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간경변증 환자의 식이이행과 영양상태 및 질병상태와의 관계

Relationships among Dietary Compliance, Nutritional Status and Stages of Disease in Patients with Liver Cirrhosis

  • 투고 : 2015.11.12
  • 심사 : 2015.12.03
  • 발행 : 2015.12.31

초록

Purpose: The purpose of this study was to investigate the degree of dietary compliance, nutritional status, and stages of disease in patients with liver cirrhosis and to identify the relationships among those variables. Methods: This study used a cross-sectional design and conducted a survey of 100 patients who were treated at D-university hospital in Busan. For data analysis, descriptive statistics and Pearson's correlation coefficients were performed using SPSS/WINdow 20.0 program. Results: The mean score of dietary compliance was 3.50 in the a 5-point scale. Stage of disease was significantly correlated with dietary compliance (r=.20, p=.048), and protein as one of nutritional status (r=-.44, p<.001). Conclusion: These findings suggest that dietary compliance of patients with liver cirrhosis can have an influence on prognosis of disease. Therefore, patients should be encouraged to improve dietary compliance from the early stage of liver cirrhosis.

키워드

참고문헌

  1. Biecker, E. (2011). Diagnosis and therapy of ascites in liver cirrhosis. World Journal of Gastroenterology, 17(10), 1237-1248. http://dx.doi.org/10.3748/wjg.v17.i10.1237
  2. Byun, J. W., Kang, M. S., Yoon, C. O., Park, G. T., Lee, O. Y., Yoon, B. C., et al. (2001). Assessment of malnutrition in patients with liver cirrhosis. Korean Journal of Medicine, 61(4), 384-390.
  3. Child, C. G. (1964). The liver and portal hypertension, Philadelphia: Saunders.
  4. Chung, J. M. (2002). Management of the patients with liver cirrhosis. Inje Medical Journal, 23(2), 91-98.
  5. Durand, F., & Valla, D. (2008). Assessment of prognosis of cirrhosis. Seminars in Liver Disease, 28(1), 110-122. http://dx.doi.org/10.1055/s-2008-1040325.
  6. Han, G. H., & Lee, J. H. (2002). Nutritional management of liver cirrhosis. Clinical and Molecular Hepatology, 8(1s), 42-47.
  7. Han, J. Y., Jeon, J. Y., Lee, J. H., Park, Y. S., Jeong, J. Y., Lee, G. S., et al. (2002). Comparison of random urine Na/K ratio with 24 hour urine sodium in the management of liver cirrhosis patients with ascites. Clinical and Molecular Hepatology, 8(2), 37
  8. Hansen, L., Sasaki, A., & Zucker, B. (2010). End-stage liver disease: Challenges and practice implications. Nursing Clinics of North America, 45(3), 411-426. http://dx.doi.org/10.1016/j.cnur.2010.03.005.
  9. Huisman. E. J., Trip. E. J., Siersema. P. D., Hoek. B., & Erpecum. K. J. (2011). Protein energy malnutrition predicts complications in liver cirrhosis. European Journal of Gastroenterology and Hepatology, 23(11), 982-989. https://doi.org/10.1097/MEG.0b013e32834aa4bb
  10. Iwasa, M., Iwata, K., Hara, N., Hattori, A., Ishidome, M., Sekoguchi-Fujikawa, N., et al. (2013). Nutrition therapy using a multidisciplinary team improves survival rates in patients with liver cirrhosis. Nutrition, 29(11), 1418-1421. http://dx.doi.org/10.1016/j.nut.2013.05.016.
  11. Jung, K. S., & Min, H. S. (2007). The relations among self-care, symptom experiences, and disease status of the patient with liver cirrhosis. Journal of Korean Academic Society of Adult Nursing, 19(2), 318-328.
  12. Kim, N. Y. (2003). The influence of family support on self-care and disease status of the patient with liver cirrhosis. Unpublished master's thesis, Ewha Womans University, Seoul.
  13. Kim, N. Y. (2013). Effects of the low-salt diet program for ascites management in patients with liver cirrhosis. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  14. Kim, S. H. (1989). A study on the relationship between the family support perceived by the patient, knowledge of hepatitis and compliance in B hepatitis patients. Unpublished master's thesis, Yonsei University, Seoul.
  15. Kim, Y. G. (2004). Nursing & nutrition. Seoul: Hyunmoonsa.
  16. Koo, B. K., Chung, J. M., & Lee, H. S. (1999). Biochemical evaluation of nutritional status of protein and lipid in patients with alcoholic liver disease. Journal of the Korean Society of Food Science and Nutrition, 27(6), 1236-1243.
  17. Korean Association for the Study of the Liver. (2011, December 01). Medical Guidelines: 2011 Clinical Practice Guideline. Retrieved October 19, 2015, from http://www.kasl.org/bbs/idex.html?code=guide&page=1&number=48&mode=view
  18. Lee, J. H., Chae, J. S., & Han, K. H. (2005). Nutritional assessment and management in liver cirrhosis. Clinical and Molecular Hepatology, 11(2), 97-105.
  19. Moore, K. P., & Aithal, G. P. (2006). Guidelines on the management of ascites in cirrhosis. Gut, 55(6), 1-12. http://dx.doi.org/10.1136/gut.2006.099580
  20. Park, G. O. (2010). Effects of structured education and telephone consultation on knowledge of disease and self-care performance for liver cirrhosis patient. Unpublished master's thesis, Gachon University, Incheon.
  21. Park, J. E., Lee, C. H., Kim, B. S., & Shin, I. H. (2010). Diagnostic usefulness of the random urine Na/K ratio in cirrhotic patients with ascites: A pilot study. Clinical and Molecular Hepatology, 16(1), 66-74. https://doi.org/10.3350/kjhep.2010.16.1.66
  22. Rudd, P., Tul, V., Brown, K., Davidson, S. M., & Bostwick, G. J. (1979). Hypertension continuation adherence: Natural history and role as an indicator condition. Archives of Internal Medicine, 139(5), 545-549. https://doi.org/10.1001/archinte.1979.03630420035013
  23. Statistics Korea. (2015, June 02). Korea Welfare Panel: The main name of disease. Retrieved November 02, 2015. from http://kostat.go.kr/portal/korea/kor_ko/5/2/indexboard?bmode=read&aSeq=348646
  24. Unuma, T. (1986). Diagnosis of liver cirrhosis and determination of its severity. Kango Gijutsu, 32(11), 1337-1340.
  25. Yamanaka-Okumura, H., Nakamura, T., Takeuchi, H., Miyake, H., Katayama, T., Arai, H., et al. (2006). Effect of late evening snack with rice ball on energy metabolism in liver cirrhosis. European Journal of Clinical Nutrition, 60(9), 1067-1072. http://dx.doi.org/10.1038/sj.ejcn.1602420

피인용 문헌

  1. Factors influencing Dietary Compliance in Patients with Liver Cirrhosis vol.23, pp.3, 2016, https://doi.org/10.5953/JMJH.2016.23.3.179
  2. Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status vol.25, pp.3, 2018, https://doi.org/10.7739/jkafn.2018.25.3.165