Browse > Article
http://dx.doi.org/10.4069/kjwhn.2014.20.2.117

Relationships among Malnutrition, Depression and Quality of Life in Patients with Gynecologic Cancer receiving Chemotherapy  

Nho, Ju-Hee (Department of Nursing, University of Ulsan)
Kim, Sung Reul (College of Nursing, Chonbuk National University)
Kang, Gyeong Seon (Ulsan University Hospital)
Kwon, Yong Soon (College of Medicine, University of Ulsan.Department of Obstetrics and Gynecology, Ulsan University Hospital)
Publication Information
Women's Health Nursing / v.20, no.2, 2014 , pp. 117-125 More about this Journal
Abstract
Purpose: The purpose of this study was to identify nutritional status, and relationships among malnutrition, depression and quality of life in patients with gynecologic cancer who were receiving chemotherapy. Methods: For this study a descriptive cross-sectional design was used. Participants were 111 women who were enrolled and agreed to undergo a face-to-face interviews including administration of the structured questionnaires: Patient-Generated Subjective Global Assessment (PG-SGA), Beck Depression Inventory (BDI), Simplified Nutritional Appetite Questionnaire (SNAQ), and Functional Assessment of Cancer Therapy-General (FACT-G). Results: Mean body mass index was 23.3 and mean body weight was 56.5 kg. Sixty-three (57%) of the 111 patients were malnourished according to the PG-SGA. The malnourished patients showed higher levels of depression and lower quality of life compared to the non-malnourished patients. In addition, malnutrition was associated with BMI level, depression, appetite and quality of life. Conclusion: The findings indicate that the prevalence of malnutrition is high and malnutrition in patients with gynecologic cancer influences depression and adversely affects the quality of life of these women. To improve the patient's quality of life, nutritional assessment and appropriate management is important to decrease malnutrition in patients with gynecologic cancer.
Keywords
Chemotherapy; Gynecologic neoplasm; Malnutrition; Depression; Quality of life;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Byun MS, Kim NH. Energy intake and fatigue in patients receiving chemotherapy. Journal of Korean Biological Nursing Science 2012;14(4):258-267.   DOI
2 Beck AT. Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber Medical Division, Harper & Row;1967.
3 Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean Journal of Clinical Psychology. 1991;10(1):98-113.
4 Jo SA, Park MH, Jo I, Ryu SH, Han C. Usefulness of Beck Depression Inventory (BDI) in the Korean elderly population. International Journal of Geriatric Psychiatry. 2007;22(3): 218-223.   DOI   ScienceOn
5 Cella D. FACIT manual: Manual of the Functional Assessment of Chronic Illness Therapy (FACIT) measurement system. Evanston, IL: Center on Outcomes, Research and Education;1997.
6 Kim YH, Lee JH. Relationships between side effects, depression and quality of sleep in gynecological cancer patients undergoing chemotherapy. Korean Journal of Women Health Nursing, 2010;16(3):276-287.   DOI
7 Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME. Dietary counseling improves patient outcomes: A prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy. Journal of Clinical Oncology. 2005;23(7): 1431-1438.   DOI   ScienceOn
8 Ottery FD. Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition. 1996;12 (Suppl.1):S15-19.   DOI   ScienceOn
9 Suzuki N, Ninomiya M, Maruta S, Hosonuma S, Nishigaya Y, Kobayashi Y et al. Psychological characteristics of Japanese gynecologic cancer patients after learning the diagnosis according to the hospital anxiety and depression scale. Journal of Obstetrics and Gynaecology Research. 2011;37(7):800-808.   DOI
10 Gil KM, Gibbons HE, Jenison EL, Hopkins MP, von Gruenigen VE. Baseline characteristics influencing quality of life in women undergoing gynecologic oncology surgery. Health and Quality of Life Outcomes. 2007;5:25.   DOI
11 Mendonsa RD, Appaya P. Psychiatric morbidity in outpatients of gynecological oncology clinic in a tertiary care hospital. Indian Journal of Psychiatry. 2010; 52(4):327-332.   DOI
12 Bauer J, Capra S, Ferguson M. Use of the scored Patient- Generated Subjective Global Assessment (PG- SGA) as a nutrition assessment tool in patients with cancer. European Journal of Clinical Nutrition. 2002;56(8):779-785.   DOI   ScienceOn
13 McCallum PD, Polisena CG. Clinical guide to oncology nutrition. 1st ed. Chicago: The American Dietetic Association; 2000.
14 Park MY, Park JY. Pre-and post-transplant nutritional assessment in patients undergoing allogeneic hematopoietic stem cell transplantation. Asian Oncology Nursing. 2012;12(1):110-116.   DOI
15 Wilson MM, Thomas DR, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. American Journal of Clinical Nutrition. 2005;82(5):1074-1081.
16 Lee KR. Efficacy of nutrition management program on performance ability, physical function, nutritional status in frail elderly [master's thesis]. Seoul: Kyung Hee University; 2012.
17 Gupta D, Lammersfeld CA, Vashi PG, Dahlk SL, Lis CG. Can subjective global assessment of nutritional status predict survival in ovarian cancer? Journal of Ovarian Research. 2008;1 (1):5.   DOI
18 Langer CJ, Hoffman JP, Ottery FD. Clinical significance of weight loss in cancer patients: Rationale for the use of anabolic agents in the treatment of cancer-related cachexia. Nutrition. 2001;17(Suppl 1):S1-20.   DOI
19 Laky B, Janda M, Kondalsamy-Chennakesavan S, Cleghorn G, Obermair A. Pretreatment malnutrition and quality of life - association with prolonged length of hospital stay among patients with gynecological cancer: A cohort study. BMC Cancer. 2010;10:232.   DOI   ScienceOn
20 Lis CG, Gupta D, Lammersfeld CA, Markman M, Vashi PG. Role of nutritional status in predicting quality of life outcomes in cancer-a systematic review of the epidemiological literature. Nutritional Journal. 2012;11:27.
21 Laky B, Janda M, Bauer J, Vavra C, Cleghorn G, Obermair A. Malnutrition among gynaecological cancer patients. European Journal of Clinical Nutrition. 2007;61(5):642-646.
22 Ryan M, White K, Roydhouse JK, Fethney J. A description of the nutritional status and quality of life of Australian gynaecological cancer patients over time. European Journal of Oncology Nursing. 2012;16(5):453-459.   DOI
23 Britton B, Clover K, Bateman L, Odelli C, Wenham K, Zeman A et al. Baseline depression predicts malnutrition in head and neck cancer patients undergoing radiotherapy. Supportive Care in Cancer. 2012;20(2):335-342.   DOI
24 Massie MJ. Prevalence of depression in patients with cancer. Journal of the National Cancer Institute Monographs. 2004;32: 57-71.
25 Middleton MH, Nazarenko G, Nivison-Smith I, Smerdely P. Prevalence of malnutrition and 12-month incidence of mortality in two Sydney teaching hospitals. International Medicine Journal. 2001;31(8):455-461.   DOI   ScienceOn
26 Barrera R. Nutritional support in cancer patients. Journal of Parenteral and Enteral Nutrition. 2002;26(Suppl.5):S63-71.   DOI
27 Sheard JM, Ash S, Silburn PA, Kerr GK. Prevalence of malnutrition in Parkinson's disease: A systematic review. Nutrition Reviews. 2011;69(9):520-532.   DOI
28 Van Cutsem E, Arends J. The causes and consequences of cancer-associated malnutrition. European Journal of Oncology Nursing. 2005;9(Suppl.2):S51-63.   DOI   ScienceOn
29 Brugler L, Stankovic AK, Schlefer M, Bernstein L. A simplified nutrition screen for hospitalized patients using readily available laboratory and patient information. Nutrition. 2005;21 (6):650-658.   DOI   ScienceOn
30 Gupta D, Lis CG, Granick J, Grutsch JF, Vashi PG, Lammersfeld CA. Malnutrition was associated with poor quality of life in colorectal cancer: A retrospective analysis. Journal of Clinical Epidemiology. 2006; 59(7):704-709.   DOI   ScienceOn