YoonHee Jung; Joomin Lee

doi:10.5720/kjcn.2018.23.2.162

Articles

Page Path: HOME > Korean J Community Nutr > Volume 23(2); 2018 > Article

Research Article
Effect of Nutrition Education on the Eating Habits and Quality of Life of Gastric Cancer Outpatients Undergoing Gastrectomy: YoonHee Jung, Joomin Lee; Korean Journal of Community Nutrition 2018;23(2):162-173.
DOI: https://doi.org/10.5720/kjcn.2018.23.2.162
Published online: April 30, 2018

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: March 23, 2018 • Revised: April 17, 2018 • Accepted: April 17, 2018

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.

42 Views
3 Download

Full Article

Download PDF

Abstract
REFERENCES

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

REFERENCES

1. Statistics Korea. Cause of death statistics press release in 2016 [Internet]. Statistics Korea; 2017; cited 2017 Sep 22]. Available from: http://kostat.go.kr/.
2. National Cancer Information Center. Annual report of cancer statistics in Korea in 2014 [Internet]. National Cancer Information Center; 2017; cited 2017 Jun 9]. Available from: https://www.cancer.go.kr/.
3. Jeong JS. A literature review study on the correlation between stomach cancer and dietary factors. Korean J Epidemiol 1986; 8(2): 233-248.
4. Youm PY, Kim SH. A case-control study on dietary and other factors related to stomach cancer incidence. J Nutr Health 1998; 31(1): 62-71.
5. Bae JM. Nutritional consequences and management after gastrectomy. Hanyang Med Rev 2011; 31(4): 254-260.Article
6. Kim YJ, Yoo HJ, Kim JC, Han OS. Preoperative quality of life in rectal cancer patients. Korean J Clin Psychol 2003; 22(4): 743-762.
7. Haverkort EB, Binnekade JM, Busch ORC, Van Berge Henegouwen MI, De Haan RJ, Gouma DJ. Presence and persistence of nutrition-related symptoms during the first year following esophagectomy with gastric tube reconstruction in clinically disease-free patients. World J Surg 2010; 34(12): 2844-2852.Article PubMed PMC
8. Tack J, Arts J, Caenepeel P, Wulf DD, Bisschops R. Pathophysiology, diagnosis and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol 2009; 6(10): 583-590.Article PubMed PDF
9. Rogers C. Postgastrectomy nutrition. Nutr Clin Pract 2011; 26(2): 126-136.Article PubMed PDF
10. Olbe L, Lundell L. Intestinal function after total gastrectomy and possible consequences of gastric replacement. World J Surg 1987; 11(6): 713-719.Article PubMed PDF
11. Vanamee P. Nutrition after gastric resection. J Am Med Assoc 1960; 172(18): 2072-2076.Article PubMed
12. Slone DS. Nutritional support of the critically ill and injured patient. Crit Care Clin 2004; 20(1): 135-157.Article PubMed
13. Kim TH, Kim WG, Cho YY, Lee YH, Kim JP. A study of nutritional assessment and dietary intake after gastrectomy of gastric cancer patients. Korean J Nutr 1994; 27(8): 844-855.
14. Cho SH, Kim BS, Kim YH, Lee CH, Yook JH, Oh ST. Clinical analysis of post-operative complications in gastric tumors. J Korean Surg Soc 2001; 61(5): 498-503.
15. Jeong MJ, Kim CY, Kim SB. A study on nutritional status after gastrectomy of gastric cancer patients in Jeonbuk province. Korean J Community Nutr 2006; 11(6): 785-792.
16. Kim DW, Kim YJ, Kim JM, Cho KS, Kim HS, Lee MS. Long term impact of laparoscopic assisted distal gastrectomy on quality of life. J Korea Gastric Cancer Assoc 2007; 7(4): 213-218.Article PDF
17. Adam JF. The clinical metabolic consequences of total gastrectomy. Scand J Gastroenterol 1967; 2(2): 137-149.PubMed
18. Ahn SM, Yoon KY, Kim ES, Kang WG, Ryu DW, Kim TH. Initial nutritional status of stomach cancer patients. J Korean Diet Assoc 2002; 8(3): 217-226.
19. Lee HS, Park JH, Choi H, Kim JH, Min LK, Lee SI. Assessment of nutrition status and quality of life after curative resection in patients with upper gastric cancer: comparison of total gastrectomy and proximal gastrectomy. J Korean Gastric Cancer Assoc 2005; 5(3): 152-157.Article PDF
20. Guren MG, Dueland S, Skovlund E, Fossa SD, Poulsen JP, Tveit KM. Quality of life during radiotherapy for rectal cancer. Eur J Cancer 2003; 39(5): 587-594.Article PubMed
21. Maeda T, Onuoha FN, Munakata T. The effect of postoperative symptom experience, and personality and psychosocial factors on depression among postgastrectomy patients in Japan. Gastroenterol Nurs 2006; 29(6): 437-444.Article PubMed
22. Suh YO. Predictors of quality of life in women with breast cancer. J Korean Acad Nurs 2007; 37(4): 459-466.Article PDF
23. Lim HS, Cho GS, Park YH, Kim SK. Comparison of quality of life and nutritional status in gastric cancer patients undergoing gastrectomies. Clin Nutr Res 2015; 4(3): 153-159.Article PubMed PMC PDF
24. Min JA, Yoon SJ, Lee CU, Chae JH, Lee C, Song KY. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer 2013; 21(9): 2469-2476.Article PubMed PDF
25. Wittmann M, Vollmer T, Schweiger C, Hiddemann W. The relation between the experience of time and psychological distress in patients with hematological malignancies. Palliat Support Care 2006; 4(4): 357-363.Article PubMed
26. Kim JY, Park MS, Lee YH, Jo SJ, Yang HK. A study of dietary intakes and nutritional status after total gastrectomy of early gastric cancer patients. J Korean Diet Assoc 2001; 7(1): 72-79.
27. Persson CR, Johansson BBK, Sjoden P, Glimelius BLG. A randomized study of nutritional support in patients with colorectal and gastric cancer. Nutr Cancer 2002; 42(1): 48-58.Article PubMed
28. Marin Caro MM, Laviano A, Pichard C. Nutrition intervention and quality of life in adult oncology patients. Clin Nutr 2007; 26(3): 289-301.PubMed
29. Kim BK, Choi JY. Factors associated with early nutritional status after radical gastrectomy in patients with gastric cancer. Asian Oncol Nurs 2015; 15(4): 219-227.Article PDF
30. Snetselaar LG. Nutrition counseling skills. Clin Nutr Insight 1990; 16(7): 6.
31. Holli BB. Using behavior modification in nutrition counseling. J Am Diet Assoc 1988; 88(12): 1530-1536.Article PubMed
32. Kim MO, Kim UK, Cho EY. The effects of multimedia diet education on nutritional status in stomach neoplasms patient with gastrectomy. J Korean Clin Nurs Res 2008; 14(1): 45-59.
33. Kim JB, Seo KS, Cho MH. Quality of life after total gastrectomy in the gastric cancer patients. J Korean Cancer Assoc 1993; 25(2): 159-165.
34. Yu HJ, Yang HK, Kim JP. Comparison of nutritional status after subtotal gastrectomy according to reconstruction methods. Korea Cancer Assoc 1996; 28(4): 710-718.
35. Park YH. Relationship between dietary life and nutrition counseling in gastric cancer patients after gastrectomy [master's thesis]. Yeungnam University; 2009.
36. Kim HS. The effects of a patient-participated nutritional education on nutritional and functional status among patients with gastrectomy [master's thesis]. Seoul National University; 2011.
37. Seo BY, Jung HY, Yoo WS. Relation between body weight changes and prognosis in patients with gastric cancer. Korean J Gastroenterol 2000; 36(5): 607-613.
38. Bae JM, Park JW, Kim JP. Nutritional assessment and intestinal absorption studies on total gastrectomized gastric cancer patients. J Korean Surg Soc 1996; 50(4): 475-487.
39. Hong KY, Choi YJ, Yan WQ, Lim HS, Chyun JH. Study on the improvement of dietary life of cancer patients during treatment by nutrition counseling. Korean J Community Nutr 2016; 21(1): 93-101.Article PDF
40. Kim TY. Lifestyle modification for cancer prevention. Korean J Med 2003; 65(1): 136-141.
41. Bae JI, Song YM, Yoo JH. A hospital-based case-control study on the risk factors of stomach cancer. Korean J Fam Med 2001; 22(4): 539-547.
42. Yu EJ. Assessment of nutritional status for gastrectomy of gastric cancer patients [master's thesis]. Yonsei University; 2008.
43. Lee EO, Eom AY, Song RY, Chae YR, Paul L. Factors influencing quality of life in patients with gastrointestinal neoplasms. J Korean Acad Nurs 2008; 38(5): 649-655.Article PubMed

Table 1

Contents of nutrition education

Table 2

General characteristics of the study subjects

Chi-square test

T-test

1) N (%)

2) Mean ± SD

Table 3

Changes in %IBW status of the study subjects

Chi-square test

1) N (%)

Table 4

Changes in blood test of the study subjects

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

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

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

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

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

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

PubReader

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

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

Korean J Community Nutr. 2018;23(2):162-173. Published online April 30, 2018

DOI: https://doi.org/10.5720/kjcn.2018.23.2.162

XML Download

We recommend

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

Table 1

Contents of nutrition education

Table 2

General characteristics of the study subjects

Chi-square test

T-test

1) N (%)

2) Mean ± SD

Table 3

Changes in %IBW status of the study subjects

Chi-square test

1) N (%)

Table 4

Changes in blood test of the study subjects

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

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

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

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

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

Table 1 Contents of nutrition education

Table 2 General characteristics of the study subjects

Chi-square test

T-test

1) N (%)

2) Mean ± SD

Table 3 Changes in %IBW status of the study subjects

Chi-square test

1) N (%)

Table 4 Changes in blood test of the study subjects

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

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

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

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

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