Browse > Article
http://dx.doi.org/10.7586/jkbns.2021.23.1.11

Nutritional Intake and Postoperative Pulmonary Complications among Lung Cancer Patients who Underwent Pulmonary Resection  

Lee, Seon Hye (College of Nursing, Pusan National University)
Lee, Haejung (College of Nursing, Pusan National University)
Hyun, Sookyung (College of Nursing, Pusan National University)
Lee, Mi Soon (Department of Nursing, Changshin University)
Kim, Do Hyung (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital)
Kim, Yeong Dae (Department of Thoracic Surgery, Pusan National University Hospital)
Publication Information
Journal of Korean Biological Nursing Science / v.23, no.1, 2021 , pp. 11-21 More about this Journal
Abstract
Purpose: The aim of this study was to examine the nutritional intake status of the lung cancer patients who underwent pulmonary resection and to analyze the relationship between the status of the nutritional intake and the occurrence of postoperative pulmonary complications. Methods: This study was a secondary analysis to determine whether the changes in the nutritional intake after surgery were related to pulmonary complications. Data of a total of 89 patients were included in the analysis and the nutritional intake status was confirmed using a 24-hour dietary recall method. The data were analyzed by descriptive statistics, chi-square or Fisher's exact test, and ANOVA using the SPSS WIN 26.0 program and word clouds were generated using the R software program. Results: Overall, a decrease in the postoperative nutritional intake was observed in the patients who underwent pulmonary resection, except for the intake of fat. The pulmonary complications were identified to be associated with BMI and the presence of comorbidity. Twenty-three out of 74 patients with vitamin E levels below the Estimated Average Requirements developed pulmonary complications after surgery. Conclusion: Lung cancer patients who underwent pulmonary resection generally have difficulty in acquiring appropriate nutritional intake and need balanced nutritional management. Future investigations on the impact of increased vitamin E intake on postoperative pulmonary complications may provide better insight into the relationship between vitamin E intake and pulmonary complication among patients who underwent pulmonary resection.
Keywords
Lung Neoplasms; Postoperative Complications; Nutritional Status; Vitamin E;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 McAlister FA, Bertsch K, Man J, Bradley J, Jacka M. Incidence of and risk factors for pulmonary complications after nonthoracic surgery. American Journal of Respiratory and Critical Care Medicine. 2015;171(5):514-517. https://doi.org/10.1164/rccm.200408-1069OC   DOI
2 Jeon YJ, Choi YS, Lee KJ, Lee SH, Pyo H, Choi JY. Outcomes of pulmonary resection and mediastinal node dissection by video-assisted thoracoscopic surgery following neoadjuvant chemoradiation therapy for stage IIIA N2 nonsmall cell lung cancer. The Korean Journal of Thoracic and Cardiovascular Surgery. 2018;51(1):29-34. https://doi.org/10.5090/kjtcs.2018.51.1.29   DOI
3 Lim YJ, Lee HJ, Kim DH, Kim YD. Applying extended theory of planned behavior for lung cancer patients undergone pulmonary resection: effects on selfefficacy for exercise, physical activities, physical function, and quality of life. Journal of Korean Academy of Nursing. 2020;50(1):66-80. https://doi.org/10.4040/jkan.2020.50.1.66   DOI
4 Kim IA, Lee HJ. Effects of a progressive walking program on physical activity, exercise tolerance, recovery, and post-operative complications in patients with a lung resection. Journal of Korean Academy of Nursing. 2014;44(4):381-390. https://doi.org/10.4040/jkan.2014.44.4.381   DOI
5 Lee YJ, Koo HY, Cho IY, Jo MK, Kim KC, Eum YH, et al. Dietary patterns assessed by the diet quality index-international among cancer survivors compared with healthy control subjects: using the Korea National Health and Nutrition Examination surveys 2013-2015. Korean Journal of Family Practice. 2019;9(2):204-211. https://doi.org/10.21215/kjfp.2019.9.2.204   DOI
6 Jang JH, Min HS. The Mediating effects of nutritional status on the relationship between symptom experience and functional status in patients with chronic obstructive pulmonary disease. Journal of Muscle and Joint Health. 2018;25(2):112-121. https://doi.org/10.5953/JMJH.2018.25.2.112   DOI
7 Merli M, Giusto M, Gentili F, Novelli G, Ferretti G, Riggio O,. et al. Nutritional status: its influence on the outcome of patients undergoing liver transplantation. Liver International. 2019;30(2):208-214. https://doi.org/10.1111/j.1478-3231.2009.02135.x   DOI
8 Zhang L, Wang S, Che X, Li X. Vitamin D and lung cancer risk: a comprehensive review and meta-analysis. Cellular Physiology and Biochemistry. 2015; 36(1):299-305. https://doi.org/10.1159/000374072   DOI
9 Harter J, Orlandi SP, Gonzalez MC. Nutritional and functional factors as prognostic of surgical cancer patients. Supportive Care in Cancer. 2017;25(8):2525-2530. https://doi.org/10.1007/s00520-017-3661-4   DOI
10 The Korean Nutrition Society. 2015 Dietary reference intakes for Koreans [Internet]. Seoul: The Korean Nutrition Society; 2016[cited Apr 5, 2018]. Available from: http://www.kns.or.kr/FileRoom/FileRoom_view.asp?mode=mod&restring=%252FFileRoom%252FFileRoom.asp%253Fxsearch%253D0%253D%253Dxrow%253D10%253D%253DBoardID%253DKdr%253D%253Dpage%253D1&idx=79&page=1&BoardID=Kdr&xsearch=1&cn_search
11 Kim TH, Lee JS, Lee SW, Oh YM. Pulmonary complications after abdominal surgery in patients with mild-to-moderate chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease. 2016;11(1): 2785-2796. http://dx.doi.org/10.2147/COPD.S119372   DOI
12 Kim SY, Chung SJ. Validity of estimating sodium intake using a mobile phone application of 24-hour dietary recall with meal photos. Journal of Community Nutrition. 2020;25(4):317-328. https://doi.org/10.5720/kjcn.2020.25.4.317   DOI
13 Lee SA. Relationship between antioxidant vitamin intake and risk of chronic obstructive pulmonary disease: using community cohort data. Obstructive Lung Disease. 2016;4(2):100-106.
14 Huang J, Weinstein SJ, Yu K, Mannisto S, Albanes D. A prospective study of serum vitamin E and 28-year risk of lung cancer. Journal of the National Cancer Institute. 2020;112(2):191-199. https://doi.org/10.1093/jnci/djz077   DOI
15 Kim YR, Kim JM, Lee JE, Lim YS, Hwang JE. Nutritional assessment. Seoul: Power Book; 2019. p. 26-40.
16 Fiorelli A, Vicidomini G, Mazzella A, Messina G, Milione R, Di Crescenzo VG, et al. The influence of body mass index and weight loss on outcome of elderly patients undergoing lung cancer resection. The Thoracic and Cardiovascular Surgeon. 2014;62(07):578-587. https://doi.org/ 10.1055/s-0034-1373733.   DOI
17 National Cancer Information Center. Cancer facts and figures 2017 [Internet]. Seoul: National Cancer Information Center; 2019[cited Jan 10, 2019]. Available from: https://www.cancer.go.kr/lay1/bbs/S1T674C680/B/26/view.do?article_seq=21129&cpage=2&rows=12&condition=&keyword=&rn=20.
18 Jeon IH. Prediction model on postoperative pulmonary complications in lung resection patients with lung cancer [dissertation]. Seoul: Chung-Ang University; 2015. p. 32-58.
19 Wie GA, Cho YA, Kim SY, Kim SM, Bae JM, Joung HJ. Prevalence and risk factors of malnutrition among cancer patients according to tumor location and stage in the National Cancer Center in Korea. Nutrition. 2010;26(3):263-271. https://doi.org/10.1016/j.nut.2009.04.013   DOI
20 Sengupta S. Post-operative pulmonary complications after thoracotomy. Indian Journal of Anaesthesia. 2015;59(9):618-636. https://doi.org/10.4103/0019-5049.165852   DOI
21 Korean Association for Lung Cancer. Q&A for lung cancer patients 3th 2018 [Internet]. Seoul: Korean Association for Lung Cancer; 2018[cited Apr 5, 2018]. Available from: https://www.lungca.or.kr/eBook/index.html?name=vol3#page/179
22 World Health Organization (WHO). WHO Report on cancer [Internet]. Geneva: World Health Organization; 2020 [cited Feb 3, 2020]. Available from: https://www.who.int/health-topics/cancer#tab=tab_1
23 Wie GA. Nutrition management for cancer patients. Hanyang Medical Reviews. 2011;31(4):211-219.   DOI
24 Kaya SO, Akcam TI, Ceylan KC, Samancilar O, Ozturk O, Usluer O. Is preoperative protein-rich nutrition effective on postoperative outcome in non-small cell lung cancer surgery? a prospective randomized study. Journal of Cardiothoracic Surgery. 2016;11(1): 1-8. https://doi.org/10.1186/s13019-016-0407-1   DOI
25 Alvarez Hernandez J, Leon Sanz M, Planas Vila M, Araujo K, Garcia de Lorenzo A, Celaya Perez S. Prevalence and costs of malnutrition in hospitalized dysphagic patients: a subanalysis of the PREDyCES® study. Nutricion Hospitalaria. 2015;32(4):1830-1836. http://dx.doi.org/10.3305/nh.2015.32.4.9700   DOI
26 Fernandez-Bustamante A, Frendl G, Sprung J, Kor DJ, Subramaniam B, Ruiz RM, et al. Postoperative pulmonary complications, early mortality, and hospital stay following noncardiothoracic surgery: a multi center study by the perioperative research network investigators. Journal of American Medical Association Surgery. 2017;152(2):157-166. https://doi.org/10.1001/jamasurg.2016.4065   DOI
27 Son SJ, Kim JH. Factors influencing complications after therapeutic lung resection in lung cancer patients. Journal of Korean Academy of Fundamentals of Nursing. 2020;27(2): 106-115. https://doi.org/10.7739/jkafn.2020.27.2.106   DOI
28 Yang CK, Teng A, Lee DY, Rose K. Pulmonary complications after major abdominal surgery: National surgical quality improvement program analysis. Journal of Surgical Research. 2015;198(2):441-449. https://doi.org/10.1016/j.jss.2015.03.028   DOI