Vaccaro Salvatore, Díaz Crescitelli Matías Eduardo, Mastrangelo Stefano, Fornaciari Nadia, Reverberi Elisabetta, Di Leo Silvia, Ghirotto Luca
Clinical Nutrition Unit and Oncological Metabolic Centre, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Qualitative Research Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Front Nutr. 2025 Jan 3;11:1511113. doi: 10.3389/fnut.2024.1511113. eCollection 2024.
This study examines how gastric cancer patients adjust their eating habits and quality of life after total gastrectomy, particularly concerning early satiety. While total gastrectomy may provide a potential cure, it also leads to significant physical, psychological, and social changes. Understanding these adaptations is essential for enhancing survivorship care.
We conducted a qualitative study utilizing a phenomenological approach to gain insights into the lived experiences of gastric cancer patients following total gastrectomy. Semi-structured interviews were analyzed to identify key themes related to eating habits and quality of life.
Four core themes emerged: (1) Ineluctability of bodily transformations-patients experienced significant disruptions to their bodily identity; (2) Feelings of weaning and loss of habits-a sense of mourning for lost routines and pleasures; (3) Redefining habits-the process of adapting to new eating patterns; and (4) Experiencing tentative conviviality-struggles to restore social interactions around meals. Social anxiety, particularly regarding dining outside the home, was a notable challenge. Family caregivers played complex roles, providing both support and unintentional obstacles.
The findings highlight the multifaceted impact of total gastrectomy on patients' lives, influencing their physical health, psychological well-being, and social dynamics. Survivorship care plans should consider these aspects to facilitate adaptation. Targeted interventions, such as nutritional counseling, telemonitoring, and digital tools, are suggested to assist patients in adjusting to post-gastrectomy life. These strategies could enhance quality of life and promote improved physical, psychological, and social well-being integration.
本研究探讨胃癌患者在全胃切除术后如何调整饮食习惯和生活质量，特别是关于早期饱腹感的问题。虽然全胃切除术可能提供潜在的治愈方法，但它也会导致身体、心理和社会方面的重大变化。了解这些适应情况对于加强生存护理至关重要。
我们采用现象学方法进行了一项定性研究，以深入了解胃癌患者全胃切除术后的生活经历。对半结构化访谈进行分析，以确定与饮食习惯和生活质量相关的关键主题。
出现了四个核心主题：（1）身体转变的不可避免性——患者经历了身体身份的重大破坏；（2）断奶感和习惯丧失——对失去的日常和乐趣的哀悼感；（3）重新定义习惯——适应新饮食模式的过程；（4）体验暂时的欢乐——努力恢复围绕用餐的社交互动。社交焦虑，特别是在家庭以外用餐时，是一个显著的挑战。家庭照顾者扮演着复杂的角色，既提供支持，也无意中造成障碍。
研究结果突出了全胃切除术对患者生活的多方面影响，影响他们的身体健康、心理健康和社会动态。生存护理计划应考虑这些方面，以促进适应。建议采取有针对性的干预措施，如营养咨询、远程监测和数字工具，以帮助患者适应胃切除术后的生活。这些策略可以提高生活质量，促进身体、心理和社会幸福感的改善整合。
