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http://dx.doi.org/10.4040/jkan.2012.42.6.799

Effects of Individualized Nutritional Education Programs on the Level of Nutrient Intake and Nutritional Status of Colorectal Cancer Patients Undergoing Palliative Chemotherapy  

Park, Kwi Ock (Center for Cancer Education and Information, Seoul National University Hospital)
ChoiKwon, Smi (College of Nursing, Seoul National University, The Research Institute of Nursing Science)
Publication Information
Journal of Korean Academy of Nursing / v.42, no.6, 2012 , pp. 799-809 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the effects of an individualized nutritional education programs on nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy. Methods: Forty patients with colorectal cancer (19 experimental and 21 control patients) were recruited from a chemotherapy ward at S University Hospital in Seoul, Korea. The experimental group received two individualized nutritional counseling sessions and two telephone counseling sessions over 6 weeks. The control group received nutritional counseling after completion of data collection. Nutritional education included general guidelines for food intake while receiving chemotherapy, dietary guidelines for patients with colorectal cancer, daily meal schedules to overcome cancer, and dietary guideline for each chemotherapy side effect. Data were analyzed using ${\chi}^2$-test and t-test with the SPSS program 17.0. Results: Two group comparison revealed that the experimental group had significantly improved calorie (p=.038) and total protein intake (p=.001), and serum albumin percentage change (p=.040). Body weight did not increase but remained the same as the baseline in both groups. Conclusion: Study results indicate that this individualized nutritional education programs are effective in enhancing nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy.
Keywords
Nutritional status; Dietary records; Nutritional assessment; Colorectal cancer;
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1 Cho, G., Paik, H. Y., Park, M. S., & Lee, E. K. (2000). Effects of nutrition counseling on diet and nutritional status of cancer patients on radiotherapy. The Korean Journal of Nutrition, 33, 193-201.
2 Choi, J. H., Lim, E. Y., Kwon, Y. H., Park, S. Y., Choi, Y. H., & Lee, Y. M. (2008). Dish doctor for colon cancer patient. Seoul: Daga.
3 Do, M. H., Lee, S. S., Jung, P. J., & Lee, M. H. (2004). The effect of individual nutrition counseling on diet and nutrition status of postoperative breast cancer patients. The Korean Journal of Nutrition, 37, 557-565.
4 Finley, R. S., & Balmer, C. (1998). Concepts in oncology therapeutics (2nd ed.). Bethesda, MD: ASHP Publications Production Center.
5 Jun, M. H., Kim, M. J., Choi, K. S., & Kim, D. H. (2002). The effect factors of quality of life on patients undergoing chemotherapy after stomach cancer surgery. Journal of Korean Oncology Nursing, 2, 83-93.
6 Kim, A. S., Lee, E. S., & Kim, S. H. (2007). Effects of telephone intervention as supportive nursing on self-care practices and quality of life for gynecological cancer patients under chemotherapy. Journal of Korean Academy Nursing, 37, 744-753.   DOI
7 Kim, I. K. (2009). The use of the functional food in elderly patients with digestive tract cancer. Unpublished master's thesis, Ewha Womans University, Seoul.
8 Kim, P. J. (2008). Sumptuous feast for cancer treatment. Seoul: Woonjin Living House.
9 Kim, Y. H. (2000). Clinical nutritional guideline for health care providers. Seoul: Asan Medical Center Nutrition Team.
10 Kim, Y. S. (2010). Presentation of good sales practice from analysis of the distribution structures of health functional foods market. Chungwon-gun: Korea Food & Drug Administration.
11 Korea National Statistical Office. (2010). Death and the cause of death statistics. Daejeon: Author.
12 Korea Society for the Study of Obesity. (2009). Diagnosis of obesity. Seoul: Author.
13 Korean Nutrition Society. (2010). Korea dietary reference intakes for Koreans. Seoul: Author.
14 Lee, G. S. (2006, July 12). Two out of every 10 cancer patents, "death by malnutrition". Retrieved March 29, 2012, from http://media.daum.net/culture/others/view.html?cateid=1026&newsid=20060712181515675&p=kukminilbo
15 Malone, P. E. (2007). Implementation of a prechemotherapy educational intervention. Clinical Journal of Oncology Nursing, 11, 707-710. http://dx.doi.org/doi:10.1188/07.CJON.707-710   DOI
16 National Cancer Institute. (2007). Chemotherapy and you. Bethesda, MD: Author.
17 Nitenberg, G., & Raynard, B. (2000). Nutritional support of the cancer patient: Issues and dilemmas. Critical Reviews in Oncology/Hematology, 34(3), 137-168. http://dx.doi.org/doi:10.1016/S1040-8428(00)00048-2   DOI
18 Noh, E. J., Seo, S. M., Kim, S. K., & Kim, Y. S. (1999). A study for dietary factors related in colon cancer occur. Nutrition Research and Practice: Spring-Autumn Conference, 1999, 654-655.
19 Oh, B. J. (2005). General oncology nursing. Seoul: Shin-kwang Press.
20 Ottery, F. D. (1996). Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition, 12(Suppl 1), s15-s19.   DOI
21 Senesse, P., Assenat, E., Schneider, S., Chargari, C., Magne, N., Azria, D., et al. (2008). Nutritional support during oncologic treatment of patients with gastrointestinal cancer: Who could benefit? Cancer Treatment Reviews, 34, 568-575. http://dx.doi.org/10.1016/j.ctrv.2008.03.003   DOI
22 Ovesen, L., Allingstrup, L., Hannibal, J., Mortensen, E. L., & Hansen, O. P. (1993). Effect of dietary counseling on food intake, body weight, response rate, survival and quality of life in cancer patients undergoing chemotherapy: A prospective, randomized study. Journal of Clinical Oncology, 11, 2043-2049.   DOI
23 Park, J. H. (2009). Recent advances of palliative chemotherapy in advanced colorectal cancer. The Korean Journal of Medicine, 77, 18-25.
24 Perron, M., & Endres, J. (1985). Knowledge, attitudes, and dietary practices of female athletes. Journal of American Dietetic Association, 85, 573-576.
25 Seoul National University Hospital. (2008). The chemotherapy for cancer patients: please check it out. Seoul: Author.
26 Shim, Y. M. (2003). A study on nutrition in elderly hemodialysis patients. Unpublished master's thesis, Seoul National University, Seoul.
27 Wie, K. A. (2005). Prevalence and risk factors of malnutrition according to tumor location and stage in cancer patients. Unpublished master's thesis, Seoul National University, Seoul.
28 Yang, Y. H. (1997). The comparison of the perceived needs between patients with cancer, their caregivers, and nurses according to the cancer patient's phases of illness. Journal of Korean Academy of Nursing, 27, 787-795.
29 Yang, Y. H., & Lee, D. S. (2000). The relationship of anorexia, nausea, vomiting, oral intake and nutritional status in patients receiving chemotherapy. Journal of Korean Academy of Nursing, 30, 720-730.   DOI