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Effect of Nutrition Education on the Eating Habits and Quality of Life of Gastric Cancer Outpatients Undergoing Gastrectomy


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Effect of Nutrition Education on the Eating Habits and Quality of Life of Gastric Cancer Outpatients Undergoing Gastrectomy

Article information

Korean J Community Nutr. 2018;23(2):162-173
Publication date (electronic) : 2018 April 30
doi : https://doi.org/10.5720/kjcn.2018.23.2.162
YoonHee Jung, Joomin Leeorcid_icon
Department of Food and Nutrition, Chosun University, Gwangju 61452, Korea.
Corresponding author: Joomin Lee. Department of Food and Nutrition, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Korea. Tel: (062) 230-7722, Fax: (062) 225-7726, joominlee@chosun.ac.kr
Received 2018 March 23; Revised 2018 April 17; Accepted 2018 April 17.

Abstract

Objectives

This study examined the effects of nutrition education on the nutritional status, including eating habits and quality of life in gastric cancer patients undergoing a gastrectomy.

Methods

Thirty one out-gastric resection patients at C University Hospital in Gwangju, Korea were enrolled in this study. The patients received an individualized nutritional counseling session, and the effects were assessed before and after a 3-month nutrition education intervention. Nutrition education for gastric cancer outpatients included the dietary guidelines (e.g., food intake), the level of nutrient intake, and nutrition support.

Results

The patients had significantly improved serum albumin and hematocrit levels after nutrition education. Of the dietary habits, the meal time and amount of food compared to the first education were increased significantly. Of the changes in the food intake frequency, fish and meat, and vegetables and fruits intake were increased, but not at a statistically significant level. The score of eating habits related to the gastrectomy was improved significantly after nutrition education from 31.7 to 34.5. The composite scores for the quality of life were also improved significantly after the nutrition education program.

Conclusions

The nutrition education for gastric cancer outpatients may be crucial and efficient for improving their lifestyle.

Keywords: gastric cancer; eating habits; food intake frequency; quality of life; nutrition education

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Article information Continued

Copyright © 2018 The Korean Society of Community Nutrition
The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Table 1

Contents of nutrition education

Table 1

Table 2

General characteristics of the study subjects

Table 2

Chi-square test

T-test

1) N (%)

2) Mean ± SD

Table 3

Changes in %IBW status of the study subjects

Table 3

Chi-square test

1) N (%)

Table 4

Changes in blood test of the study subjects

Table 4

Paired t-test

1) Mean ± SD

2) Difference between Post-edu and Pre-edu score

Table 5

Changes in eating habits of the study subjects

Table 5

Paired t-test

1) Mean ± SD

2) Difference between Post-edu and Pre-edu score

Each item : min 1 point – max 5 point

Sum range : 6 – 30 point

Table 6

Changes in food intake frequency of the study subjects

Table 6

Paired t-test

1) Mean ± SD

2) Difference between Post-edu and Pre-edu score

Each item : min 1 point – max 5 point

Sum range : 7 – 35 point

Table 7

Changes in eating habits related to gastrectomy of the study subjects

Table 7

Paired t-test

1) Mean ± SD

2) Difference between Post-edu and Pre-edu score

Each item : min 1 point – max 5 point

Sum range : 10 – 50 point

Table 8

Changes in quality of life of the study subjects

Table 8

Paired t-test

1) Mean ± SD

2) Difference between Post-edu and Pre-edu score

Item 1 – 28 : min 1 point – max 4 point, Item 29 – 30 : min 1 point – max 7 point

Sum range : 0 – 100 point