Kim Hyunsun, Suh Eunyoung E, Lee Hyuk-Joon, Yang Han-Kwang
Author Affiliations: College of Nursing and Research Institute of Nursing Science (Ms Kim and Dr Suh) and Department of General Surgery, College of Medicine (Drs Yang and Lee), Seoul National University, Seoul, South Korea.
Cancer Nurs. 2014 Mar-Apr;37(2):E10-20. doi: 10.1097/NCC.0b013e31829193c8.
Patients undergoing gastrectomy because of stomach cancer often face weight loss in the perioperational period, which can lead to malnutrition and negative treatment outcomes.
The purpose of this study was to develop a patient participation-based dietary intervention (PPDI) and evaluate its effects on patient outcomes.
INTERVENTIONS/METHODS: This was a prospective, randomized controlled trial in which the patients were recruited in a cancer center in South Korea. The participants (N = 56), who underwent gastrectomy with stomach cancer stage I to III, were randomly assigned into either the experimental or the control group. The PPDI, which was given on the day before the hospital discharge, comprised 2 face-to-face and 2 telephone interventions. The outcome variables included body weight, body mass index, muscle mass, the Patient-Generated Subjective Global Assessment, Dietary Symptom Scale, Functional Assessment Cancer Therapy-General, Karnofsky Performance Status, Adherence to Dietary Guidelines Scale, Scale of Dietary Knowledge, Patient Satisfaction Scale, and a 3-day food diary.
Participants in the PPDI intervention demonstrated significant (P < .05) reductions in adverse dietary symptoms and significant improvements (P < .05) in functional status, performance status, dietary intake, adherence to dietary guidelines, dietary knowledge, and satisfaction with the intervention as compared with the control group over time.
The PPDI was an effective dietary intervention for patients undergoing a gastrectomy for gastric cancer and deserves additional study in other populations of patients.
Incorporating patients' perspectives into a dietary intervention after gastrectomy for gastric cancer may contribute to improved patient outcomes and quality care.
因胃癌接受胃切除术的患者在围手术期常面临体重减轻，这可能导致营养不良及不良治疗结果。
本研究旨在开发一种基于患者参与的饮食干预措施（PPDI），并评估其对患者结局的影响。
干预措施/方法：这是一项前瞻性随机对照试验，患者在韩国一家癌症中心招募。参与者（N = 56）为接受I至III期胃癌胃切除术的患者，被随机分为实验组或对照组。PPDI在出院前一天实施，包括2次面对面干预和2次电话干预。结局变量包括体重、体重指数、肌肉量、患者主观整体评定法、饮食症状量表、癌症治疗功能评估通用版、卡氏功能状态评分、饮食指南依从性量表、饮食知识量表、患者满意度量表以及一份3天的饮食日记。
与对照组相比，随着时间推移，PPDI干预组的不良饮食症状显著减轻（P < .05），功能状态、身体状况、饮食摄入、饮食指南依从性、饮食知识及对干预的满意度均有显著改善（P < .05）。
PPDI对接受胃癌胃切除术的患者是一种有效的饮食干预措施，值得在其他患者群体中进一步研究。
将患者观点纳入胃癌胃切除术后的饮食干预可能有助于改善患者结局及提高护理质量。
