育之中,現對於頭頸癌患者之症狀、營養等相關議題之衛教,主要 仍有口頭衛教為主,合併使用衛教單張,鮮少使用問卷於臨床照護上。若能於 護理教育期間及推廣使用量表之評估,能提升未來護理之專業程度以及患者問 題之客觀性,並更能夠較精確的找出患者所面臨之問題,而非僅僅只是營養不 良需補充營養而已。

三、護理研究

本研究除了提供未來研究之參考與比較外,也可建議未來國內可著手於追 蹤門診口腔癌與鼻咽癌患者之營養狀況,甚至更進一步的於患者剛接受完治療 時,即可衛教患者評估自身營養狀態,並觀察自我評估是否具有降低患者營養 不良風險之效益,以改善患者整體營養不良之比例。

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