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.
References
1. Statistics Korea. Cause of death statistics press release in 2016 [Internet]. Statistics Korea;2017. cited 2017 Sep 22. Available from: http://kostat.go.kr/.
2. 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/.
3. Jeong JS. A literature review study on the correlation between stomach cancer and dietary factors. Korean J Epidemiol. 1986; 8(2):233–248.
4. 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.
5. Bae JM. Nutritional consequences and management after gastrectomy. Hanyang Med Rev. 2011; 31(4):254–260.
6. 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.
7. 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.
8. 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.
9. Rogers C. Postgastrectomy nutrition. Nutr Clin Pract. 2011; 26(2):126–136.
10. Olbe L, Lundell L. Intestinal function after total gastrectomy and possible consequences of gastric replacement. World J Surg. 1987; 11(6):713–719.
12. Slone DS. Nutritional support of the critically ill and injured patient. Crit Care Clin. 2004; 20(1):135–157.
13. 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.
14. Cho SH, Kim BS, Kim YH, Lee CH, Yook JH, Oh ST. Clinical analysis of post-operative complications in gastric tumors. J Korean Surg Soc. 2001; 61(5):498–503.
15. 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.
16. Kim DW, Kim YJ, Kim JM, Cho KS, Kim HS, Lee MS. Long term impact of laparoscopic assisted distal gastrectomy on quality of life. J Korea Gastric Cancer Assoc. 2007; 7(4):213–218.
17. Adam JF. The clinical metabolic consequences of total gastrectomy. Scand J Gastroenterol. 1967; 2(2):137–149.
18. Ahn SM, Yoon KY, Kim ES, Kang WG, Ryu DW, Kim TH. Initial nutritional status of stomach cancer patients. J Korean Diet Assoc. 2002; 8(3):217–226.
19. Lee HS, Park JH, Choi H, Kim JH, Min LK, Lee SI. 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 Korean Gastric Cancer Assoc. 2005; 5(3):152–157.
20. Guren MG, Dueland S, Skovlund E, Fossa SD, Poulsen JP, Tveit KM. Quality of life during radiotherapy for rectal cancer. Eur J Cancer. 2003; 39(5):587–594.
21. 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.
22. Suh YO. Predictors of quality of life in women with breast cancer. J Korean Acad Nurs. 2007; 37(4):459–466.
23. 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.
24. Min JA, Yoon SJ, Lee CU, Chae JH, Lee C, Song KY. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer. 2013; 21(9):2469–2476.
25. 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.
26. 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.
27. 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.
28. Marin Caro MM, Laviano A, Pichard C. Nutrition intervention and quality of life in adult oncology patients. Clin Nutr. 2007; 26(3):289–301.
29. 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.
30. Snetselaar LG. Nutrition counseling skills. Clin Nutr Insight. 1990; 16(7):6.
31. Holli BB. Using behavior modification in nutrition counseling. J Am Diet Assoc. 1988; 88(12):1530–1536.
32. 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.
33. 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.
34. 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.
35. Park YH. Relationship between dietary life and nutrition counseling in gastric cancer patients after gastrectomy [master's thesis]. Yeungnam University;2009.
36. 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.
37. 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.
38. 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.
39. 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.
40. Kim TY. Lifestyle modification for cancer prevention. Korean J Med. 2003; 65(1):136–141.
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.