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| K-A-P analysis of nutritional oncology of Chinese cancer patients |
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Abstract Abstract: Objective A nationwide survey was conducted to investigate the situation of knowledge-attitude-practice (KAP) towards nutrition among cancer patients, and to provide scientific evidences for the further implementation of nutrition education and
nutritional intervention on cancer patients. Methods A multi-center, prospective, observational study was preformed from December
2012 to May 2013. 1682 cancer patients were collected by convenience sampling method and investigated by using questionnaire.
Results In total, the average of nutrition knowledge was 72.7 with the standard deviation (SD) of 28.70, the pass rate of 74.49% and
the excellent rate of 56.24%. The average of nutrition attitude was 84.3 with the standard deviation (SD) of 20.40, the pass rate of
90.31% and the excellent rate of 74.97%. And the average of nutrition practice was 72.7 with the standard deviation (SD) of 19.18,
the pass rate of 81.75% and the excellent rate of 50.30%. The correlation coefficient between K scores and A scores was 0.5109 with
the p value less than 0.0001, and the correlation coefficient between K scores and the P scores was 0.2643 with the p value less than
0.0001, which means there are correlations between the K scores and A scores, the K scores and the P scores. There is no difference
for the K scores and the A scores in SEX group (P>0.05), but the P scores in male group are higher than the female group (P<0.05).
There is no difference for the pass rate of the K-A-P scores in SEX group (P>0.05). There is no difference for the excellent rate of
the K scores and the A scores (P>0.05), but the excellent rate of P scores in male group are higher than Female group (P<0.05). Compared in different Age group, there is difference between the K scores and P scores (P< 0.05), and the group with age between 45
and 60 has the highest score. There is no significant difference for the A scores (P>0.05). There is difference for the pass rate of the
K scores and A scores (P<0.05), the group with age older than 60 has the highest rate. There is no difference for the pass rate of the
P scores. And there is no difference for the excellent rate of the K-A-P scores in different age group (P>0.05). There is difference for
the K-A-P scores in different patients group with different degree, also for the pass rate and the excellent rate (P<0.05). The higher degree group is superior than the lower degree group. There is no different for the K-P scores, the pass rate, and the excellent rate in
patients with different sick period. But there is difference for the A scores, the pass rate and the excellent rate, the group with shorter
time is higher than the longer group. There is no difference for the K scores, the pass rate and the excellent rate in patients with different tumor locations (P>0.05). There is difference for the A-P scores and the excellent rate, the patients with digestive system tumors has the highest scores and the excellent rate. There is no difference for the pass rate of the A scores and P scores. The nutritional
knowledge of patients were majorly from TV (56.48%), the doctor (54.40%), and books (43.46%). It’s not popular for the nutritional
knowledge from magazines (25.51%), nutritionist (10.17%) and other sources (3.57%). Conclusions The cancer patients in our
country have a positive attitude for the tumor treatment, but there nutritional knowledge and practice need be improved, the nutritional training is necessary.
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2015, Vol. 2 
