Browse > Article
http://dx.doi.org/10.5720/kjcn.2018.23.2.162

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

Jung, YoonHee (Department of Food and Nutrition, Chosun University)
Lee, Joomin (Department of Food and Nutrition, Chosun University)
Publication Information
Korean Journal of Community Nutrition / v.23, no.2, 2018 , pp. 162-173 More about this Journal
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;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Marin Caro MM, Laviano A, Pichard C. Nutrition intervention and quality of life in adult oncology patients. Clin Nutr 2007; 26(3): 289-301.   DOI
2 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.   DOI
3 Snetselaar LG. Nutrition counseling skills. Clin Nutr Insight 1990; 16(7): 6.
4 Holli BB. Using behavior modification in nutrition counseling. J Am Diet Assoc 1988; 88(12): 1530-1536.
5 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.
6 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.
7 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.
8 Park YH. Relationship between dietary life and nutrition counseling in gastric cancer patients after gastrectomy [master's thesis]. Yeungnam University; 2009.
9 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.
10 Statistics Korea. Cause of death statistics press release in 2016 [Internet]. Statistics Korea; 2017 [cited 2017 Sep 22]. Available from: http://kostat.go.kr/.
11 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/.
12 Jeong JS. A literature review study on the correlation between stomach cancer and dietary factors. Korean J Epidemiol 1986; 8(2): 233-248.
13 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.
14 Bae JM. Nutritional consequences and management after gastrectomy. Hanyang Med Rev 2011; 31(4): 254-260.   DOI
15 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.
16 Olbe L, Lundell L. Intestinal function after total gastrectomy and possible consequences of gastric replacement. World J Surg 1987; 11(6): 713-719.   DOI
17 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.   DOI
18 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.   DOI
19 Rogers C. Postgastrectomy nutrition. Nutr Clin Pract 2011; 26(2): 126-136.   DOI
20 Vanamee P. Nutrition after gastric resection. J Am Med Assoc 1960; 172(18): 2072-2076.   DOI
21 Slone DS. Nutritional support of the critically ill and injured patient. Critl Care Clin 2004; 20(1): 135-157.   DOI
22 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.
23 Cho SH, Kim BS, Kim YH, Lee CH, Yook JH, Oh ST et al. Clinical analysis of post-operative complications in gastric tumors. J Korean Surg Soc 2001; 61(5): 498-503.
24 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.
25 Kim DW, Kim YJ, Kim JM, Cho KS, Kim HS, Lee MS et al. Long term impact of laparoscopic assisted distal gastrectomy on quality of life. J Korea Gastric Cancer Assoc 2007; 7(4): 213-218.   DOI
26 Lee HS, Park JH, Choi H, Kim JH, Min LK, Lee SI et al. 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 Korea Gastric Cancer Assoc 2005; 5(3): 152-157.   DOI
27 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.
28 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.
29 Adam JF. The clinical metabolic consequences of total gastrectomy. Scandinavian J Gastroenterol 1967; 2(2): 137-149.   DOI
30 Ahn SM, Yoon KY, Kim ES, Kang WG, Ryu DW, Kim TH et al. Initial nutritional status of stomach cancer patients. J Korean Diet Assoc 2002; 8(3): 217-226.
31 Guren MG, Dueland S, Skovlund E, Fossa SD, Poulsen JP, Tveit KM. Quality of life during radiotherapy for rectal cancer. European J Cancer 2003; 39(5): 587-594.   DOI
32 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.   DOI
33 Suh YO. Predictors of quality of life in women with breast cancer. J Korean Acad Nurs 2007; 37(4): 459-466.   DOI
34 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.   DOI
35 Min JA, Yoon SJ, Lee CU, Chae JH, Lee C, Song KY et al. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer 2013; 21(9): 2469-2476.   DOI
36 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.
37 Kim TY. Lifestyle modification for cancer prevention. Korean J Med 2003; 65(1): 136-141.
38 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.
39 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.   DOI
40 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.   DOI
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 Korea Acad Nurs 2008; 38(5): 649-655.   DOI