Oral nutritional supplement compliance among hospitalized cancer patients: a cross-sectional study based on the KAP model #MMPMID41348178
Ye JD; Yang Y-; Jin YW; Lv XY; Pang XZ; Zhu XY; Zhu L; Tung TH; Guo QY
Support Care Cancer 2025[Dec]; 34 (1): 9 PMID41348178show ga
PURPOSE: This study assessed compliance with oral nutritional supplements (ONS) among hospitalized patients with cancer, using the knowledge, attitudes, and practices (KAP) model to identify key determinants of compliance and examine how these factors were associated with patients' practice. METHODS: An online questionnaire was administered to 132 cancer patients at a tertiary hospital in Taizhou, China. During face-to-face interviews, participants completed a questionnaire included sociodemographic information, an ONS compliance assessment scale, and cancer-related variables. General Self-Efficacy Scale (GSES), EuroQol Five-Dimensional Scale (EQ-5D), and Perceived Social Support Scale (PSSS) were also used to evaluate self-efficacy, social support, and overall quality of life, respectively. Independent sample t-tests, one-way ANOVA, Pearson's correlation analyses, and multiple linear regression analyses were performed to assess ONS compliance and identify factors associated with patients' KAP. RESULTS: The study ultimately included 127 hospitalized cancer patients. The average scores for the KAP dimensions were 38.61 +/- 7.21 (knowledge), 25.36 +/- 3.48 (attitudes), and 38.39 +/- 6.22 (practices). Multiple linear regression analysis revealed that educational level, social support, patient satisfaction, attitudes towards ONS, and family financial burden were associated with knowledge. In addition, self-efficacy, knowledge, and family accompaniment during hospitalization were associated with positive attitudes. Adverse effects (beta = 2.85, P = 0.03), knowledge (beta = 0.24, P = 0.01), and social support (beta = 0.11, P = 0.01) were significantly associated with practices. CONCLUSION: This study revealed that compliance with ONS in hospitalized cancer patients was associated with social support, adverse effects, and knowledge. Nursing staff should tailor assessments to patients' and families' specific needs, offering personalized health education plans that align with patients' educational levels, enhance nutritional knowledge, strengthen social support, and improve self-efficacy and nutritional management.
Support+Care+Cancer 2025 ; 34 (1): 9
