Journal List > Asian Oncol Nurs > v.14(3) > 1081804

Kim and Choi: Postoperative Changes in Body Weight, Anxiety, Depression, and Quality of Life after Radical Gastrectomy among Patients with Gastric Cancer



The purpose of this study was to identify the changes in body weight, anxiety, depression, and quality of life in patients during a one month period following a radical gastrectomy.


Data were collected from 30 patients with gastric cancer from July 2, 2012 through December 31, 2012, at C University Hospital, Gwangju, South Korea. The body weight, anxiety, depression, and quality of life (QoL) of the patients were measured using structured questionnaires the day before surgery, day 7 postoperative, and 1 month postoperative.


There were significant changes in the average body weight and the general health status/QoL, the functionality, and the symptoms of general QoL, and the functionality and the symptoms of specific QoL during the postoperative 1 month period (χ2=52.47-7.68, p<.001-.022).


Oncology nurses should assess the nutritive conditions of gastrectomy patients carefully to avoid malnutrition during the postoperative 1 month period. Also, as the general and specific quality of life changes during the postoperative 1 month period, adequate support and sufficient attention should be provided to these patients to minimize the negative influence on quality of life, and to assist them in recovery to the preoperative state.

Figures and Tables

Table 1
General Characteristics (N=30)
Table 2
Disease Characteristics (N=30)

*According to 7th AJCC & UICC; According to Clavien-Dindo classification; ECOG=European cooperative oncology group.

Table 3
Changes of Body Weight (N=30)

Time 1=Preoperative 1st day; Time 2=Postoperative 7th day; Time 3=Postoperative 1 month.

Table 4
Changes of Anxiety and Depression (N=30)

Time 1=Preoperative 1st day; Time 2=Postoperative 7th day; Time 3=Postoperative 1 month.

Table 5
Changes of General and Gastric Cancer Specific Quality of Life of Cancer Patients according to the Process of Surgery (N=30)

Time 1=Preoperative 1st day; Time 2=Postoperative 7th day; Time 3=Postoperative 1 month; QoL=Quality of Life; GHS=Global health status.


This article is a condensed form of the first author's master's thesis from Chonnam National University.


1. National Cancer Information Center. Accessed September 1, 2011.
2. Ohtsu A. Current status and future prospects of chemotherapy for metastatic gastric cancer : A review. Gastric Cancer. 2005; 8:95–102.
3. Shim BY. Relationship between posttraumatic growth and quality of life in stomach cancer patients [dissertation]. Incheon: Inha Univ.;2012.
4. Bae SH. Treatment of gastric cancer: Overview of surgical treatment. Dongguk J Med. 2003; 10:104–110.
5. Mok E, Wong KY. Effects of music on patient anxiety. AORN J. 2003; 77(2):396–410.
6. Tavoli A, Mohagheghi MA, Montazeri A, Roshan R, Tavoli Z, Omidvari S. Anxiety and depression in patient with gastrointestinal cancer: Dose knowledge of cancer diagnosis matter. BMC Gastroenterol. 2007; 7:28.
7. Shim EJ, Hahm BJ. Anxiety, helplessness/hopelessness and 'desire for hastened death' in Korean cancer patients. Eur J Cancer Care (Engl). 2011; 20:395–402.
8. Deshields TL, Potter P, Olsen S, Liu J. The persistence of symptom burden: Symptom experience and quality of life of cancer patients across one year. Support Care Cancer. 2014; 22:1089–1096.
9. Yi JM, Hur H, Kim SK, Song KY, Chin HM, Kim W, et al. Is a fast-track critical pathway possible in gastric cancer surgery? J Korean Gastric Cancer Assoc. 2009; 9(1):18–25.
10. Lee HM, Shin YD, Yoon C, Joo HZ. A study of the quality of life after curative surgery for gastric cancer. J Korean Surg Soc. 2001; 60:405–412.
11. Jeon YW, Han SI, Jeon CE, Kim JJ, Park SM. Quality of life in patients with stomach cancer. J Korean Gastric Cancer Assoc. 2004; 4:27–31.
12. Kim DW, Kim YJ, Kim MJ, Cho GS, Kim HS, Lee MS, et al. Long term impact of laparoscopic assisted distal gastrectomy on quality of life. J Korean Gastric Cancer Assoc. 2007; 7:213–218.
13. Lee SS, Chung HY, Yu WS, Han SW, Jung HY, Song JWon. Quality of life of long-term survivors after a subtotal or a total Gastrectomy for gastric cancer. J Korean Gastric Cancer Assoc. 2010; 10:34–39.
14. Park YO, Yoon SY, Kang SS, Han SM, Kang EH. Nutritional status and dietary change after gastrectomy of gastric cancer patients. Korean J Community Nutr. 2012; 17(1):101–108.
15. Kong HR, Kwon OK, Yu WS. Changes of quality of life after gastric cancer surgery. J Gastric Cancer. 2012; 12(3):194–200.
16. Wi ES, Yong JS. Distress, depression, anxiety, and spiritual needs of patients with stomach cancer. Asian Oncol Nurs. 2012; 12:314–322.
17. Koh KB, Lee SI, Lee JM. Comparison of stress perception and depression between gastric cancer and gastritis patients. Korean J Psychosom Med. 1994; 2:88–97.
18. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67:361–370.
19. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depressed scale for Koreans. J Korean Neuropsychiatr Assoc. 1999; 38:289–296.
20. Fayers P, Bottomley A. Quality of life research within the EORTC the EORTC QLO-C30. Eur J Cancer. 2002; 38:S125–S133.
21. Lee JH. Quality of life for the gastric cancer patients after gastrectomy: Reliability and validity study of the Korean version of the EORTC QLQ C-30 and gastric cancer module [dissertation]. Seoul: Yonsei Univ.;2003.
22. Yu EJ. Assessment of nutritional status for gastrectomy of gastric cancer patients [dissertation]. Seoul: Yonsei Univ.;2007.
23. Wu HS, Harden JK. Symptom burden and quality of life in survivorship: A review of the literature. Cancer Nurs. 2014; Epub ahead of print.
24. Seo KS, Lee JM, Kim WY. Comparison of reconstructive techniques after total as determined by patient quality of life and nutritional status. J Korean Gastric Cancer Assoc. 2007; 7:219–227.
25. Mishel MH. The measurement of uncertainty in Illness. Nurs Res. 1981; 30(5):258–263.
26. Kim JH, Choi KS, Kim TW, Hong YS. Quality of life in colorectal cancer patients with chemotherapy-induced peripheral neuropathy. J Korean Oncol Nurs. 2011; 11(3):254–262.
27. Hong JS, Tian J. Prevalence of anxiety and depression and their risk factors in Chinese cancer patients. Support Care Cancer. 2014; 22:453–459.
28. Lee SS, Chung HY, Yu W. Quality of life of long-term survivors after a distal subtotal gastrectomy. Cancer Res Treat. 2010; 42:130–134.
29. Kim JH. Influencing factors on depression in stomach cancer patients receiving chemotherapy. Korean J Adult Nurs. 2012; 24:588–596.
Similar articles