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Qualitative Study of Compliance with Nutritional Management in Colorectal Cancer Patient Undergoing Chemotherapy
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Research Article
Qualitative Study of Compliance with Nutritional Management in Colorectal Cancer Patient Undergoing Chemotherapy
Heejung Park, Hyonson Kil, Wookyoun Cho
Korean Journal of Community Nutrition 2020;25(4):303-316.
DOI: https://doi.org/10.5720/kjcn.2020.25.4.303
Published online: August 31, 2020
1Professor, Department of Food & Nutrition, Yuhan University, Buchoen, Korea
2Graduate student, Department of Clinical Nutrition, Gachon University Graduate School of Professional Therapy, Seongnam, Korea
3Professor, Department of Food & Nutrition, Gachon University, Seongnam, Korea
Corresponding author:  Wookyoun Cho,
Email: wkcho@gachon.ac.kr
Received: 17 July 2020   • Revised: 21 August 2020   • Accepted: 22 August 2020
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Abstract


Objective
The nutritional status of cancer patients undergoing chemotherapy is closely related to the compliance of nutrition education. However, as chemotherapy is conducted repeatedly, compliance with nutrition management is lowered, leading to malnutrition. Malnutrition is related directly to the quality of life after surgery in cancer patients. Therefore, this study examined the factors related to compliance with nutrition management during chemotherapy.
Methods
In this study, five subjects with colorectal cancer undergoing adjuvant chemotherapy were interviewed in-depth using the Giorgi study method. The contents of the nutrition education visits and in-depth interviews were transcribed in the language of the subject after recording, and the appropriateness of the data was improved by reflecting the subject’s actions and facial expressions.
Results
After conducting the in-depth interviews for each subject, the experience of the subject’s diet and adjuvant chemotherapy was drawn into two domains, six elements, and 26 sub-elements. In the cognitive domain, the patients experienced physical and psychological changes, and the need for nutrition management was recognized by analyzing the dietary causes of the diseases. In the domain of practice, a knowing-doing gap was formed, unlike the patient’s will. Factors that inhibited compliance with nutritional management included digestive problems, sensory changes, loss of appetite, and social interaction stress.
Conclusions
Dietary management is very important for patients receiving periodic anticancer therapy, and step-by-step training and personal monitoring based on the chemotherapy order is necessary to maintain the patient’s will and social and environmental support.


Korean J Community Nutr. 2020 Aug;25(4):303-316. Korean.
Published online Aug 31, 2020.
https://doi.org/10.5720/kjcn.2020.25.4.303
Copyright © 2020 The Korean Society of Community Nutrition
Original Article

Qualitative Study of Compliance with Nutritional Management in Colorectal Cancer Patient Undergoing Chemotherapy

Heejung Park,1 Hyonson Kil,2 and Wookyoun Cho3
    • 1Professor, Department of Food & Nutrition, Yuhan University, Buchoen, Korea.
    • 2Graduate student, Department of Clinical Nutrition, Gachon University Graduate School of Professional Therapy, Seongnam, Korea.
    • 3Professor, Department of Food & Nutrition, Gachon University, Seongnam, Korea.
  • Corresponding author: Wookyoun Cho. Department of Food & Nutrition, Gachon University, 1342 Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do 13120, Korea. Tel: (031) 750-5972, Fax: (031) 750-5974, Email: wkcho@gachon.ac.kr
Received July 17, 2020; Revised August 21, 2020; Accepted August 22, 2020.

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.

Abstract

Objectives

The nutritional status of cancer patients undergoing chemotherapy is closely related to the compliance of nutrition education. However, as chemotherapy is conducted repeatedly, compliance with nutrition management is lowered, leading to malnutrition. Malnutrition is related directly to the quality of life after surgery in cancer patients. Therefore, this study examined the factors related to compliance with nutrition management during chemotherapy.

Methods

In this study, five subjects with colorectal cancer undergoing adjuvant chemotherapy were interviewed in-depth using the Giorgi study method. The contents of the nutrition education visits and in-depth interviews were transcribed in the language of the subject after recording, and the appropriateness of the data was improved by reflecting the subject's actions and facial expressions.

Results

After conducting the in-depth interviews for each subject, the experience of the subject's diet and adjuvant chemotherapy was drawn into two domains, six elements, and 26 sub-elements. In the cognitive domain, the patients experienced physical and psychological changes, and the need for nutrition management was recognized by analyzing the dietary causes of the diseases. In the domain of practice, a knowing-doing gap was formed, unlike the patient's will. Factors that inhibited compliance with nutritional management included digestive problems, sensory changes, loss of appetite, and social interaction stress.

Conclusions

Dietary management is very important for patients receiving periodic anticancer therapy, and step-by-step training and personal monitoring based on the chemotherapy order is necessary to maintain the patient's will and social and environmental support.

Keywords
colorectal cancer; chemotherapy; Giorgi phenomenology; dietary education compliance

Tables

Table 1
List of questions

Table 2
Participants' characteristics

Table 3
Experience of colorectal patients with chemotherapy related to dietary management

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    Citations to this article as recorded by  Crossref logo
    • Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery
      Jina Son, Ha I Kang, Eun young Jung, Hae won Ryu, Kyung-Ha Lee
      Clinical Nutrition Research.2023; 12(2): 99.     CrossRef

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